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[富氢盐水对氢溴酸东莨菪碱诱导的大鼠干眼模型的保护作用]

[The protection of hydrogen-rich saline on a rat dry eye model induced by scopolamine hydrobromide].

作者信息

Chu Y Y, Hua N, Ru Y S, Zhao S Z

机构信息

Tianjin Medical University Eye Hospital, School of Optometry and Ophthalmology of Tianjin Medical University, Tianjin Medical University Eye Institute, Tianjin 300384, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2017 May 11;53(5):363-372. doi: 10.3760/cma.j.issn.0412-4081.2017.05.009.

Abstract

To evaluate the effect of hydrogen-rich saline (HRS) on dry eye rats induced by subcutaneous injection of scopolamine hydrobromide. Experiment research. Thirty female Wistar rats at about six weeks old were randomly divided into the normal group, dry eye group, HRS eyedrops group, normal saline eyedrops group (NS), HRS intraperitoneal injection group and NS intraperitoneal injection group, with 5 rats in each group. The dry eye was induced by subcutaneous injection of scopolamine hydrobromide in the latter five groups. The clinical signs of dry eye such as tear volume (SⅠt), tear break-up time (BUT) and corneal epithelial fluorescein staining scores were evaluated on day 7, 14, 21 and 28. On the 28th day, ten eyes in each group were enucleated and processed for paraffin sections for HE, PAS and immunohistochemistry stainings. Analysis of variance was used to test the data, and independent samples -test was used for comparison between the two groups. Two-way repeated measure was used to compare the difference among groups at different time points, one-way was used to test the comparisons of the clinical signs at one time, and was used to for comparison between two groups. Before and after the experiment of the day 7, 14, 21, 28, the values of SIt in HRS eyedrops group and HRS intraperitoneal injection group were respectively:(3.625±1.157),(3.313±0.704),(3.250±0.535),(3.313±0.372), (3.375±0.582)mm and (3.500±1.019), (2.893±0.656), (3.321±0.668), (3.179±0.575), (3.214±0.871)mm. The values of BUT were respectively: (2.750±0.707), (2.688±0.594), (2.813±0.753), (3.000±0.756), (2.750±0.707)s and (3.000±0.679), (2.321±0.464), (2.750±0.753), (3.214±0.699), (2.679±0.608)s. The values of fluorescein staining score were respectively: (6.250±0.707), (8.875±0.641), (8.750±0.707), (9.250±0.463), (8.250±1.282) and (6.000±0.679), (9.143±1.027), (8.857±0.770), (9.143±0.949), (8.500±0.760). The difference of SIt, BUT and fluorescein staining score between the groups was statistically significant on the 14th day(5.194, 3.894, 16.487, 0.05), the values of SⅠt, BUT and fluorescein staining score of HRS eyedrops group showed significantly better than NS eyedrops group(0.05), HRS intraperitoneal injection group showed significantly better than NS intraperitoneal injection group(0.05), and there was no significant difference between HRS eyedrops group and HRS intraperitoneal injection group(0.05), which remained stable until the day 28. On the 28(th) day, HE, PAS and immunohistochemistry stainings showed the corneal and conjunctival epithelia became smooth and regular, the cell layer number decreased, the tissue hyperplasia and edema were lightened, and the size of goblet cells tended to be normal, and the squamous metaplasia and inflammation were relieved. In HRS eyedrops group and HRS intraperitoneal injection group. HRS eyedrops group and HRS intraperitoneal injection group can relieve the signs of dry eye, improve the pathological damage of cornea and conjunctiva, and protect the ocular surface of a rat dry eye model, which is better than NS groups from the 14(th) day. 363-372.

摘要

评估富氢盐水(HRS)对皮下注射氢溴酸东莨菪碱诱导的干眼大鼠的影响。实验研究。将30只六周龄左右的雌性Wistar大鼠随机分为正常组、干眼组、HRS滴眼液组、生理盐水滴眼液组(NS)、HRS腹腔注射组和NS腹腔注射组,每组5只。后五组通过皮下注射氢溴酸东莨菪碱诱导干眼。在第7、14、21和28天评估干眼的临床体征,如泪液量(SⅠt)、泪膜破裂时间(BUT)和角膜上皮荧光素染色评分。在第28天,每组摘取10只眼进行石蜡切片,用于HE、PAS和免疫组织化学染色。采用方差分析检验数据,两组间比较采用独立样本t检验。双向重复测量用于比较不同时间点组间差异,单向方差分析用于检验某一时刻临床体征的比较,t检验用于两组间比较。在第7、14、21、28天实验前后,HRS滴眼液组和HRS腹腔注射组的SIt值分别为:(3.625±1.157)、(3.313±0.704)、(3.250±0.535)、(3.313±0.372)、(3.375±0.582)mm和(3.500±1. .019)、(2.893±0.656)、(3.321±0.668)、(3.179±0.575)、(3.214±0.871)mm。BUT值分别为:(2.750±0.707)、(2.688±0.594)、(2.8 .13±0.753)、(3.000±0.756)、(2.750±0.707)s和(3.000±0.679)、(2.321±0.464)、(2.750±0.753)、(3.214±0.699)、(2.679±0.608)s。荧光素染色评分值分别为:(6.250±0.707)、(8.875±0.641)、(8.750±0.707)、(9.250±0.463)、(8.250±1.282)和(6.000±0.679)、(9.143±1.027)、(8.857±0.770)、(9.143±0.949)、(8.500±0.760)。第14天,组间SIt、BUT和荧光素染色评分差异有统计学意义(5.194,3.894,16.487,P<0.05),HRS滴眼液组的SⅠt值、BUT值和荧光素染色评分均显著优于NS滴眼液组(P<0.05),HRS腹腔注射组显著优于NS腹腔注射组(P<0.05),HRS滴眼液组和HRS腹腔注射组之间无显著差异(P>0.05),直至第28天保持稳定。在第28天,HE、PAS和免疫组织化学染色显示角膜和结膜上皮变得光滑规则,细胞层数减少,组织增生和水肿减轻,杯状细胞大小趋于正常,鳞状化生和炎症减轻。在HRS滴眼液组和HRS腹腔注射组。HRS滴眼液组和HRS腹腔注射组可缓解干眼体征,改善角膜和结膜的病理损伤,保护大鼠干眼模型的眼表,从第14天起优于NS组。363 - 372。

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