文章摘要
马玉英1 赵文鹏2 豆周林2 王占青2.不同剂量甲泼尼龙对急性百草枯中毒大鼠早期肺损伤干预研究[J].,2011,11(11):2103-2106
不同剂量甲泼尼龙对急性百草枯中毒大鼠早期肺损伤干预研究
Effects of Different Doses of Methylprednisolone on Early Lung Injuryin Paraquat Toxic Rats
  
DOI:
中文关键词: 甲泼尼龙  百草枯  急性中毒  肺损伤
英文关键词: Methylprednisolone  Paraquat  Intoxication  Lung injury
基金项目:
作者单位
马玉英1 赵文鹏2 豆周林2 王占青2 石河子大学医学院第一附属医院急诊科 
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中文摘要:
      目的:探讨不同剂量的甲泼尼龙(Methylprednisolone,MPS)对急性百草枯(paraquat ,PQ)中毒大鼠早期肺损伤的疗效。方法: 采用腹腔注射20%的PQ 溶液制作大鼠急性PQ 中毒的模型,随机均分为五组, 正常对照组(A 组)、染毒组(B 组)、5mg/kg 甲泼尼 龙干预组(C 组)、15mg/kg 甲泼尼龙干预组(D 组)、30mg/kg 甲泼尼龙干预组(E 组)。分三个不同时间点(24、72、168h) 处死大鼠 (每组每时间点6 只)。观察各时间点大体标本,组织病理、肺系数和氧合指数。结果:光镜下肺组织病理学观察,与B 组比较C、D、 E 组大鼠肺的病理学改变,肺泡腔内出血、渗出,炎性细胞浸润、肺泡隔炎性细胞浸润相对较轻,其中以C、E 组减轻最为明显。在各 组相同时间点肺系数:在三个时间点的值均比B 组低(P<0.05),其中E 组在24h、72h 时间点上与C、D 组有显著差异(P<0.05)。 C、D、E 组与B 组的氧合指数的比较各个时间点上均与B 组有差异(P<0.05),三组之间相互无明显差异。结论:本实验结果显示甲 泼尼龙对急性百草枯中毒大鼠的肺损伤具有保护作用,且30mg/kg 甲泼尼龙组要优于5mg/kg、15mg/kg 甲泼尼龙组。
英文摘要:
      Objective: To study the effect of different does of Methylprednisolone on early lung injury of rats with paraquat intoxication. Methods: 114 Wistar rats were randomly divided into 5 groups : normal control group (A group),intoxication group (B group), 5mg/kg Methylprednisolone group (C group)、15mg/kg Methylprednisolone group (D group) and 30mg/kg Methylprednisolone group(E group). The 22mg/kg paraquat dissolvent was injected by peritoneal injection in B, C, D, E group for once. Then sacrificing the rats in 5 groups at 3 time points (24h ,72h ,168h) , describing lung tissue and observing oxygenation index and lung ratios and the lung pathological changes by light microscope. Results: C, D,E group compared with B group, the pathological changes of acute lung injury such as alveolar hemorrhage, exudation, inflammatory cell infiltration, alveolar septal infiltration of inflammatory cells are relatively mild.C and D Group are the lighter of pathological injury. In each group the same time in lung ratios: B group is the largest, group E in the24h and 72h points score was the lowest (P <0.05). oxygenation index: C,D,E group are increase (P <0.05). Conclusion: 30mg/kg Methylprednisolone has protective effect on lung injury of rats with paraquat intoxication and it is better than 5mg/kg and 15mg/kg Methylprednisolone.
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