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红外热成像技术在兔静脉血栓栓塞诊断中的应用价值

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目的 探讨红外热成像技术在兔静脉血栓栓塞诊断中的应用价值。方法 选择雄性新西兰大白兔60只,随机分为T0组、T1组、T2组、T3组,每组15只。T1组、T2组、T3组制备血瘀证动物模型,T1组于实验第1天造模1次,T2组于实验第1、2天各造模1次,T3组于实验第1、2、3天各造模1次。T0组仅双后肢备皮,不制备血瘀证动物模型。T0组备皮后6 h,T1组、T2组、T3组末次造模后6 h,采用红外热成像技术检测双后肢温差;采用彩色多普勒超声诊断仪测量右后肢股静脉内径和血流量;腹主动脉取血,离心留取血清,采用ELISA法检测凝血功能[纤维蛋白原(FIB)、抗凝血酶Ⅲ(AT-Ⅲ)、D-二聚体(D-Dimer)]、炎症因子[IL-1β、IL-6、超氧化物歧化酶(SOD)、TNF-α],采用一氧化氮(NO)测试盒(一步法)检测血清NO;空气栓塞法处死实验动物,解剖右后肢深静脉和肺动脉,观察右后肢深静脉和肺动脉血栓形成情况并测量其长度。结果 双后肢温差分布:T0组<T1组<T2组、T3组(P均<0。05),而T2组与T3组比较差异无统计学意义(P>0。05)。右后肢股静脉内径和血流量:T0组>T1组>T2组>T3组(P均<0。05)。FIB:T0组<T1组<T2组<T3组(P均<0。05);AT-Ⅲ:T0组、T1组>T3组,T1组>T2组(P均<0。05);D-Dimer:T0组、T1组<T2组<T3组(P均<0。05)。各组血清IL-1β、IL-6、SOD、TNF-α水平比较差异均无统计学意义(P均>0。05);NO:T0组、T1组<T2组、T3组(P均<0。05)。右后肢深静脉血栓长度:T0组<T1组<T2组、T3组(P均<0。05),而T2组与T3组比较差异无统计学意义(P>0。05);肺动脉血栓长度:T0组、T1组<T2组、T3组(P均<0。05),T0组与T1组、T2组与T3组比较差异均无统计学意义(P均>0。05)。结论 红外热成像技术对兔静脉血栓栓塞具有一定诊断价值,可作为一种辅助诊断手段。
Application value of infrared thermal imaging in diagnosis of venous thromboembolism in rabbits
Objective To investigate the application value of infrared thermal imaging in venous thromboembolism in rabbits.Methods Sixty male New Zealand white rabbits were selected and fed adaptively for 1 week.They were random-ly divided into the T0 group,T1 group,T2 group and T3 group,with 15 rabbits in group.The animal models of blood stasis syndrome were prepared in the T1 group,T2 group and T3 group,in which T1 group was made once on the first day of the experiment,T2 group was made once each on the first and second days of the experiment,and T3 group was made once each on the first,second and third days of the experiment.The animal model of blood stasis syndrome was not prepared in the T0 group,only two hind limbs were covered.Infrared thermography was used to detect the temperature difference between the two hind limbs at 6 h after skin preparation in the T0 group and 6 h after the last molding in the T1,T2 and T3 groups.The internal diameter and blood flow of the femoral vein of the right hind limb were measured by color Doppler ultrasonography.Blood was collected from abdominal aorta,serum was collected by centrifugation,and coagulation function[fibrinogen(FIB),antithrombin Ⅲ(AT-Ⅲ),D-dimer(D-dimer)]and inflammatory factors[interleukin(IL)-1β,IL-6,superoxide dismutase(SOD),and tumor necrosis factor-α(TNF)]were detected by ELISA.NO test box(one-step method)was used to detect serum NO.The deep vein and pulmonary artery of the right hind limb were dissected.The thrombosis of the deep vein and pulmonary artery of the right hind limb was observed and their length was measured.Results The temperature difference distribution of the two hind limbs was as follows:T0 group<T1 group<T2 group and T3 group(all P<0.05),but there was no statistical difference between T2 group and T3 group(P>0.05).The internal diameter and blood flow of femoral vein in the right hind limb were as follows:T0 group>T1 group>T2 group>T3 group(all P<0.05).FIB was as follows:T0 group<T1 group<T2 group<T3 group(all P<0.05);AT-Ⅲ was as follows:T0 group,T1 group>T3 group,T1 group>T2 group(all P<0.05);D-Dimer was as follows:T0 group,T1 group<T2 group<T3 group(all P<0.05).There were no significant differences in serum levels of IL-1β,IL-6,SOD or TNF-α among all groups(all P>0.05).NO was as follows:T0 group,T1 group<T2 group,T3 group(P<0.05).The length of deep vein thrombosis in the right hind limb was as follows:T0 group<T1 group<T2 group and T3 group(all P<0.05),but there was no statistically significant difference between T2 group and T3 group(P>0.05).The length of pulmonary artery thrombosis was as follows:T0 group,T1 group<T2 group and T3 group(P<0.05),but there was no statistically significant difference between T0 group and T1 group,T2 group and T3 group(all P>0.05).Conclusion Infrared thermal imaging is valuable in the diagnosis of venous thromboembolism in rabbits,and can be used as an auxiliary diagnostic means.

venous thromboembolisminfrared thermal imaging technologycoagulation functioninflammatory factorbig white rabbit

郭栋伟、唐文富、陈峭

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广西中医药大学研究生院,南宁 530200

柳州市中医医院呼吸与危重症医学科

柳州市中医医院脾胃病科

静脉血栓栓塞 红外热成像技术 凝血功能 炎症因子 大白兔

广西壮族自治区自然科学基金项目柳州市科技计划项目

2023GXNSFAA0262152020NBAB0804

2024

山东医药
山东卫生报刊社

山东医药

CSTPCD
影响因子:1.225
ISSN:1002-266X
年,卷(期):2024.64(4)
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