高压氧治疗肝动脉结扎大鼠肝损伤的探讨
Protection of hyperbaric oxygen on liver injury in rat with hepatic artery ligation
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摘要: 目的: 探讨高压氧对肝动脉结扎大鼠肝损伤的治疗作用。方法: 雄性SD大鼠96只,随机分成3组:手术对照组(肝动脉未结扎,C)、肝动脉结扎组(HAL)和肝动脉结扎+高压氧治疗组(HAL+HBO)。每组分为术后1 d、3 d、7 d、14 d时间点。高压氧治疗于术后2 h开始,吸纯氧60 m in,2/d,采用激光多谱勒测定肝血流灌注,检测血清丙氨酸氨基转移酶(ALT),肝脏常规病理检查。结果: 肝动脉结扎1d较结扎前肝血流灌注下降22%,和对照组相比差异显著(P<0.01)。高压氧治疗14 d,和结扎组相比肝血流灌注明显增加(4.22±0.31)Vvs(3.62±0.49)V,P<0.01,但未达对照组水平。高压氧治疗各组血清ALT均较结扎组明显降低,病理光镜下示结扎组肝细胞浊肿明显,有坏死灶形成,高压氧治疗组肝细胞浊肿变性明显减轻,未见肝细胞坏死灶,肝周见新生血管形成。结论: 高压氧治疗可改善肝血流灌注,降低血清ALT,减轻肝动脉结扎造成的肝脏损伤,提示高压氧对发生肝动脉血栓的移植肝可能有保护作用。Abstract: Objective: To investigate the role of hyperbaric oxygen therapy on the hepatic artery ligated rat.Methods: Total 96 male Sprague-Dawley rats were randomly divided into three groups: contol group,the liver was freed from its ligaments and was reperfused.HAL group,the liver was freed from its ligaments and was reperfused,the hepatic artery was doubly ligated and cut.HAL+HBO,2h after HAL,Hyperbaric oxygen(HBO) treatment under 0.25MPa for 60 min twice daily was performed.Each group including 1 d,3 d,7 d,14 d subgroups.Liver perfusion was measured by laser Doppler flux.The biopsy were carried out for the histological examination.Results: Liver tissue blood flow decreased significantly from 4.58±0.42V to 3.32±(0.29)V after hepatic artery ligation(HAL) at 1day.There were significant differences among groups at postoperative day 14((4.22±0.31))V vs(3.62±0.49)V,P<0.01.microscopic studies showed significant hepatic cell hydropic degeneration and focal necrosis in HAL group.There were new blood vessels and no hepatic cell necrosis in HBO group.Conclusion: The application of HBO against hepatic artery ligation ameliorate liver perfusion and serum ALT.H-E staining showed liver injury was reduced by HBO.HBO may have some benefit effect on allograft post liver transplantation hepatic artery thrombosis.
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