国际麻醉学与复苏杂志   2010, Issue (6): 6-6
    
创伤性休克兔血浆乳酸、肾损伤分子-1的动态变化及亚甲蓝的干预作用
王厚清, 王鹏 , 许铁, 燕宪亮, 梁高永, 韩寒, 赵宁军1()
1.徐州医学院附属医院急救中心
Dynamic changes of plasma LA and KIM-1 in rabbits with traumatic shock and the intervention of methylene blue
 全文:
摘要:

[摘要]:目的 观察创伤性休克兔血浆乳酸(lactic acid, LA)、肾损伤分子-1(kidney injury molecule-1, KIM-1)的动态变化及鸟苷酸环化酶抑制药亚甲蓝(methylene blue, MB)对创伤性休克兔复苏后肾脏功能的保护作用。方法 大白兔18只,分为对照组(6只),创伤性休克生理盐水复苏组(NS组,6只),创伤性休克MB处理组(MB处理组,6只),NS组及MB处理组测定休克前(T1)、休克末(T2)、复苏末(T3),复苏后2 h(T4)、4h(T5)、6h(T6)、8h(T7)时间点血浆LA、KIM-1水平,对照组测定相应时间点LA、KIM-1水平。结果 对照组各时间点血浆LA、及KIM-1水平无统计学差异。兔创伤性休克复苏后NS组、MB组LA、KIM-1水平较对照组明显升高(P<0.05),但MB组LA、KIM-1水平较NS组明显降低(P<0.05)。结论 创伤性休克可致兔肾功能损害,亚甲蓝能显著改善休克后兔肾功能。

关键词: 休克,创伤性;肾损伤分子-1;亚甲蓝
Abstract:

[Abstract]: Objective To observe the changes of plasma lactic acid (LA) and kidney injury molecule-1 ( KIM-1) in rabbits with traumatic shock and the intervention of methylene blue (MB),a guanylate cyclase inhibitor. Methods Eighteen rabbits were randomly assigned into 3 groups (n=6), namely control group, traumatic shock resuscitation with normal saline group (NS group) and traumatic shock resuscitation with methylene blue group (MB group). In NS group and MB group, to measure LA and KIM-1 of plasma, at pre-shock, tele-shock, tele-resuscitation, 2 h, 4 h, 6h and 8h after resuscitation. In control group, LA and KIM-1 of plasma were also measured ,in corresponding to courses of traumatic shock groups. Results The levels of plasma LA and KIM-1 in rabbits after traumatic shock were very higher than pre-shock(P<0.05). But after intravenous administration of MB, the levels of plasma LA and KIM-1 after resuscitation were obviously decreased than group NS(P<0.05). In control group, there weren’t significant changes about the levels of LA and KIM-1 among all courses. Conclusion MB can obviously ameliorate the function of kidney in traumatic shock, and protect the renal tissues.

Key words: Traumatic shock; Kidney injury molecule-1; Methylene blue