Kekec Zeynep, Seydaoglul Gulsah, Sever Hasan, Ozturk Figen
Department of Emergency Medicine, Cukurova University Medical School, Adana, Turkey.
Bratisl Lek Listy. 2010;111(4):189-93.
We aimed to determine the effect NAC (N-acetylcysteine) and melatonin on the histopathological and biochemical paramethers in the rats poisoned with CO (Carbon monoxide) experimentally. Winster albino female rats were placed in a plexiglass chamber and they were poisoned with CO. After the poisoning, rats were randomly divided into 3 groups. The group given only normal saline, was used as a control group (n = 9). The second group was given 30 mg/kg intraperitonally NAC (n = 10). And the third group was treated with 10 mg/kg of melatonin intramuscularly (n = 9). It is determined that some biochemical values affected by NAC but not by melatonin. CK, ALT, Lactate, MDA levels were significantly higher in NAC group than control and Melatonin group (p < 0.01 for all comparisons). Thiol level was lower in NAC group than control group and Melatonin group (p < 0.01 and p < 0.001, respectively). There were no statistical significant differences between the melatonin and control group. There were statistically significant difference between control, NAC and Melatonin groups according to brain and lung tissue damage. It is shown that both NAC and Melatonin are reducing the brain and lung tissue damage of CO poisoning but due to biochemical results worsened by NAC, Melatonin may recommend for CO poisoning (Tab. 3, Ref. 21).
我们旨在通过实验确定N-乙酰半胱氨酸(NAC)和褪黑素对一氧化碳(CO)中毒大鼠组织病理学和生化指标的影响。将雌性Wistar白化大鼠置于有机玻璃箱中,使其吸入CO中毒。中毒后,将大鼠随机分为3组。仅给予生理盐水的组作为对照组(n = 9)。第二组腹腔注射30 mg/kg的NAC(n = 10)。第三组肌肉注射10 mg/kg的褪黑素(n = 9)。结果发现,某些生化指标受NAC影响,但不受褪黑素影响。NAC组的肌酸激酶(CK)、谷丙转氨酶(ALT)、乳酸、丙二醛(MDA)水平显著高于对照组和褪黑素组(所有比较p < 0.01)。NAC组的巯基水平低于对照组和褪黑素组(分别为p < 0.01和p < 0.001)。褪黑素组与对照组之间无统计学显著差异。根据脑和肺组织损伤情况,对照组、NAC组和褪黑素组之间存在统计学显著差异。结果表明NAC和褪黑素均可减轻CO中毒所致的脑和肺组织损伤,但由于NAC使生化指标恶化,褪黑素可能更适用于CO中毒(表3,参考文献21)。