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    不同结扎时间对大鼠下肢缺血再灌注损伤模型的影响

    Effects of different ligation time on rat lower limb ischemia-reperfusion injury model

    • 摘要: 目的 建立大鼠下肢急性缺血再灌注损伤模型,探索夹闭大鼠股动脉时间对该损伤模型的影响,选取合适的夹闭时间建立模型。方法 SD大鼠40只,随机分为5组(n=8):空白对照组(Control组),假手术组(Sham组),缺血再灌注组(I/R组)夹闭3 h组(IR3)、夹闭4h组(IR4)和夹闭5 h组(IR5)。大鼠麻醉后,游离大鼠左后肢股动静脉,微血管夹夹闭股动静脉,缝合线结扎,同时用橡皮带在血管夹下方弹性环扎后肢,将侧支循环阻断,分别夹闭3、4、5 h后,恢复血流灌注2 h;Sham组仅暴露股三角,不结扎动静脉及其分支。每组动物在夹闭结束后的0、2、4、8 h分别取血,灌注结束后,取大鼠腓肠肌备用。结束后分别检测血清中肌酸激酶(Creatine Kinase,CK)、乳酸脱氢酶(lactate dehydrogenase,LDH)水平,检测腓肠肌丙二醛(Malondialdehyde,MDA)、过氧化物酶(myeloperoxidase,MPO)水平。结果 经检测,大鼠在下肢缺血再灌注后,对血中相关指标MDA、MPO、CK和LDH及肌肉组织相关指标MDA、MPO均造成了不同程度的损伤。结论 结扎时间越长,大鼠缺血再灌注损伤越严重,并且恢复所需时间会逐渐增加甚至无法恢复,经比较,选取结扎时间为4 h较为合理。

       

      Abstract: Objective The model of acute ischemic-reperfusion injury in the lower limbs of rats was established.The effect of clamping the femoral artery time on the injury model was explored.The appropriate clipping time was used to establish the model. Methods Forty SD rats were randomly divided into 5 groups,8 rats in each group,including blank control group(Control group),sham operation group(Sham group),ischemia-reperfusion group(I/R group);The reperfusion group was divided into a 3-hour group(IR3),a 4-hour group(IR4),and a 5-hour group(IR5)according to the clipped femoral artery.After anesthesia in rats,the left hind limb of the rat was freed from the femoral artery and vein.The femoral artery was clamped with a microvascular clamp,and the femoral artery and vein were ligated by suture.After 3,4,and 5 hours of clamping,blood perfusion was resumed for 2 hours.The rubber band was used to elastically circumscribe the hind limbs under the blood vessel clamp,and the collateral circulation was blocked.The Sham group only exposed the femoral triangle and did not ligature the arteries and veins and their branches.Each group of animals took blood at 0,2,4,and 8 hours after the end of the clipping.After the end of perfusion,the rat gastrocnemius muscle was taken.At the end of the test,the levels of CK and LDH in the serum were measured,and the levels of MDA and MPO in the gastrocnemius muscle were detected. Results After testing,the rats in the lower extremity ischemia and reperfusion,MDA、MPO、CK、LDH of the blood related indicators and MDA、MPO of muscle tissue related indicators have caused varying degrees of damage. Conclusions The longer the ligation time,the more severe the ischemia-reperfusion injury in rats,and the time required for recovery will gradually increase or even recover.After comparison,it is reasonable to choose a ligation time of 4 hours.

       

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