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大黄对肠缺血再灌注致大鼠炎症反应的防治作用
作者:赵钢1 江伟2 徐惠芳2 
单位:1.南京铁道医学院附属医院麻醉科,江苏 南京 210009; 2.上海市第六人民医院麻醉科,上海 200233
关键词:大黄  缺血再灌注 多器官损伤 大鼠 
分类号:R364.5, R243
出版年·卷·期(页码):2000·19·第四期(246-248)
摘要:

目的:初步探讨大黄对肠缺血再灌注(L/R)诱发的肠粘膜屏障损伤及机体炎症反应的防治作用。方法:将大鼠分为对照、I/R及治疗3组,检测各组动物肠组织SOD、血TXA2及内毒素水平,并观察细菌培养结果、脏器指标及生存率。结果:肠L/R后肠组织内SOD耗损,血TXA2水平升高并伴有严重的内毒素血症及菌血症;预先以大黄治疗可使肠内SOD耗损减少,血TXA2水平明显下降,同时细茵、内毒素易位减少,脏器功能指标改善,动物致伤24 h生存率提高40%。结论:大黄可减轻大鼠肠K/R后肠粘膜屏障破坏,并进一步对炎症反应所介导的器官损伤起保护作用。

Objective  This observation was designed to explore the protective effect of rhubarb on inflammation response induced by intestinal ischemia  reperfusion (I/R) in rats. Methods  All rats were randomly divided into control, gut I/R and treated group.In every group,the gut O  -·    2  activity, blood thromboxane A  2 (TXA  2) and endotoxin level were detected and the survival rate,organ functions were observed.Results  Gut I/R increased the gut O  -·    2  activity and induced endotoxemia and bacterimia.Pretreatment with rhubarb could attenuate bacterial and endotoxic translocation,lower the level of blood TXA  2 and abate the vital organs dysfunction. The 24?h survival rate increased by 40%.Conclusion  Rhubarb abates the gut barrier fai~lure induced by gut I/R and protects organs from dysfunction induced by inflammation response.

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