Сomparative实验性肢体缺血再灌注综合征大鼠肝脏脂质过氧化氧化活性及抗氧化保护特征

N. Volotovska
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摘要

机体对致病性影响的反应,如失血和缺血,可以出现在全身或超微结构水平上。止血带在四肢上的膨胀压力触发局部脂质过氧化。然而,止血带对全身的影响尚未完全研究。本实验旨在研究肢体缺血再灌注综合征背景下肝脏的变化。本实验将动物分为5组,分别研究缺血肢体再灌注、失血、大腿骨机械损伤及其复合损伤对丙二醛浓度和谷氨酸过氧化物酶活性的影响。肝脏的生化研究表明,每一种实验干预都引起肝脏脂质过氧化活性的激活和血液中抗氧化保护酶活性的适当增加。反应的特点是第一指数的增加,这是所有实验组中最高的-在失血和使用止血带的背景下;同时也注意到抗氧化的临界抑制。此外,在第3天和第14天建立了2个损伤组织的衰竭期。同时,与单独的大腿机械损伤相比,止血带联合机械损伤组丙二醛含量更高,这表明止血带是导致缺血再灌注综合征的创伤后期病程复杂的一个因素。了解创伤性疾病的发病机制将有助于找到评估肢体减压效果的新方法,应对氧化应激,更成功地治疗多器官衰竭。
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Сomparative characteristics of lipid peroxide oxidation activity and antioxidant protection in rat’s liver on the background of experimental ischemic-reperfusion limb syndrome
The organism’s reaction to pathogenic impacts such as blood loss and ischemia can appear either on systemic or on ultrastructural level. The tourniquet inflation pressure on the extremity triggers local lipid peroxidation. However, the systemic influence of tourniquet is not completely studied. This experiment was dedicated to study of the changes that occur in the liver on the background of ischemic-reperfusion syndrome of the limb. In our experiment the animals were divided into 5 groups, in which the effect of ischemia-limb reperfusion, blood loss, mechanical injury of the thigh bone and their combination on the concentration of malonic dialdehyde and glutatoin peroxidase activity was studied. Biochemical investigation of the liver has shown that each of these experimental interventions had caused activation of lipid peroxidation in the liver and proper increase of the activity of the antioxidant protection enzyme in the blood. The peculiarities of the reaction were an increase of the first index, which was the highest among all experimental groups – on the background of blood loss combined with the use of a tourniquet; at the same time the critical suppression of antioxidation was noted as well. Besides 2 periods of exhaustion of the wounded organism were established – on the 3rd and 14th day. At the same time, the content of malonic dialdehyde was higher in the group where the imposition of the tourniquet was combined with mechanical trauma, comparatively to isolated mechanical trauma of the thigh, this indicated the role of the tourniquet as a factor complicating the course of posttraumatic period due to ischemic reperfusion syndrome. Understanding the pathogenesis of traumatic disease will allow to find a new way of valuing of the effects of limb decompression, to cope with oxidative stress and more successfully treat multiple organ failure.
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