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[高压电烧伤对大鼠小肠浆膜面微循环灌注的影响及己酮可可碱的干预作用]

[Influences of high-voltage electrical burns on microcirculation perfusion on serosal surface of small intestine of rats and the interventional effects of pentoxifylline].

作者信息

Zhang Q F, Xu S J, Liang L M, Feng J K, Xu Y F, Tu L L

机构信息

Department of Burns and Plastic Surgery, the First Hospital of Hebei Medical University, Burns Project Technology Research Center of Hebei Province, Shijiazhuang 050031, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2017 Mar 20;33(3):166-170. doi: 10.3760/cma.j.issn.1009-2587.2017.03.008.

Abstract

To investigate influences of high-voltage electrical burns on microcirculation perfusion on serosal surface of small intestine of rats and the interventional effects of pentoxifylline (PTX). Totally 180 SD rats were divided into sham injury group, simple electrical burn group, and treatment group according to the random number table, with 60 rats in each group. The electrical current was applied to the outside proximal part of left forelimb of rats and exited from the outside proximal part of right hind limb of rats. Rats in simple electrical burn group and treatment group were inflicted with high-voltage electrical burn wounds of 1cm×1cm at current entrances and exits, with the voltage regulator and experimental transformer. Rats in sham injury group were sham injured through connecting the same equipments without electricity. At 2 min post injury, rats in sham injury group and simple electrical burn group were intraperitoneally injected with 2 mL normal saline, and rats in treatment group were injected with 2 mL PTX injection (50 mg/mL). At 15 min before injury and 5 min, 1 h, 2 h, 4 h, and 8 h post injury, 10 rats in each group were selected to collect blood of heart respectively. Serum were separated from the blood to determine the level of soluble vascular cell adhesion molecule-1(sVCAM-1) with enzyme-linked immunosorbent assay method. The number of adhesional leukocyte in mesenteric venule of rats was determined with Bradford variable projection microscope system. The microcirculation perfusion on serosal surface of small intestine of rats was detected with laser Doppler perfusion imager. Data were processed with analysis of variance of factorial design and LSD test. (1) At 5 min, 1 h, 2 h, 4 h, 8 h post injury, the serum content of sVCAM-1 in rats of simple electrical burn group were (8 502±1 158), (11 793±3 310), (9 960±2 146), (9 708±1 429), (7 292±1 386) ng/mL respectively, higher than that in sham injury group and treatment group [ (1 897±946), (1 882±940), (1 882±938), (1 888±946), (1 884±942) ng/mL, and (6 840±1 558), (6 742±2 465), (5 625±2 593), (2 373±1 463), (5 187±2 797) ng/mL, respectively, with values below 0.001]. The serum content of sVCAM-1 in rats of sham injury group and treatment group at all time points post injury, except 4 h post injury of treatment group, was higher than that of the same group at 15 min before injury (with values below 0.001). (2) At all time points post injury, the number of adhesional leukocyte in mesenteric venule of rats in simple electrical burn group was higher than that in sham injury group and treatment group (with values below 0.001). The number of adhesional leukocyte in mesenteric venule of rats in simple electrical burn group and treatment group at all time points post injury was higher than that of the same group at 15 min before injury (with values below 0.001). (3) At all time points post injury, the microcirculation perfusion on serosal surface of small intestine of rats in simple electrical burn group was lower than that in sham injury group and treatment group (with values below 0.001). The microcirculation perfusion on serosal surface of small intestine of rats in simple electrical burn group and treatment group at all time points post injury was lower than that of the same group at 15 min before injury (with values below 0.001). High-voltage electrical burns can increase the serum content of sVCAM-1, the number of adhesional leukocyte in mesenteric venule, and reduce microcirculation perfusion on serosal surface of small intestine of rats. PTX can inhibit secretion of serum sVCAM-1, reduce the number of adhensional leukocyte in mesenteric venule to alleviate microcirculation disturbance caused by high-voltage electrical burns.

摘要

探讨高压电烧伤对大鼠小肠浆膜面微循环灌注的影响及己酮可可碱(PTX)的干预作用。将180只SD大鼠按随机数字表法分为假伤组、单纯电烧伤组和治疗组,每组60只。将电流施加于大鼠左前肢近端外侧,从右后肢近端外侧引出。单纯电烧伤组和治疗组大鼠在电流出入口处造成1cm×1cm的高压电烧伤创面,使用电压调节器和实验变压器。假伤组大鼠通过连接相同设备但不通电进行假伤。伤后2min,假伤组和单纯电烧伤组大鼠腹腔注射2mL生理盐水,治疗组大鼠注射2mL PTX注射液(50mg/mL)。于伤前15min及伤后5min、1h、2h、4h、8h,每组分别选取10只大鼠采集心脏血液。分离血清,采用酶联免疫吸附测定法测定可溶性血管细胞黏附分子-1(sVCAM-1)水平。用Bradford变倍投影显微镜系统测定大鼠肠系膜微静脉黏附白细胞数。用激光多普勒灌注成像仪检测大鼠小肠浆膜面微循环灌注。数据采用析因设计方差分析和LSD检验进行处理。(1)伤后5min、1h、2h、4h、8h,单纯电烧伤组大鼠血清sVCAM-1含量分别为(8502±1158)、(11793±3310)、(9960±2146)、(9708±1429)、(7292±1386)ng/mL,高于假伤组和治疗组[分别为(1897±946)、(1882±940)、(1882±938)、(1888±946)、(1884±942)ng/mL以及(6840±1558)、(6742±2465)、(5625±2593)、(2373±1463)、(5187±2797)ng/mL,P值均<0.001]。伤后各时间点,假伤组和治疗组大鼠血清sVCAM-1含量,除治疗组伤后4h外,均高于伤前15min时同组水平(P值均<0.001)。(2)伤后各时间点,单纯电烧伤组大鼠肠系膜微静脉黏附白细胞数高于假伤组和治疗组(P值均<0.001)。伤后各时间点,单纯电烧伤组和治疗组大鼠肠系膜微静脉黏附白细胞数高于伤前15min时同组水平(P值均<0.001)。(3)伤后各时间点,单纯电烧伤组大鼠小肠浆膜面微循环灌注低于假伤组和治疗组(P值均<0.001)。伤后各时间点,单纯电烧伤组和治疗组大鼠小肠浆膜面微循环灌注低于伤前15min时同组水平(P值均<0.001)。高压电烧伤可增加大鼠血清sVCAM-1含量、肠系膜微静脉黏附白细胞数,降低大鼠小肠浆膜面微循环灌注。PTX可抑制血清sVCAM-1分泌,减少肠系膜微静脉黏附白细胞数,减轻高压电烧伤所致的微循环紊乱。

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