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作 者:扶志敏[1] 王正 杨林 林少霖 欧竹君 王光锁 孙学峰 李国峰
机构地区:[1]湖南省郴州市第一人民医院中心医院胸心外科,湖南郴州423000 [2]暨南大学第二临床医学院深圳市人民医院胸外科,广东深圳518020
出 处:《医学临床研究》2014年第2期274-277,共4页Journal of Clinical Research
摘 要:【目的】探讨ω-3鱼油脂肪乳剂对内毒素脂多糖(LPS)致兔急性肺损伤(ALI)急性肺损伤兔肺组织中血栓素B2(TXB2)、6酮前列腺素F1α(6-keto-PGF1α)表达的影响。【方法】清洁级新西兰兔24只,随机分为对照组(A组)、LPS致伤组(B组)、ω-3鱼油脂肪乳剂预处理+LPS致伤组(C组),每组8只,记录0h、0.5h、1h、2h、4h时间点氧和指数(PaO2/FiO2)的改变,4h点处死动物,取肺组织测定TXB2和6-酮-前列腺素F1α(6-keto-PGF1α)含量、观察病理变化,并做病理评分。【结果】注射LPS0.5h、1h后B、C两组0.5h、1h兔肺组织TXB2、6-keto-PGF1α均较A组明显升高(P<0.05),B、C两组比较有统计学意义(P<0.05),注射LPS2h、4h后三组比较无统计学意义(P>0.05);B组TXB2/6-keto-PGF1α(T/P)明显高于A、C两组(P<0.05),A组与C组T/P均有增高趋势(0.75VS0.73),但两组比较无显著差异(P>0.05);A组、C组肺损伤病理组织评分均低于B组(P<0.05)。【结论】ω-3鱼油脂肪乳可明显减少LPS致ALI的肺组织TXB2含量,对6-keto-PGF1α最终合成无明显抑制,从而显著下调T/P,对内毒素致兔ALI具有一定保护作用。[Objective]To explore the influence of ω-3 fish oil fat emulsion on the expression of TXB2 and 6-keto-PGF1α in lung tissues of acute lung injury (ALI) in rabbits induced by lipopolysaccharide(LPS) .[Meth-ods] A total of 24 clean-grade New Zealand rabbits were randomly divided into control group(group A) ,LPS injury group(group B) and ω-3 fish oil fat emulsion pretreatment and LPS injury group (group C) with 8 cases in each group .The change of oxygenation index(PaO2/FiO2 ) at 0h ,0 .5h ,1h ,2h and 4h time point was re-corded .The animals were killed at 4h .The lung tissues were collected to detect the levels of TXB 2 and 6-keto-PGF1α .The pathological changes were observed and the pathological scores were obtained .[Results] Com-pared with group A ,TXB2 and 6-keto-PGF1α in lung tissues of group B and group C after injection with LPS for 0 .5h and 1h were obviously increased( P 〈0 .05) ,and there were significant differences between group B and group C( P 〈0 .05) .There was no significant difference among three groups after injection with LPS for 2h and 4h( P 〉0 .05) .TXB2/6-keto-PGF1α(T/P) in group B was obviously higher than that in group A and group C( P 〈0 .05) .The T/P in group A and group C had an increasing tendency(0 .75 vs .0 .73) ,but there was no significant difference between two groups ( P 〉0 .05) .The histopathological scores of lung injury in group A and group C were lower than those in group B( P〈0 .05) .[Conclusion] Theω-3 fish oil fat emulsion can obviously reduce the level of TXB2 in lung tissues of LPS-induced ALI ,but has no obvious inhibition on fi-nal synthesis of 6-keto-PGF1α ,thereby significantly reduce T/P ,and has protective effect on endotoxin-in-duced ALI in rabbits .
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