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中国临床药理学与治疗学 ›› 2009, Vol. 14 ›› Issue (11): 1208-1211.

• 基础研究 • 上一篇    下一篇

异丙酚对重症急性胰腺炎大鼠早期肺损伤的干预作用

张义胜, 王明海, 陶坤, 陈方正, 赵国海   

  1. 皖南医学院附属弋矶山医院普外四科, 芜湖241001, 安徽
  • 收稿日期:2009-07-13 修回日期:2009-07-13 发布日期:2020-10-26
  • 通讯作者: 赵国海, 男, 教授, 主任医师, 硕士生导师, 研究方向:外科危重症, 胃肠道肿瘤。E-mail:wangmh0410@sina.com.cn
  • 作者简介:张义胜, 男, 副主任医师, 研究方向:外科危重症。
  • 基金资助:
    安徽省教育厅自然科学研究基金项目(2004kj346)

Effect of propofol on pulmonary injury induced by early-stage severe acute pancreatitis in rats

ZHANG Yi-sheng, WANG Ming-hai, TAO Kun, CHEN Fang-zheng, ZHAO Guo-hai   

  1. Department of Surgery, Wannan Medical College, Wuhu 241001, Anhui, China
  • Received:2009-07-13 Revised:2009-07-13 Published:2020-10-26

摘要: 目的:探讨异丙酚对重症急性胰腺炎(SAP) 大鼠早期肺组织损伤的干预作用。方法:健康成年雄性SD 大鼠72 只, 按随机化原则分成9 组, 每组8 只。即假手术组, 重症急性胰腺炎30 、60 、120 、360 min 组(SAP 组:胰胆管逆行注入质量分数为5 %牛磺胆酸钠溶液) 和异丙酚30 、60 、120 、360 min 组(造模后立即给予异丙酚150 μg·kg-1·min-1尾静脉持续注射) 。剖杀各组大鼠, 分别检测血清淀粉酶(AMY) 、脂肪酶(LIP)的含量, 计算肺、胰腺组织湿 干重比, 并观察胰腺组织和肺组织的病理学改变。结果:异丙酚组大鼠360 min 时肺组织含水量明显减轻、病理积分明显降低(P 均<0.01), 但大鼠胰腺组织含水量及病理积分无明显改变(P 均>0.05) 。结论:异丙酚可减轻重症急性胰腺炎大鼠早期肺组织的损伤程度, 但不能减轻重症急性胰腺炎大鼠早期胰腺组织的损伤程度。

关键词: 异丙酚, 胰腺炎, 急性, 重症, 肺损伤, 炎症

Abstract: AIM: To investigate whether propofol can alter the pulmonary inflammation induced by severe acute pancreatitis(SAP) in rats during its early period. METHODS: Seventy-two adult male Sprague-Dawley (SD) rats were randomly divided into nine groups with 8 animals in each group:sham group, SAP 30, 60, 120, 360 min groups and propofol treatment 30, 60, 120, 360 min groups.The preparation of SAP were induced by retrograde injection of 5 % sodium taurocholate into the pancreatic duct of rats.And the treatment groups received propofol with doses of 150 μg·kg -1·min -1 injected continually immediately in vena caudalis after the preparation of ASP were made. Rats were sacrificed at different time points, and the level of AMY and LIP, the wet dry weight ratio(W D) of pulmonary and pancreatic tissue, the pathological change of pulmonary and pancreatic tissue were examined. RESULTS: Water content and pathological score of pulmonary tissue were decreased significantly within 360 minutes after reproduction of SAP were received propofol(both P <0.01).But no obvious change was observed in water content and pathological score of pancreatitis tissue(both P >0.05). CONCLUSION: propofol can alleviate pulmonary inflammation induced by severe acute pancreatitis in its early period.But propofol can not alleviate the injury of pancreatitis tissue.

Key words: Propofol, severe acute pancreatitis, lung injury, inflammation

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