大鼠langendroff离体心脏局部缺血再灌注模型建立及功能评价
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国家自然科学基金项目(面上项目,重点项目,重大项目)


Establishment and Assessment of a Rat Model of Ischemic Reperfusion in Langendorff Perfused Heart
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The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan)

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    摘要:

    目的 探讨并总结大鼠Langendorff 离体心脏局部缺血再灌注模型的建立及功能评价。方法 将26只Wistar大鼠随机分成2组,对照组( Control,n = 12):建立标准的Langendorff离体心脏灌注模型,K-H液持续灌注平衡20min后K-H液持续灌注105min;模型组( model,n = 14):同对照组平衡20min后穿线结扎冠状动脉左前降支第一对角支分支以下部位,造成局部停灌(缺血)30 min,而后剪断结扎线复灌(再灌注)75min。伊文思蓝、TTC染色观察心肌梗死面积;全程记录左心室压力及心率变化过程,比较各组平衡20min末、局部缺血30min末、再灌15min、再灌30min、再灌75min末的血流动力学指标、心律失常发生率、及灌流液中肌酸激酶( creatine ki-nase,CK)和乳酸脱氢酶( lactate dehydrogenase,LDH) 漏出量,使用 SPSS 11. 5 作统计学重复测量资料的方差分析。结果:染色结果示对照组血供正常,模型组局部缺血、梗死明显;对照组、模型组平衡末心肌酶学及血流动力学各指标无明显差异( P >0. 05),模型组局部缺血、再灌注各个观测时刻心肌酶学及血流动力学参数均与对照组有显著差异( P <0. 05),说明模型组经历局部缺血、再灌注损伤,心肌酶漏出明显升高;LVEDP、-dp/dtmax下降,反映左心室顺应性降低;LVDP、 dp/dtmax下降,反映左心室收缩功能下降;HR升高,反映耗氧量升高。结论: 大鼠Langendorff 离体心脏局部缺血灌注模型稳定可靠,掌握制作要点及注意事项后,可顺利快速地成功制备,为心肌局部缺血再灌注损伤的研究通过途径。

    Abstract:

    Objective: To explore and summarize the model of ischemic reperfusion in Langendorff perfused heart. Methods:Twenty six Wistar adult rats were divided into two groups randomly: control group and model group, 13 rats in each group. Each rat undergone open-chest surgery, the hearts were removed and immediately canulated and effectively perfused in Langendorff apparatus. Control group hearts only received stabilized perfusion for 105 min and had no ischemia. All the hearts in model group were stabilized for 20 min and then received 30 min ischemia by ligationing LAD( Left anterior descending coronary artery )and 75 min reperfusion。 Evans blue, TTC staining to observe the myocardial infarction area. Compare the level of perfusate CK and LDH ,hemodynamic index , heart rates in various groups at different time:end of 20 min stabilized perfusion, end of 30 min Ischemia,Reperfusion 15 min,30 min and 75 min. Results:According to the Evans blue, TTC staining, myocardial enzymology and hemodynamic indexes, the model group had significant difference compared with the control group. Conclusions: Rat model of ischemic reperfusion in Langendorff perfused heart is stable and effective. This model provides a new way to research on ischemia-reperfusion injury.

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陈婵娟,鲁卫星.大鼠langendroff离体心脏局部缺血再灌注模型建立及功能评价[J].中国比较医学杂志,2013,23(12).

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  • 收稿日期:2013-10-24
  • 最后修改日期:2013-11-06
  • 录用日期:2013-11-26
  • 在线发布日期: 2014-02-11
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