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高渗盐溶液预处理对缺血/再灌注损伤后肝功能改善的影响

Perconditioning associated to hypertonic saline solution on liver function improvement after ischemia/reperfusion injury.

作者信息

Ribeiro Rubens Fernando Gonçalves, Couteiro Rodrigo Paracampo, Monteiro Andrew Moraes, Rodrigues Ivone Aline da Silva, Cavalcante Lainy Carollyne da Costa, Gouveia Eduardo Henrique Herbster, Galvão Lucas Nascimento, Lopes Luiz Renato Oliveira, Yasojima Edson Yuzur, Brito Marcus Vinicius Henriques

机构信息

Fellow Master degree, Postgraduate Program in Surgery and Experimental Research, Universidade Estadual do Para (UEPA), Brazil. Statistical analysis, manuscript preparation, English language.

Graduate student, School of Medicine, UEPA, Belem-PA, Brazil. Care of animals, technical procedures, interpretation of data, manuscript preparation.

出版信息

Acta Cir Bras. 2017 Nov;32(11):949-955. doi: 10.1590/s0102-865020170110000006.

Abstract

PURPOSE

To evaluate the effects of hypertonic saline solution associated to remote ischemic perconditioning in liver ischemia/reperfusion injury in rats.

METHODS

25 male rats (Wistar) were distributed into five groups: Sham group (S); Ischemia/Reperfusion group (I/R) with 30 minutes of liver ischemia; Remote ischemic perconditioning group (Per) with three cycles of 10 minutes of I/R performed during liver ischemia; Hypertonic saline solution group (HSS) treated with hypertonic saline solution (4ml/kg); Remote ischemic perconditioning + Hypertonic saline solution group (Per+HSS) with both treatments.

RESULTS

Per+HSS group showed a lower degree of liver dysfunction in relation to I/R group, whereas the technique of remote ischemic perconditioning isolated or associated with saline solution significantly improved liver function and reduced histological damage.

CONCLUSION

Remote ischemic perconditioning associated or not to saline solution promoted reduction of acute liver injury induced by ischemia/reperfusion.

摘要

目的

评估高渗盐溶液联合远程缺血预处理对大鼠肝脏缺血/再灌注损伤的影响。

方法

将25只雄性大鼠(Wistar)分为五组:假手术组(S);肝脏缺血30分钟的缺血/再灌注组(I/R);在肝脏缺血期间进行三个10分钟缺血/再灌注周期的远程缺血预处理组(Per);用高渗盐溶液(4ml/kg)治疗的高渗盐溶液组(HSS);接受两种治疗的远程缺血预处理+高渗盐溶液组(Per+HSS)。

结果

与I/R组相比,Per+HSS组肝功能障碍程度较低,而单独或与盐溶液联合的远程缺血预处理技术显著改善了肝功能并减少了组织学损伤。

结论

远程缺血预处理联合或不联合盐溶液均可减轻缺血/再灌注诱导的急性肝损伤。

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