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    脑外伤合并尺骨骨折家兔血清花生四烯酸、环氧二十碳三烯酸的变化及对骨折愈合的影响

    The changes of serum AA and EETs in rabbits with cerebral trauma and ulna fracture and their effects on fracture healing

    • 摘要: 目的探讨脑外伤合并尺骨骨折家兔血清炎症因子花生四烯酸 (AA)、环氧二十碳三烯酸(EETs)浓度变化与骨折愈合之间的关系。方法将家兔分为假手术组(S组,n=6)、骨折组(F组,n=12)、脑外伤组(T组,n=6)、脑外伤合并骨折组(TF组,n=12)。采用改进的Feeney自由落体损伤装置建立脑外伤模型与骨折模型,分别于造模后第1、3、7、14、21天抽取静脉血,ELISA法检测血清中AA、EETs的浓度,并记录造模后家兔进食量、患肢负重时间等行为学变化。造模后第14、35天行家兔右前肢标准前后位X线检查,后随机处死F组及TF组6只家兔,无菌条件下取骨折端骨组织,常规脱钙、透明、浸蜡、包埋、切片行H-E染色。结果T组、F组与TF组家兔血清AA、EETs水平于造模后升高,第3天达峰值,后逐渐下降,其中TF组较F组与T组增高更加明显,差异有统计学意义(P<0.05)。H-E染色显示F组为典型骨折愈合过程,TF组骨痂形成与重塑提前,愈合加速。X线显示TF组较F组愈合加速且骨痂体积增加。结论脑外伤合并骨折时家兔骨折愈合明显加快,可能与血清AA、EETs水平增高有关。

       

      Abstract: Objective To detect the changes of serum arachidonic acid (AA) and epoxyeicosatrienoic acid (EETs) in rabbits with cerebral trauma and ulna fracture, and to explore the relationship between the changes and fracture healing. MethodsRabbits were randomly divided into four groups: a sham group (Group S, n=6), a fracture group (Group F, n=12), a cerebral trauma group (Group T, n=6), a cerebral trauma combined with fracture group (Group TF, n=12). Fracture and cerebral trauma models were established using improved Feeney free fall injury device. The levels of serum AA and EETs were detected by ELISA on Days 1, 3, 7, 14 and 21 after modeling. Meanwhile, behavioral changes like food intake and the load time of the diseased limb were recorded. Furthermore, on Days 14 and 35 after modeling, the rabbits were subjected to X ray examination at their right front limbs. Then, 6 rabbits in both Groups F and TF were randomly sacrificed and the fracture tissues were taken for H-E staining. ResultsThe levels of AA and EETs were increased in Groups T, F and TF after modeling (P<0.05), which reached the peak on Day 3and then gradually reduce. The increase in Group TF was more remarkable in Groups F and T (P<0.05). According to H-E staining, Group F showed a typical process of fracture healing, but the callus formation and reforming in Group TF were in advance, and fracture healing was accelerated. ConclusionsCerebral trauma combined with fracture can accelerate the process of fracture healing, which is probably related to the changes of serum AA and EETs.

       

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