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卡巴胆碱对烫伤大鼠肠内补液时肠黏膜血流量、Na^+-K^+-ATP酶活性和水通道蛋白-1表达的影响 被引量:2
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作者 耿世佳 包呈梅 +4 位作者 吴静 车晋伟 任明姬 胡森 盛志勇 《解放军医学杂志》 CAS CSCD 北大核心 2008年第6期649-651,共3页
目的研究卡巴胆碱对烫伤早期大鼠肠内补液时肠黏膜血流量(IMBF)、Na+-K+-ATP酶活性和水通道蛋白-1(AQP1)表达的影响。方法雄性Wistar大鼠50只,随机分为假烫组、单烫组、肠内卡巴胆碱组、肠内补液组和肠内补液+卡巴胆碱组,每组10只。大鼠... 目的研究卡巴胆碱对烫伤早期大鼠肠内补液时肠黏膜血流量(IMBF)、Na+-K+-ATP酶活性和水通道蛋白-1(AQP1)表达的影响。方法雄性Wistar大鼠50只,随机分为假烫组、单烫组、肠内卡巴胆碱组、肠内补液组和肠内补液+卡巴胆碱组,每组10只。大鼠经35% TBSA Ⅲ度烫伤后,麻醉状态下进行十二指肠和回肠插管,与输液泵相连形成闭合回路进行小肠补液(灌流)。肠内补液时于烫伤后0.5h开始灌注葡萄糖-电解质溶液,灌注液总量为2ml/(kg.1% TBSA),于3.5h内在智能输液泵控制下匀速输入。卡巴胆碱(60μg/kg)于烫伤后0.5h肠内注射。伤后4h用激光多普勒血流仪测定IMBF,然后处死动物,取肠组织进行Na+-K+-ATP酶活性和AQP1免疫组化测定。结果IMBF、Na+-K+-ATP酶活性和AQP1表达肠内卡巴胆碱组和肠内补液组均显著高于单烫组(P<0.01),但低于肠内补液+卡巴胆碱组(P<0.05)。结论35%TBSAⅢ度烫伤肠内补液时给予卡巴胆碱能增加肠黏膜血流量和Na+-K+-ATP酶活性,促进AQP1表达,有助于肠道对口服液体的吸收。 展开更多
关键词 卡巴胆碱 烧伤 肠黏膜血流 NA+-K+-ATP酶 水通道蛋白
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肠黏膜血流改变在创伤性脑损伤大鼠肠黏膜屏障应激性变化中的作用 被引量:12
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作者 王燕斌 杨昭徐 《中国临床营养杂志》 2008年第5期281-284,333,共5页
目的探讨肠黏膜血流改变在创伤性脑损伤大鼠肠黏膜屏障应激性变化机制中的作用。方法雄性Wistar大鼠64只,随机分为创伤性脑损伤组和假手术组,2组大鼠分别按术后6、12、24和48小时时相点分为4个亚组(n=8),测定肠黏膜血流量,光镜和透射电... 目的探讨肠黏膜血流改变在创伤性脑损伤大鼠肠黏膜屏障应激性变化机制中的作用。方法雄性Wistar大鼠64只,随机分为创伤性脑损伤组和假手术组,2组大鼠分别按术后6、12、24和48小时时相点分为4个亚组(n=8),测定肠黏膜血流量,光镜和透射电镜下观察肠黏膜组织形态学变化。结果创伤性脑损伤组各时相点的肠黏膜血流量均低于假手术组(P<0.05);光镜下创伤性脑损伤组肠黏膜上皮细胞受损,电镜下可见肠黏膜细胞间紧密连接较假手术组增宽。结论创伤性脑损伤后早期肠黏膜屏障即已受损,而肠黏膜血流量的下降是导致这一病理生理变化的重要因素之一。 展开更多
关键词 创伤性脑损伤 黏膜通透性 肠黏膜血流 黏膜屏障 应激
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卡托普利对失血性休克兔肠黏膜血流灌注的影响 被引量:1
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作者 禹晓东 王仁 +1 位作者 柴治国 朱世东 《第四军医大学学报》 北大核心 2006年第2期136-138,共3页
目的:研究卡托普利对失血性休克兔肠黏膜血流灌注的影响.方法:新西兰白兔30只随机分为空白对照组、失血性休克组、药物治疗组,通过Tonometry张力计测定并计算休克前(S0)、休克起点(S1)及再灌注1 h(REP1),再灌注2 h(REP2)乙状结肠pHi及Pi... 目的:研究卡托普利对失血性休克兔肠黏膜血流灌注的影响.方法:新西兰白兔30只随机分为空白对照组、失血性休克组、药物治疗组,通过Tonometry张力计测定并计算休克前(S0)、休克起点(S1)及再灌注1 h(REP1),再灌注2 h(REP2)乙状结肠pHi及Pi-aCO2,同时在上述时间点测定肠系膜静脉血乳酸浓度(Lac)、血氧饱和度(SvO2)及二氧化碳分压(PCO2).结果:休克组pHi(6.84±0.14)及肠系膜静脉血SvO2(44±7)%及PCO2(23.5±3.9)mmHg与对照组[分别为(7.31±0.06),(75±7)%,(40.4±0.8)mmHg]相比降低显著,肠系膜静脉乳酸值(3.62±0.32)mmol/L与对照组(1.49±0.72)mmol/L相比升高显著(P<0.01),尽管予以充分复苏,上述指标仍无明显改善;治疗组应用卡托普利后,肠黏膜的pHi(7.13±0.11)及肠系膜静脉血SvO2(66±6)%,PCO2(29.7±3.5)mmHg与休克组相比明显升高,肠系膜静脉血乳酸值(2.54±0.47)mmol/L明显下降(P<0.01).结论:卡托普利能大大改善失血性休克兔肠黏膜的血流灌注. 展开更多
关键词 休克 出血性 卡托普利 灌注 血管紧张素转换酶抑制药 失血性休克 肠黏膜血流灌注
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Effects of intestinal mucosal blood flow and motility on intestinal mucosa 被引量:15
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作者 Yan-Bin Wang Jing Liu Zhao-Xu Yang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第5期657-661,共5页
