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[右冠状动脉缺血预处理对兔心脏心肌缺血再灌注损伤的保护作用]

[Protective effect of right coronary artery ischemic preconditioning on myocardial ischemia reperfusion injury 
in rabbit heart].

作者信息

Li Jun, Lin Guoqiang, Huang Rimao, Lu Huihui, Yang Zhong, Luo Wanjun

机构信息

Department of Cardiothoracic Surgery, First Affiliated Hospital of Hunan Traditional Chinese Medical College, Zhuzhou Hunan 412000, China.

Department of Cardiothoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2016 Oct 28;41(10):1047-1051. doi: 10.11817/j.issn.1672-7347.2016.10.006.

DOI:10.11817/j.issn.1672-7347.2016.10.006
PMID:27807326
Abstract

To explore the protective effects of right coronary artery ischemic preconditioning and post-conditioning on myocardial ischemia reperfusion injury in rabbit heart.
 Methods: A total of 30 rabbits were randomly divided into 4 groups: a control group (n=7), an ischemia reperfusion group (IR group, n=8), an ischemic preconditioning group (IPC group, n=8) and an ischemic post-conditioning group (IPO group, n=7). Venous blood samples were taken at pre-operation, 1 and 6 h post-operation, and the concentration of serum creatine kinase isoenzyme (CK-MB) and cardiac troponin-T (cTn-T) were measured. The infarct area of cardiac muscle was calculated.
 Results: Compared with the IR group, the levels of CK-MB and cTn-T at 1 and 6 h post-operation in the IPC group and the IPO group were reduced (all P<0.05). Compared with the IR group, the infarct size in the IPC group and the IPO group was significantly decreased, with significant difference (both P<0.05) .
 Conclusion: Right coronary artery ischemic preconditioning and post-conditioning exert significant protective effects on the myocardial ischemia reperfusion injury in New Zealand rabbits.

摘要

探讨右冠状动脉缺血预处理及后处理对兔心脏心肌缺血再灌注损伤的保护作用。方法:将30只兔随机分为4组:对照组(n = 7)、缺血再灌注组(IR组,n = 8)、缺血预处理组(IPC组,n = 8)和缺血后处理组(IPO组,n = 7)。于术前、术后1 h及6 h采集静脉血样本,检测血清肌酸激酶同工酶(CK-MB)和心肌肌钙蛋白T(cTn-T)浓度。计算心肌梗死面积。结果:与IR组比较,IPC组和IPO组术后1 h及6 h的CK-MB和cTn-T水平降低(均P < 0.05)。与IR组比较,IPC组和IPO组梗死面积明显减小,差异有统计学意义(均P < 0.05)。结论:右冠状动脉缺血预处理及后处理对新西兰兔心肌缺血再灌注损伤具有显著保护作用。

相似文献

1
[Protective effect of right coronary artery ischemic preconditioning on myocardial ischemia reperfusion injury 
in rabbit heart].[右冠状动脉缺血预处理对兔心脏心肌缺血再灌注损伤的保护作用]
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2016 Oct 28;41(10):1047-1051. doi: 10.11817/j.issn.1672-7347.2016.10.006.
2
[Protective effect of fosinopril sodium pretreatment combined with ischemic postconditioning on rat heart underwent myocardial ischemia/reperfusion injury].福辛普利钠预处理联合缺血后处理对大鼠心肌缺血/再灌注损伤心脏的保护作用
Zhonghua Xin Xue Guan Bing Za Zhi. 2010 Jul;38(7):633-7.
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Ginsenoside Rb1 preconditioning protects against myocardial infarction after regional ischemia and reperfusion by activation of phosphatidylinositol-3-kinase signal transduction.人参皂苷Rb1预处理通过激活磷脂酰肌醇-3-激酶信号转导对局部缺血再灌注后的心肌梗死具有保护作用。
Cardiovasc Drugs Ther. 2008 Dec;22(6):443-52. doi: 10.1007/s10557-008-6129-4. Epub 2008 Aug 5.
4
Limb ischemic postconditioning protects myocardium from ischemia-reperfusion injury.肢体缺血后处理可保护心肌免受缺血再灌注损伤。
Scand Cardiovasc J. 2006 Oct;40(5):312-7. doi: 10.1080/14017430600925292.
5
Noninvasive limb ischemic preconditioning protects against myocardial I/R injury in rats.非侵入性肢体缺血预处理可保护大鼠心肌缺血再灌注损伤。
J Surg Res. 2010 Nov;164(1):162-8. doi: 10.1016/j.jss.2009.03.017. Epub 2009 Apr 16.
6
Redox signaling triggers protection during the reperfusion rather than the ischemic phase of preconditioning.氧化还原信号传导在预处理的再灌注阶段而非缺血阶段触发保护作用。
Basic Res Cardiol. 2008 Jul;103(4):378-84. doi: 10.1007/s00395-008-0718-z. Epub 2008 Mar 17.
7
Effect of desflurane-induced preconditioning following ischemia-reperfusion on nitric oxide release in rabbits.缺血再灌注后地氟醚诱导的预处理对兔一氧化氮释放的影响。
Life Sci. 2004 Dec 24;76(6):651-60. doi: 10.1016/j.lfs.2004.05.025.
8
[Effect of cortisol on ischemic preconditioning in rabbit hearts].
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2006 Oct;31(5):667-70.
9
Myocardial protection with postconditioning is not enhanced by ischemic preconditioning.缺血预处理并不能增强后适应对心肌的保护作用。
Ann Thorac Surg. 2004 Sep;78(3):961-9; discussion 969. doi: 10.1016/j.athoracsur.2004.03.033.
10
Emulsified isoflurane produces cardiac protection after ischemia-reperfusion injury in rabbits.乳化异氟醚对兔缺血再灌注损伤后具有心脏保护作用。
Anesth Analg. 2008 May;106(5):1353-9, table of contents. doi: 10.1213/ane.0b013e3181679347.