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酒石酸布托啡诺后处理对离体大鼠心肌缺血再灌注损伤的影响(1)
http://www.100md.com 2011年7月15日 颜学滔 郑文忠 吴云 王焱林
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     [摘要] 目的 探讨酒石酸布托啡诺后处理对大鼠离体心肌缺血再灌注损伤的影响。方法 应用Langendorff离体灌流装置,采用完全停灌复灌的方法制作离体大鼠心肌缺血再灌注模型。健康雄性SD大鼠32只,体重220~250g,随机分为4组:对照组(Sham组,n=8)、缺血再灌注组(I/R组,n=8)、缺血预处理组(pre组,n=8)和酒石酸布托啡诺后处理组(butor组,n=8)。制备大鼠离体心脏缺血再灌注损伤模型,于再灌注结束后,收集冠脉流出液测定肌酸激酶(CK)和乳酸脱氢酶(LDH)的活性,测定心肌组织丙二醛(MDA)含量和超氧化物歧化酶(SOD)活性。结果 与Sham组比较,其他各组冠脉流出液CK和LDH活性及心肌组织MDA含量升高,心肌组织SOD活性降低(P<0.01);与I/R组比较,pre组及butor组冠脉流出液CK和LDH活性及心肌组织MDA含量降低,心肌组织SOD活性升高(P<0.01),而pre组与butor组比较,CK和LDH活性及心肌组织MDA含量和SOD活性差异无统计学意义(P>0.05)。结论 酒石酸布托啡诺后处理对离体心脏缺血再灌注损伤具有保护作用。

    [关键词] 酒石酸布托啡诺;后处理;心肌缺血再灌注损伤

    [中图分类号] R541 [文献标识码] A [文章编号] 1673-9701(2011)20-18-03

    The Effects of Butorphanol of Postconditioning on Myocardial Ischemia Reperfusion Injury in Isolated Rat Hearts

    YAN Xuetao1,2ZHENG Wenzhong1WU Yun2WANG Yanlin2

    1.Department of Anesthesiology,Shenzhen Baoan Maternity and Child Health Hospital,Shenzhen 518133,China;2.Department of Anesthesiology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China

    [Abstract] Objective To explore the effects of postconditioning of butorphanol on myocardial ischemia/reperfusion(I/R) injury in isolated rat hearts. MethodsThirty-two male SD rats weighing 220-250kg were randomly divided into 4 groups: sham operation group(Sham group,n=8),the isolated rat hearts were perfused with an oxygenated(95%O2-5%CO2)K-H solution at 37°C in a Langendorff apparatus for 120min; I/R group(IR group,n=8),the isolated rat hearts were perfused with K-H solution for 30min then reperfusion for 40min after 50min of stabilization;Ischemia preconditioning group(pre group,n=8),the isolated rat hearts were with 3 times transient 3min in 5min out perfusion before stopping irrigation for 20min,then reperfusion for 50min. Butorphanol postconditioning group(butor group,n=8),which were subjected to 30min of global ischemia followed by 50min of reperfusion after 20min of stabilizationand and isolated hearts were perfused with 1mol L-1 butorphanol for 30min before ischemia ......

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