首页|兔脊髓缺血再灌注损伤时凝血功能的变化及谷氨酰胺预处理的影响

兔脊髓缺血再灌注损伤时凝血功能的变化及谷氨酰胺预处理的影响

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目的:探讨兔脊髓缺血再灌注损伤(SCIRI)时凝血功能的变化、意义及谷氨酰胺预处理对其影响.方法:采用Zivin法建立SCIRI模型,动态观察SCIRI及谷氨酰胺预处理时血液PT(凝血酶原时间),APTT(部分凝血活酶时间),TT(凝血酶时间)和FIB(纤维蛋白原)的变化.结果:假手术组PT,APTT,FIB逐渐升高(P>0.05),TT逐渐降低至缺血45min时显著降低然后逐渐升高(P<0.01);缺血再灌注组(I/R)凝血四项各项指标逐渐升高,2 h达到最高峰后逐渐下降,12 h降到缺血前水平,在这一过程中,除FT外,45 min,2 h,6h时间点与缺血前比较均有显著差异(P<O.01);谷氨酰胺预处理组凝血4项各项指标与I/R组比较仅有下降趋势(P>0.05).结论:SCIRI引起凝血状态显著改变,可能为凝血因子水平、活性及功能改变导致,谷氨酰胺预处理没有改善SCIRl引起凝血状态改变.
Coagulation functions in rabbits with spinal cord ischemia-reperfusion injury and effect of glutamine precondition
AIM: To explore the changes of coagulation functions in rabbits with spinal cord ischemia-reperfusion injury (SCI-RI) and the effect of glutamine precondition. METHODS: SCI-RI model were established with Zivin method in rabbits. PT, APTT, TT and FIB were measured at different time point before and after injury. RESULTS: FT, APTT, TT and FIB of rabbits with SCIRI increased obviously, reached the peak value after reperfusion of 2 hours, then started to decrease and reached the level below pre-ischemia value at the 12th hour after reperfusion. In the process, except PT, the other 3 indices were significantly higher at 45 min, 2 and 6 h than those pre-ischemia ( P < 0.01). PT, APTT, TT and FIB of rabbits with SCIRI with glutamine precondition were lower than those without glutamine precondition, but with no statistically significant differences. CONCLUSION: SCIRI leads to significant changes of coagulation functions and glutamine precondition fail to improve them.

glutaminespinal cordischemia-reperfusion injurycoagulation function

巩守平、王文涛、钟大林、吕健、吴锋、车金、僧志远、贺西京

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西安交通大学医学院,第二附属医院神经外科,陕西,西安,710004

西安交通大学医学院,血液病实验室,陕西,西安,710004

西安交通大学医学院,第二附属医院骨科,陕西,西安,710004

谷氨酰胺 脊髓 脊髓缺血再灌注 凝血

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(3)
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