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内皮素A受体拮抗剂预处理对犬体外循环后肾功能的影响

白毅平 冯建国 刘力 龙翔 张亚兵 刘斌

重庆医学2018,Vol.47Issue(10):1305-1308,1313,5.
重庆医学2018,Vol.47Issue(10):1305-1308,1313,5.DOI:10.3969/j.issn.1671-8348.2018.10.003

内皮素A受体拮抗剂预处理对犬体外循环后肾功能的影响

Influence of endothelin A receptor antagonist pretreatment on renal function after cardiopulmonary bypass in beagles

白毅平 1冯建国 1刘力 1龙翔 1张亚兵 2刘斌2

作者信息

  • 1. 西南医科大学附属医院麻醉科,四川泸州646000
  • 2. 四川大学华西医院麻醉科,成都610000
  • 折叠

摘要

Abstract

Objective To observe the influence of endothelin A receptor antagonist pretreatment on renal function after cardiopulmonary bypass (CPB) in beagles.Methods A total of 18 male beagles were selected and allocated to 3 groups (n =6) by adopting the random number table method:sham operation group (Sham group),CPB group and endothelin A receptor antagonist (ETA) group.Sitaxsentan 0.7 mg/kg in the ETA group was infused by continuous pumping for 30 min at 1 h prior to CPB.The body temperature,mean arterial pressure (MAP) and arterial gas were collected.The concentrations of serum creatinine (Scr) and blood urea nitrogen (BUN) were detected.The renal tubular necrosis score was evaluated,and the expression levels of phosphorylated Akt (p-Akt),phosphorylated eNOS (p-eNOS) were also detected.Results Serum SCr and BUN levels at 2 h after CPB in the CPB and ETA group were significantly higher than those before operation (P<0.05),and the ETA group was obviously lower than the CPB group (P<0.05);the renal tubular necrosis score in the ETA group was obviously lower than that in the CPB group (P<0.05).Expressions of p-Akt,p-eNOS in the ETA group were significantly higher than those in the CPB group(P<0.05).Conclusion CPB might contribute to acute kidney injury,the endothelin A receptor antagonist pretreatment might alleviate acute kidney injury after CPB.

关键词

体外循环/肾功能/内皮素A受体拮抗剂

Key words

cardiopulmonary bypass/renal function/endothelia A receptor antagonists

分类

医药卫生

引用本文复制引用

白毅平,冯建国,刘力,龙翔,张亚兵,刘斌..内皮素A受体拮抗剂预处理对犬体外循环后肾功能的影响[J].重庆医学,2018,47(10):1305-1308,1313,5.

基金项目

四川省科技厅科技支撑计划(2012FZ0121). (2012FZ0121)

重庆医学

OACSTPCD

1671-8348

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