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低剂量低分子肝素对内毒素诱发的急性肺损伤的影响

刘玉 刘绍正 王先锋 王义桥

重庆医学2017,Vol.46Issue(26):3608-3610,3.
重庆医学2017,Vol.46Issue(26):3608-3610,3.DOI:10.3969/j.issn.1671-8348.2017.26.003

低剂量低分子肝素对内毒素诱发的急性肺损伤的影响

Effects of low-dose low molecular weight heparin on lipopolysaccharide-induced acute lung injury

刘玉 1刘绍正 1王先锋 1王义桥2

作者信息

  • 1. 皖北煤电集团总医院麻醉科,安徽宿州234011
  • 2. 安徽医科大学第一附属医院麻醉科,合肥230032
  • 折叠

摘要

Abstract

Objective To explore the effect of low-dose low molecular weight heparin(LMWH) on acute lung injury(ALI) induced by lipopolysaccharide(LPS).Methods Thirty-six male SD rats were divided into 3 groups:normal control group(A),LPS group(B) and LPS plus LMWH group(C),12 cases in each group.ALI was induced by intraperitoneal injection of LPS 6 mg/kg in group B,C.The group C accepted intraperitoneal injection of LMWH 100 U/kg,the groups B accepted intraperitoneal injection of the same volume of normal saline.The animals were killed after 6 h,the pathological changes of the lung were observed under light microscope.Arterial blood gases,lung wet to dry ratio (W/D) and protein content in BALF were detected;the levels of MPO and MDA in lung tissue were determined.The levels of serum interleukin1β(IL-1β),IL-6 and tumor necrosis factor-α(TNF-α) were determined by ELISA method.Results The PaO2 and pH values in the group B and C were significantly lower than those in the group A,and which in the group C were markedly increased compared with those in the group B(P<0.05);the lung W/D ratio,protein content in BALF,MDA and MPO levels in the lung tissue in the group B and C were significantly higher than those in the group A(P<0.01),while the lung W/D ratio,protein content in BALF,MDA and MPO levels in the lung tissue in the group C were significantly decreased compared with the group B (P<0.05).The levels of plasma TNF-α,IL-1β and IL-6 levels in the group B and C were markedly increased compared with the group A,while which in the group C were significantly decreased compared with those in the group B (P<0.01).Conclusion The LMWH treatment might attenuate LPS-induced acute lung injury.

关键词

肝素,低分子量/内毒素/急性肺损伤/肿瘤坏死因子α

Key words

heparin, low-molecular-weight/lipopolysaccharide/acute lung injury/tumor necrosis factor-α

分类

医药卫生

引用本文复制引用

刘玉,刘绍正,王先锋,王义桥..低剂量低分子肝素对内毒素诱发的急性肺损伤的影响[J].重庆医学,2017,46(26):3608-3610,3.

基金项目

安徽省卫生厅青年基金项目(09B125). (09B125)

重庆医学

1671-8348

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