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在实验性脓毒症模型中不同剂量臭氧疗法联合抗生素治疗的肺部效应

Pulmonary effects of ozone therapy at different doses combined with antibioticotherapy in experimental sepsis model.

作者信息

Kapicibaşi Hasan Oğuz, Kiraz Hasan Ali, Demir Emin Tunç, Adali Yasemen, Elmas Sait

机构信息

Department of Thoracic Surgery, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.

Department of Anesthesiology and Reanimation, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.

出版信息

Acta Cir Bras. 2020;35(6):e202000604. doi: 10.1590/s0102-865020200060000004. Epub 2020 Jul 13.

Abstract

Purpose This experimental sepsis model created with Escherichia coli aimed to investigate the histopathological effects of two different doses of ozone combined with antibiotherapy on lung tissue. Methods Rats were divided into 5 groups. Then sepsis was induced intraperitoneally in the first 4 groups. The 1st group was treated with cefepime, the 2nd and 3rd groups were treated with cefepime combined with ozone at a dose of 0.6 mg/kg and 1.1 mg/kg. Lung tissue sections were stained with hematoxylin-eosin and assessed under light microscope and scored between 0-4 in terms of histopathological findings. Results In the comparisons between Group 1 and Group 4 in terms of cellular damage (p=0.030), inflammation (p=0.000) and overall score (p=0.007), statistically significant positive effects were observed in favor of Group 1. In the comparisons of Groups 2 and 3 with Group 4, only positive effects were observed in terms of inflammation (p=0.020, p=0.012, respectively). Conclusion Although negative histopathological effects of ozone on tissue injury were detected, it was noteworthy that the increase in the ozone dose reduced the number of damaged parameters.

摘要

目的 本实验采用大肠杆菌建立脓毒症模型,旨在研究两种不同剂量的臭氧联合抗生素治疗对肺组织的组织病理学影响。方法 将大鼠分为5组。然后对前4组大鼠进行腹腔注射诱导脓毒症。第1组用头孢吡肟治疗,第2组和第3组用头孢吡肟联合剂量为0.6 mg/kg和1.1 mg/kg的臭氧治疗。肺组织切片用苏木精-伊红染色,在光学显微镜下评估,并根据组织病理学结果在0-4分之间评分。结果 在第1组和第4组之间关于细胞损伤(p=0.030)、炎症(p=0.000)和总体评分(p=0.007)的比较中,观察到有利于第1组的统计学显著积极效果。在第2组和第3组与第4组的比较中,仅在炎症方面观察到积极效果(分别为p=0.020,p=0.012)。结论 尽管检测到臭氧对组织损伤有负面的组织病理学影响,但值得注意的是,臭氧剂量的增加减少了受损参数的数量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa8/7357834/20d18ca124ac/1678-2674-acb-35-6-e202000604-gf01.jpg

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