一氧化氮/内皮素平衡关系与移植肝功能的相关研究
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Correlation of the ratio of nitric oxide/endothelin and liver graft function
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    目的:研究大鼠肝移植术后早期一氧化氮(NO)/内皮素(ET)平衡关系的改变,探讨其与肝功能的相关性,观察前列腺素E1(PGE1)的干预作用。方法:大鼠随机分为4组(各组n=8):(1)正常对照组(A组);(2)手术对照组(B组);(3)实验组(C组);(4)PGE1干预组(D组)。采用“双袖套法”建立肝移植模型。检测和比较受体术后6h血液ALT,AST,NO和ET水平,观察肝脏组织学改变。结果:术后6h B,D组全部存活(100%),C组存活5只(62.5%)。与C组比较,D组ALT,AST,ET明显降低(P<0.05),NO明显升高(P<0.05)。NO,ET及NO/ET值与ALT呈现明显的相关性(依次为r=-0.681,0.793和-0.732 )。C组肝脏见明显的组织学损害,B,D组组织结构基本保存完好。结论:肝移植术后早期血液NO,ET水平及NO/ET比例关系,较好地反映了肝脏内皮细胞的功能状况。PGE1可减轻肝血窦内皮细胞的损害,保护了移植肝功能。

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    Objective:
    To study the alternation of nitric oxide(NO)/endothelin(ET) ratio in early stage of liver transplantation in rats, to investigate its correlation with liver function, and to observe the effect of prostaglandin E1(PGE1) on the graft function. Methods:Wister rats randomly divided into 4 group (n=8 in each group):(1)Normal control group(group A);(2)Operative control group (group B);(3)Experimental group(group C);(4)PEG1 treatment group (group D).Orthotopic liver transplantation(OLT) model was set up by "two-cuff" method.ALT, AST, NO and ET level in blood and histological change of liver graft were detected and compared at 6th hour postoperatively. Results: All the rats survived 6h in group B and D(100%),but only 5 survived in group C (62.5%). Comparing with group C, ALT, AST and ET decreased and NO increased significantly (P<0.05) in group D. The levels of NO and ET, and NO/ET ratio were correlated with ALT closely (r=-0.681,0.793 and -0.732 respectively). Obviously histological injury was observed in group C, while morphological appearance was better preserved in group B and D. Conclusions:Concentration of NO, ET and NO/ET ratio in recipient blood more conrrectly reflect the function of sinusoid endothelial cell of the graft. PGE1 can relieves endothelial injury and maintains the function of liver graft.

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田根东,何延政,张艳敏,杨辉,曾宏,钟武.一氧化氮/内皮素平衡关系与移植肝功能的相关研究[J].中国普通外科杂志,2004,13(3):13-202.
DOI:10.7659/j. issn.1005-6947.2004.03.012

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  • 在线发布日期: 2004-03-25