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新型血液净化兔模型的建立及评价

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目的 探讨3种穿刺置管方式建立可持续血液净化治疗的新西兰兔模型的可行性及优劣性.方法 120只雌性新西兰兔按照随机数字表法分为颌内静脉组、颈总动脉组、股动脉组和对照组,每组30只.采用22 Gauge密闭式防针刺伤型静脉留置针分组进行单侧颌内静脉穿刺置管、颈总动脉穿刺置管和股动脉穿刺置管.对照组不进行穿刺置管.记录单次穿刺置管时间、可置管次数,术后实验兔感染及死亡情况.比较4组实验兔的血常规、血糖、电解质及肝功能检测值.组间比较分别采用单因素方差分析、Kruskal-Wallis H检验及x2检验进行统计分析.结果 3组均可成功构建动物模型.颌内静脉组的平均穿刺置管时间分别少于颈总动脉组和股动脉组[2.5(2.3,2.6)min 比 6.7(6.4,7.5)min、5.5(5.4,6.1)min,Z=67.110,P<0.01],可置管次数分别多于颈总动脉组和股动脉组(12.0次比7.0次、8.0次,Z=58.769,P<0.01).颌内静脉组、颈总动脉组和股动脉组的术后感染率[3.3%(1/30)比6.7%(2/30)、6.7%(2/30)]和死亡率[0.0%(0/30)比3.3%(1/30)、3.3%(1/30)]比较,差异无统计学意义(x2=0.424、1.023,P>0.05).颌内静脉组的术后白细胞数值分别低于颈总动脉组和股动脉组[(6.2±1.3)×109/L比(7.8±1.4)×109/L、(7.2±1.1)×109/L,F=14.571,P<0.01].结论 3种穿刺置管方式均可成功建立可持续血液净化治疗的新西兰兔模型,优选颌内静脉穿刺置管.
Construction of a sustainable blood purification model in New Zealand rabbits
Objective To explore the feasibility and advantages of three kinds of puncture cathe-terization methods to establish a New Zealand rabbit model of sustainable blood purification therapy.Methods A total of 120 New Zealand white rabbits were randomly divided into internal mandibular vein group,common carocid artery group,femoral artery group and control group with 30 rabbits per group.The internal mandibular vein,common carocid artery and femoral artery were respectively punctured and cathe-terized using 22 Gauge Closed Needle Protection Ⅳ Catheter System.No catheterization was performed in the control group.The per time of puncture catheterization,the number of catheterization,postoperative infection and death were recorded.The blood routine,blood glucose,electrolyte and liver function of 4 groups of rabbits were compared.One-way ANOVA,Kruskal-Wallis H test and Chi-squared test were used for statistical analysis.Results The animal model was successfully constructed by all three kinds of puncture catheterization methods.The mean puncture catheterization time in the internal mandibular vein group was shorter than that in the common carotid artery group and the femoral artery group[2.5(2.3,2.6)min vs.6.7(6.4,7.5)min,5.5(5.4,6.1)min,Z=67.110,P<0.01],the average times were more than those in the common carotid artery group and the femoral artery group(12.0 times vs.7.0 times,8.0 times,Z=58.769,P<0.01).The postoperative infection rate[3.3%(1/30)vs.6.7%(2/30),6.7%(2/30)]and mortality rate[0.0%(0/30)vs.3.3%(1/30),3.3%(1/30)]were com-pared among the three groups,and there was no statistically significant difference(x2=0.424,1.023,P>0.05).The postoperative hemameba values in the internal mandibular vein group were lower than those in the common carotid artery group and the femoral artery group[(6.2±1.3)×109 vs.(7.8±1.4)× 109,(7.2±1.1)×109,F=14.571,P<0.01].Conclusion The New Zealand rabbit model of sustain-able blood purification therapy can be successfully established by the three puncture catheterization meth-ods,and the internal mandibular vein catheterization is preferred.

Blood purificationNew Zealand RabbitsPunctureCatheterizationModel

谷亚伟、楚旭、赵路静、洪波、罗芝宽、林展增、高静珍、董银华、王利军、陈念、张利霞、潘思虎

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天津市第四中心医院神经内科,天津 300140

保定市徐水区人民医院内科,保定 072550

天津市第四中心医院急诊科,天津 300140

天津市宁河区医院神经内科,天津 301500

天津市胸科医院超声科,天津 300222

天津市环湖医院神经外科,天津 300222

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血液净化 新西兰兔 穿刺 置管 模型

天津市卫生健康科技项目天津市第四中心医院优秀青年人才培养基金(2022)

ZC20073tjdszxyy20220012

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(6)