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目的和方法:配制一种肝保护液,100mL主要含有果糖75g、谷胱苷肽15g、别嘌呤醇25g、维生素E03g、地塞米松10mg、川芎嗪04g、山莨菪碱10mg和丹参20mL。采用大鼠常温肝缺血60min-再灌注模型,治疗组40只大鼠于缺血前10min和再灌注前10min,静注肝保护液1mL/kg,对照组40只大鼠静注平衡液1ml/kg。结果:治疗组术后7d存活率为60%(12/20),而对照组为15%(3/20);治疗组术后血清水平和再灌注后肝坏死范围明显低于对照组(P<005)。结论:肝保护液对大鼠肝常温缺血再灌注损伤具有明显的防治作用,这与减轻肝血窦阻力、增加肝血流,改善肝脏微循环障碍有关。
Objective and Methods: Preparation of a liver protection solution, 100mL mainly contains fructose 7 5g, glutathione 1 5g, allopurinol 2 5g, vitamin E 3g, dexamethasone 10mg, ligustrazine 0 4g, Anisodamine 10mg and Salvia 20mL. Forty rats in the treatment group were treated with intravenous injection of hepatic protective solution 1 mL / kg 10 min before ischemia and 10 min before reperfusion, / Kg. Results: The survival rate of the treatment group was 60% (12/20) at 7 days and 15% (3/20) in the control group. The postoperative serum levels of hepatic necrosis and the extent of hepatic necrosis after reperfusion in the treatment group were significantly lower than those in the control group <005). Conclusion: Liver protection solution has obvious preventive and therapeutic effects on rat liver ischemia-reperfusion injury at normal temperature, which is related to reducing resistance of hepatic sinusoids, increasing hepatic blood flow and improving hepatic microcirculation.