AIM: To investigate the role of intestinal mucosal blood flow (IMBF) and motility in the damage of intestinal mucosal barrier in rats with traumatic brain injury. METHODS: Sixty-four healthy male Wistar rats were ... AIM: To investigate the role of intestinal mucosal blood flow (IMBF) and motility in the damage of intestinal mucosal barrier in rats with traumatic brain injury. METHODS: Sixty-four healthy male Wistar rats were divided randomly into two groups: traumatic brain injury (TBI) group (n = 32), rats with traumatic brain injury; and control group (n = 32), rats with sham-operation. Each group was divided into four subgroups (n = 8) as 6, 12, 24 and 48 h after operation. Intestinal motility was measured by the propulsion ratio of a semi-solid colored marker (carbon-ink). IMBF was measured with the laser-Doppler technique. Endotoxin and D-xylose levels in plasma were measured to evaluate the change of intestinal mucosal barrier function following TBI. RESULTS: The level of endotoxin was significantly higher in TBI group than in the control group at each time point (0.382 ± 0.014 EU/mL vs 0.102 ± 0.007 EU/mL, 0.466 ± 0.018 EU/mL vs 0.114 ± 0.021 EU/mL, 0.478± 0.029 EU/mL vs 0.112 ±- 0.018 EU/mL and 0.412± 0.036 EU/mL vs 0.108 ±0.011 EU/mL, P 〈 0.05). D-xylose concentrations in plasma in TBI group were significantly higher than in the control group (6.68 ± 2.37 mmol/L vs 3.66 ±1.07 retool/L, 8.51 ± 2.69 mmol/L vs 3.15 + 0.95 mmol/L, 11.68 ±3.24 mmol/L vs 3.78 ± 1.12 mmol/L and 10.23 ± 2.83 mmol/L vs 3.34 ± 1.23 mmol/L, P 〈 0.05). The IMBF in TBI group was significantly lower than that in the control group (38.5 ± 2.8 PU vs 45.6 ± 4.6 PU, 25.2 ± 3.1 PU vs 48.2 ± 5.3 PU, 21.5 ± 2.7 PU vs 44.9 ± 2.8 PU, 29. 4 ± 3.8 PU vs 46.7 ± 3.2 PU) (P 〈 0.05). Significant decelerations of intestinal propulsion ratio in T8I groups were found compared with the control group (0.48% ± 0.06% vs 0.62%± 0.03%, 0.37% ±0.05% vs 0.64% ± 0.01%, 0.39% ± 0.07% vs 0.63% =1= 0.05% and 0.46% ± 0.03% vs 0.65% ± 0.02%) (P 〈 0.05). CONCLUSION: The intestinal mucosal permeability is increased obviously in TBI rats. Decrease of intestinal motility and IMBF occur early in TBI, both are important pathogenic factors for stress-related damage of the intestinal mucosal barrier in TBI. 展开更多
关键词 Traumatic brain injury Intestinal mucosabarrier STRESS Intestinal mucosa blood flow Intestinalmotility
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Effect of acupuncture at Foot-Yangming Meridian on gastric mucosal blood flow, gastric motiiity and brain-gut peptide 被引量:26
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作者 Ya-Ping Lin Shou-Xiang Yi Jie Yan Xiao-Rong Chang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第15期2229-2233,共5页
