文章摘要
于鹏艳,温继梨,范 杰,杨 柳,丁 丽,王 骞,赵 欣.多巴胺联合NE对感染性休克致急性肝损伤大鼠肝功能、炎性因子及NF-κB p65蛋白的影响[J].,2021,(6):1019-1022
多巴胺联合NE对感染性休克致急性肝损伤大鼠肝功能、炎性因子及NF-κB p65蛋白的影响
Effects of Training Dopamine Combined with NE on Rats with Acute Liver Injury Caused by Septic Shock
投稿时间:2020-09-28  修订日期:2020-10-23
DOI:10.13241/j.cnki.pmb.2021.06.004
中文关键词: 多巴胺  NE  感染性休克  急性肝损伤  肝功能
英文关键词: Dopamine  NE  Septic shock  Acute liver injury  Liver function
基金项目:内蒙古自治区自然科学基金项目(2019LH08013)
作者单位E-mail
于鹏艳 内蒙古医科大学赤峰临床医学院急诊科 内蒙古 赤峰 024000 yupengyan1981@163.com 
温继梨 内蒙古医科大学附属医院急诊科 内蒙古 呼和浩特 010000  
范 杰 内蒙古医科大学赤峰临床医学院急诊科 内蒙古 赤峰 024000  
杨 柳 内蒙古医科大学赤峰临床医学院急诊科 内蒙古 赤峰 024000  
丁 丽 内蒙古医科大学赤峰临床医学院急诊科 内蒙古 赤峰 024000  
王 骞 内蒙古医科大学赤峰临床医学院急诊科 内蒙古 赤峰 024000  
赵 欣 内蒙古医科大学赤峰临床医学院急诊科 内蒙古 赤峰 024000  
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中文摘要:
      摘要 目的:本研究通过研究多巴胺(Dopamine,DA)和去甲肾上腺素( Noradrenaline,NE)对感染性休克致急性肝损伤大鼠肝功能、炎性因子及NF-NF-κB p65蛋白的影响,以期为临床治疗提供一定的试验依据。方法:以48只SPF级健康雄性SD大鼠为研究对象,根据随机数字表法分为四组,每组12只,分别为对照组,脂多糖( lipopolysaccharide,LPS)组,NE组,DA+NE组。LPS、NE和DA+NE建立感染性休克模型,NE组静脉输注去甲肾上腺素,DA+NE组在NE组的基础上静脉输注DA。对各组大鼠肝功能、炎性因子和NF-κB p65蛋白水平进行检测。结果:与对照组相比,LPS、NE和DA+NE组血清天冬氨酸转氨酶(aspartate transaminase,AST)和丙氨酸转氨酶(alanine Transaminase,ALT)水平均显著升高(P<0.05),与LPS组相比,NE和DA+NE组大鼠血清AST和ALT均有不同程度的降低(P<0.05),与NE组相比,DA+NE组大鼠血清AST和ALT水平降低更显著(P<0.05)。与对照组相比,LPS、NE和DA+NE组血清白细胞介素6(interleukin-6,IL-6)和肿瘤坏死因子(tumornecrosis factor,TNF-α)水平均显著升高(P<0.05),与LPS组相比,NE和DA+NE组大鼠血清IL-6和TNF-α均有不同程度的降低(P<0.05),与NE组相比,DA+NE组大鼠血清IL-6和TNF-α水平降低更显著(P<0.05)。与对照组相比,LPS、NE和DA+NE组NF-κB p65蛋白表达水平均显著升高(P<0.05),与LPS组相比,NE和DA+NE组大鼠NF-κB p65蛋白表达均有不同程度的降低(P<0.05),与NE组相比,DA+NE组大鼠NF-κB p65蛋白表达水平降低更显著(P<0.05)。结论:多巴胺联合NE对对大鼠感染性休克所导致的急性肝损伤具有良好的保护作用。
英文摘要:
      ABSTRACT Objective: To investigate the effects of DA combined with NE on liver function, inflammatory factors and NF-NF-κB p65 protein in rats with acute liver injury caused by septic shock, in order to provide a certain experimental basis for clinical treatment. Methods: A total of 48 SPF-grade healthy male SD rats were chosen as research subjects and were randomly divided into four groups,i.e. the control group (n=12), LPS group (n=12), NE group (n=12), and DA+NE group (n=12). The septic shock models were established in the LPS, NE and DA+NE group. The NE group received intravenous infusion of norepinephrine, and the DA+NE group received intravenous infusion of DA on the basis of the NE group's therapy. The liver function, inflammatory factors and NF-κB p65 protein levels of rats in each group were detected. Results: Compared with the control group, the serum AST and ALT levels of the LPS, NE and DA+NE group were significantly increased(P<0.05). Compared with the LPS group, the serum AST and ALT levels of the rats in the NE and DA+NE groups were decreased to varying degrees(P<0.05). Compared with the NE group, the serum AST and ALT levels of the DA+NE group decreased more significantly(P<0.05). Compared with the control group, the serum IL-6 and TNF-α levels in the LPS, NE and DA+NE group were significantly increased(P<0.05). Compared with the LPS group, the serum IL-6 and TNF-α in the NE and DA+NE group decreased to varying degrees (P<0.05). Compared with the NE group, the serum IL-6 and TNF-α levels in the DA+NE group decreased more significantly(P<0.05). Compared with the control group, the expression of NF-κB p65 protein in the LPS, NE and DA+NE group was significantly increased(P<0.05). Compared with the LPS group, the expressions of NF-κB p65 protein in the NE and DA+NE group were reduced to varying degrees(P<0.05). Compared with the NE group, the expression of NF-κB p65 protein in the DA+NE group decreased more significantly(P<0.05). Conclusion: Dopamine combined with NE has a good protective effect on acute liver injury caused by septic shock in rats.
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