氢气对体外循环肺损伤的影响
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Hydrogen Inhalation Alleviates Cardiopulmonary Bypass Induced Acute Lung Injury in Beagle Dogs
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    摘要:

    目的观察体外循环时吸入2%氢气对体外循环(CPB)肺损伤的影响。 方法将Beagle犬随机分为两组:体外循环组(对照组),体外循环维持2 h,体外循环结束后继续观察2 h;氢气组,实验全程吸入氢气1 L/min。实验过程中在体外循环前(T0)、体外循环结束时(T1)、体外循环结束后15 min(T2)、60 min(T3)及120 min(T4)记录中心静脉压(CVP)、肺动脉压(PAP)及肺毛细血管楔压(PCWP),采动脉血行血气分析计算氧合指数(PaO2/FiO2)。采集血标本监测血浆肿瘤坏死因子(TNF-α)、白细胞介素6,白细胞介素8的变化。实验结束时监测支气管肺泡灌洗液(BALF)蛋白含量、白细胞计数,测定肺组织丙二醛(MDA)、超氧化物歧化酶(SOD)、髓过氧化物酶(MPO)及肺组织湿干重比(W/D),并对肺组织进行光镜及电镜观察。 结果与对照组相比,氢气组肺动脉压(PAP)、外周血管阻力(PVR)及氧合指数PaO2/FiO2有明显改善,差异有统计学意义(p<0.05)。氢气能够显著降低炎症因子(TNF-α、IL-6和IL-8)释放,减轻组织氧化损伤(MDA、MPO及W/D低于对照组组,而SOD显著高于对照组组),改善肺组织水肿、炎症细胞浸润。 结论前吸入2%氢气部分通过降低炎症因子释放,维持体内氧化与抗氧化平衡,缓解体外循环引起的肺组织损伤。

    Abstract:

    AimTo investigate the therapeutic effect of Hydrogen inhalation on cardioplumonary bypass(CPB) induced acute lung injury(ALI) in Beagle dogs.MethodsCPB models were set up with living Beagle dogs.20 dogs were divided into hydrogen inhalation group(H2 group) and control group(C group) randomly.Pulmonary artery pressue(PAP),pulmonary capillary wedge pressure(PCWP) and pulmonary vascular resisitance(PVR) were recorded at the five defined time points, artery blood samples were obtained for blood gas analysis and determined plasma cytokine levels(TNF-α,IL-6,IL-8) at the mean time.At the end of the research lung tissue were acquired for evaluation of pulmonary malondiadehyde(MDA), superoxide dismutase(SOD), myeloperoxidase(MPO),the ratio of wet to dry lung weight(W/D) and lung histopathology.Neutrophils and total protein content in bronchoalveolar lavage fluid(BALF) were also determined.ResultsCompared with control group, PAP,PCWP and PVR were significiantly improved in H2 group.Neutrophils,total protein,differentiation in the lung W/D and cytokine content were lower than those in control group.Pulmonary MDA and MPO in hydrogen group were lower than those in control group, and the SOD was higher than that in control group.Histologic analysis showed that less lung injury by microscope examination was seen in hydrogen group than that in control group.Conclusion2% Hydrogen inhalation can alleviate CPB induced lung by inhibition of inflammatory and oxidative stress.

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胡啸玲, 汤恢焕, 周志刚.氢气对体外循环肺损伤的影响[J].中国动脉硬化杂志,2011,19(2):110~114.

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  • 收稿日期:2010-11-25
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