AIM: To observe the effect of acupuncture at Foot- Yangming Meridian on gastric mucosal blood flow (GMBF), gastric motility and brain-gut peptide. METHODS: Sixty SD rats were randomly divided into 6 groups: norma... AIM: To observe the effect of acupuncture at Foot- Yangming Meridian on gastric mucosal blood flow (GMBF), gastric motility and brain-gut peptide. METHODS: Sixty SD rats were randomly divided into 6 groups: normal control group, model group (group with gastric mucosal damage, GMD), Sibai group (with acupuncture at Sibai point + GMD), Tianshu group (with acupuncture at Tianshu point + GMD), Zusanli group (with acupuncture at Zusanli point + GMD) and non-acupoint group (with acupuncture at non-acupoint + GMD). The GMD model group was induced by infusing pure alcohol into gastric cavity. H2 Gas Clearance Test (HGCT) was used to measure GMBF, the frequency and amplitude of gastric motility were measured by the method of aerocyst, the content of brain-gut peptide in sinus ventriculi and bulbus medullae were detected by radioimmunoassay. RESULTS: Inhibitory effect of the frequency and amplitude of gastric motility were shown in model group, and the rates of frequency and amplitude changes were remarkably different from the normal control group (-19.41 ± 17.21 vs-4.71 ± 10.32, P 〈 0.05; -51.61 ± 29.02 vs 1.81 ± 14.12, P 〈 0.01). In comparison with control group, the GMBF was 0.52 ± 0.161 mL vs 1.03 ± 0.255 mL per 100g tissue/min, P 〈 0.01, the content of motilin in sinus ventriculi and bulbus medullae was 63.04 ± 7.77 pg/mL vs 72.91 ± 8.42 pg/mL, P 〈 0.05 and 50.96 ± 8.77 pg/mL vs 60.76 ± 8.05 pg/mL, P 〈 0.05, but the content of somatostatin in sinus ventriculi and bulbus medullae was 179.85 ± 43.13 ng/g vs 90.54 ± 40.42 ng/g, P 〈 0.01 and 532.86 ± 122.58 ng/g vs 370.91 ± 76.29 ng/g, P 〈 0.05,respectively. In comparison with model group, the amplitude of gastric motility was 1.52 ± 20.13, -6.52 ± 23.31, 6.92 ± 25.21 vs -51.61 ± 29.02, P 〈 0.01 and GMBF was 0.694 ± 0.160 mL vs 0.893 ± 0.210 mL, 1.038 ± 0.301 mL vs 0.52 ± 0.161 mL per 100g tissue/rain, P 〈 0.01, respectively in Tianshu, Sibai and Zusanli groups, the content of motilin in sinus ventriculi and bulbus medullae was 71.64 ± 9.35 pg/mL vs 63.04 ± 7.77 pg/mL, P 〈 0.05; 58.96 ± 6.69 pg/mL vs 50.96 ± 8.77 pg/mL, P 〈 0.05 in Zusanli group and 72.84 ± 8.62 pg/mL vs 63.04 ± 7.77 pg/mL, P 〈 0.05 in Sibai group, while the content of somatostatin in bulbus medullae in Tianshu, Sibai and Zusanli groups was 480.62 ± 151.69 ng/g, 388.53 ± 155.04 ng/g, 365.76 ± 143.93 ng/g vs 532.86 ± 122.58 ng/g, P 〈 0.05, respectively. CONCLUSION: Electro-acupuncture at acupoints of Foot-Yangming Meridian could enhance the gastric motility, improve GMBF, and regulate the content of motUin and somatostatin in sinus ventriculi and bulbus. The effects of acupuncture on GMBF and gastric motility may be related to the content of brain-gut peptide. 展开更多
关键词 ELECTRO-ACUPUNCTURE Foot-Yangming Meridian Gastric motility MOTILIN SOMATOSTATIN
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