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20%脂肪乳剂联合氯解磷定及阿托品对有机磷中毒小鼠的脑保护作用研究

高慧 杨超 胡晓峰

内科理论与实践2025,Vol.20Issue(4):301-305,5.
内科理论与实践2025,Vol.20Issue(4):301-305,5.DOI:10.16138/j.1673-6087.2025.04.07

20%脂肪乳剂联合氯解磷定及阿托品对有机磷中毒小鼠的脑保护作用研究

Study on brain protective effect of 20%lipid emulsion combined with pralidoxime and atropine on organophos-phate poisoning mice

高慧 1杨超 2胡晓峰1

作者信息

  • 1. 上海健康医学院附属崇明医院 急诊科,上海 202150
  • 2. 上海健康医学院附属崇明医院 科研科,上海 202150
  • 折叠

摘要

Abstract

Objective To investigate the therapeutic effect of pralidoxime combined with atropine and lipid emulsion on a mouse model of organophosphate poisoning.Methods Eighty C57/BL6 strain experimental mice were randomly divided into four groups of 10 each using a digital randomization method.A mouse organophosphate poisoning model was established using organophosphate pesticides.Pralidoxime combined with atropine and lipid emulsion was used for treatment.Results The results showed that compared with the poisoning group,the mice in the treatment group showed significant improvement in physiological indexes such as fasciculation tremor intensity and anti-reflex disappearance time(all P<0.001).In particular,the effect was more pronounced in the combination treatment group with pralidoxime,atropine,and lipid emulsion.In addition,the combination therapy effectively improve the serum levels of acetylcholinesterase(AchE),malondialdehyde(MDA)and S100 calcium binding protein B(S100B)in the poisoning mice(all P<0.001)and promoted the recovery of these biochemical indicators to normal levels after 7 days.In the behavioral test,the number of correct responses in the Y-maze test was significantly higher in the treatment group than in the poisoning group,especially in the mice receiving the combination treatment(all P<0.001).Histopathological examinations showed that the combination of clofosidine and atropine could significantly reduce the brain tissue damage caused by poisoning,and the effect was more significant after the addition of lipid emulsion.Conclusions Pralidoxime combined with atropine can effectively alleviate the symptoms of organophosphate poisoning in mice,and the addition of lipid emulsion can further optimize the therapeutic effect,providing a new treatment strategy for clinical practice.

关键词

有机磷中毒/阿托品/氯解磷定/脂肪乳剂

Key words

Organophosphate poisoning/Atropine/Pralidoxime/Fat emulsion

分类

医药卫生

引用本文复制引用

高慧,杨超,胡晓峰..20%脂肪乳剂联合氯解磷定及阿托品对有机磷中毒小鼠的脑保护作用研究[J].内科理论与实践,2025,20(4):301-305,5.

基金项目

崇明区科学技术委员会科技项目(项目编号:CKY2023-24) (项目编号:CKY2023-24)

内科理论与实践

1673-6087

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