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聚环氧乙烷可改善小鼠失血性休克模型中的微循环血流。

Polyethylene-oxide improves microcirculatory blood flow in a murine hemorrhagic shock model.

作者信息

Feng Min, Tian Yuan, Chang Siyuan, Xu Daqian, Shi Huijuan

机构信息

Intensive Care Unit, The First Affiliated Hospital of Zhengzhou University Zhengzhou 450052, China.

Department of Ultrasonography, Zhengzhou Central Hospital Affiliated to Zhengzhou University Zhengzhou, Henan 450000, China.

出版信息

Int J Clin Exp Med. 2015 Apr 15;8(4):5931-6. eCollection 2015.

Abstract

BACKGROUND

Polyethylene oxide (PEO) is a synthetic polymer commonly used in medicine production to reduce toxicity. In the present study, we assessed whether PEO can have a functional effect on improving microcirculatory blood flow after hemorrhagic shock in an animal model.

METHODS

Hemorrhagic shock (HS) was introduced in 78 C57BL/6 mice, which were then equally divided into two groups. One group of mice was intravenously injected with PEO (diluted in Ringer's solution (RS), PH = 7.4), and the other with RS only. The parameters of microcirculatory hemodynamics, arterial blood gas analysis and multi-organ functions were compared between two groups, 0, 3, 12 and 24 hours after resuscitation.

RESULTS

After HS, the hemodynamics, including microvascular diameter, red blood cell velocity, and blood flow rates were significantly improved in time-dependent manners in PEO treated mice. Most parameters of arterial blood gas analysis, except PCO2, were also significantly improved by PEO. Multi-organ immunohistochemistry demonstrated that congestions and inflammatory responses in liver and lung were markedly ameliorated by PEO.

CONCLUSIONS

Our results demonstrated that PEO infusion could effectively improve microcirculation after hemorrhagic shock and increase the chance of survival in animal models.

摘要

背景

聚环氧乙烷(PEO)是一种常用于医药生产以降低毒性的合成聚合物。在本研究中,我们评估了PEO在动物模型中对失血性休克后改善微循环血流是否具有功能性作用。

方法

对78只C57BL/6小鼠进行失血性休克(HS)造模,然后将其平均分为两组。一组小鼠静脉注射PEO(用林格氏液(RS)稀释,pH = 7.4),另一组仅注射RS。在复苏后0、3、12和24小时比较两组的微循环血流动力学参数、动脉血气分析和多器官功能。

结果

失血性休克后,PEO处理的小鼠的血流动力学,包括微血管直径、红细胞速度和血流速率,随时间显著改善。除PCO2外,PEO还显著改善了动脉血气分析的大多数参数。多器官免疫组织化学表明,PEO显著改善了肝脏和肺的充血和炎症反应。

结论

我们的结果表明,输注PEO可有效改善失血性休克后的微循环,并增加动物模型的存活机会。

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