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[创伤后神经肽动态变化的临床与实验研究]

[Clinical and experimental studies of the dynamic changes in neuropeptides after trauma].

作者信息

Hong X R, Li M, Cao J Z

机构信息

Changhai Hospital, Second Military Medical College, Shanghai.

出版信息

Zhonghua Wai Ke Za Zhi. 1994 Apr;32(4):220-3.

PMID:7842924
Abstract

Dynamic changes of contents of beta-endorphin, leu-enkephalin and oxytocin in plasma were determined in seventeen fracture patients with shock, fascial space syndromes, or infection postoperation. There was significant rise of contents in beta-endorphin and leu-enkephalin but not in oxytocin after trauma, Of those accompanied by infection postoperation, beta-endorphin and oxytocin remained high. The contents of beta-endorphin and enkephalin decreased gradually in non-infectious group, but were still higher than normal. The most obvious change was seen in beta-endorphin, suggesting that beta-endorphin plays a more important role in trauma. This was also confirmed in rat injury model.

摘要

对17例伴有休克、筋膜间隙综合征或术后感染的骨折患者血浆中β-内啡肽、亮氨酸脑啡肽和催产素含量的动态变化进行了测定。创伤后β-内啡肽和亮氨酸脑啡肽含量显著升高,但催产素含量未升高。在伴有术后感染的患者中,β-内啡肽和催产素仍维持在较高水平。非感染组中β-内啡肽和脑啡肽含量逐渐下降,但仍高于正常水平。β-内啡肽的变化最为明显,表明β-内啡肽在创伤中发挥着更重要的作用。这在大鼠损伤模型中也得到了证实。

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