四逆汤对大鼠心肺复苏后脑组织损伤的影响

    Effect of Sini decoction on cerebral injury after cardiopulmonary resuscitation in rats

    • 摘要: 目的:观察四逆汤对大鼠心肺复苏(CPR)后脑组织中乳酸脱氢酶(LDH)活力和丙二醛(MDA)含量变化的影响。方法:将Wistar大鼠随机分为假手术组(C组)、心肺复苏组(CPR组)、四逆汤组(SND组)。大鼠颈外静脉内快速注入2%氯化钾,致呼吸、心跳骤停,6 min后复苏;60 min后,取大脑皮层制备10%组织匀浆,测LDH活力、MDA含量。C组动物术前用生理盐水(0.1 ml/100 g)灌胃3天后,仅完成所必要的手术操作,不做任何处理;SND组动物术前用四逆汤灌胃(0.1 ml/100 g)3天。结果:SND组脑组织匀浆LDH活力显著高于CPR组(P<0.01),MDA含量显著低于CPR组(P<0.01),但SND组的LDH和MDA与C组差异均有统计学意义(P<0.01和P<0.05)。结论:四逆汤对心肺复苏后脑细胞膜具有保护作用,可能是通过抑制氧自由基的脂质过氧化反应,稳定细胞膜来实现的。

       

      Abstract: Objective: To explore the effect of Sini decoction(SND) on the activity of lactate dehydrogenase(LDH) and the concentration of malondialdehyde(MDA) after cardiopulmonary resuscitation(CPR) in rats.Methods: Adult Wistar rats were randomly divided into 3 groups,the normal control group,the CPR group and the SND treatment group.Model of CPR was produced by injecting 2% KCl quickly through external jugular vein.Then the rats,heartbeat and respiration stoped at once,after 6 minutes were carried out CPR.For being observed for 60 minutes,adult Wistar rats were sacrificed.The activity of LDH and the concentration of MDA in cerebral cortex were determined.0.9%saline was fed at the dosage of 0.1 ml/100 g for three days preoperatively in the normal control group.SND was fed at the dosage of 0.1 ml/100 g for three days preoperatively in the SND group.Results: The activity of LDH in cerebral cortex was significantly higher in the SND group than in CPR group(P<0.01),while the concentration of MDA was markedly lower than those in CPR group(P<0.01).The activity of LDH in cerebral cortex were lower in the SND group than in the normal control group(P<0.05),while the concentration of MDA was higher than those in the normal control group(P<0.01 and P<0.05).Conclusions: The results suggest that Sini decoction possiblely play a membrane protective role by suppressing Lipid Peroxidation(LPO) in cerebral cortex and maintaining cells membrane stability after CPR.

       

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