
浏览全部资源
扫码关注微信
纸质出版:2010
移动端阅览
张妮,刘熙,刘刚,王健.低压缺氧建立阻塞性睡眠呼吸暂停综合征兔模型的研究[J].陆军军医大学学报(原第三军医大学学报),2010,32(08):773-777.
Zhang Ni,Liu Xi,Liu Gang,Wang Jian.Establishment of rabbit model of obstructive sleep apnea syndrome and its pathophysiological changes[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(08):773-777.
目的 研究在低压缺氧环境建立阻塞性睡眠呼吸暂停综合征兔模型的方法及模型病理生理的变化。 方法 将成年日本大白兔12只用随机数字表法分为对照组和实验组(每组6只),实验组置于海拔5 000 m动物低压低氧舱内饲养,每天10 h,连续4周。对照组动物正常对照饲养。对2组动物分别进行上气道CT扫描、动脉血气分析及睡眠呼吸气流监测、咽壁组织及颏舌肌病理学检查。 结果 ①在舌骨水平CT扫描结果:实验组较对照组的咽后壁明显增厚(P0.01)、前后径明显减小(P0.05)、截面积明显减小(P0.01);在软腭中点水平CT扫描结果:实验组较对照组软腭明显增厚(P0.05),上下径明显减小(P0.05)。②实验组较对照组睡眠期间的呼吸暂停低通气指数(apnea hypopnea index
AHI)明显升高(P0.01)、呼吸频率明显加快(P0.01)、呼吸时比明显增加(P0.01)、平均呼吸深度明显增加(P0.05)。③实验组较对照组动脉血氧分压[P(O
2
)
]
明显降低(P0.01)、二氧化碳分压[P(CO
2
)
]
明显增高(P0.01)。④病理组织学显示:对照组咽后壁黏膜上皮组织为复层扁平上皮,黏膜下层腺体较少;颏舌肌肌纤维排列紧密。实验组咽壁黏膜上皮组织增厚并角化,黏膜下层组织腺体增生;颏舌肌肌纤维萎缩、有溶解断裂现象。 结论 低压缺氧方法可以成功建立阻塞性睡眠呼吸暂停综合征兔模型,其病理生理改变与阻塞性睡眠呼吸暂停综合征患者表现相似。
Objective To investigate the establishment of rabbit model of obstructive sleep apnea syndrome (OSAS) through hypobaric hypoxia and their changes in pathophysiology. Methods Twelve adult rabbits were randomly assigned to 2 groups
control group and experimental group. The rabbits of experimental group were placed in hypobaric hypoxia cabin
in which the altitude was 5 000 m
10 h daily
for 4 weeks. The rabbits of
control group were raised normally. The airway were scanned by CT
arterial blood gas was analyzed and respiratory airflow was monitored. The rabbits were sacrificed after the experiment
and pharyngeal tissue and genioglossus were harvested for pathological examination. Results In hyoid bone plane of upper airway
the pharyngeal of experimental group showed significant thickened (P0.01)
the anteroposterior diameter (P0.01) and cross-sectional area (P0.05) had significant decreased compared with that of the control group. In middle of soft palate plane
the soft palate of experimental group were significant thickened
the anteroposterior diameter were significant decreased compared with that of the control group (P0.05). While sleeping monitoring
apnea hypopnea index (AHI) of experimental group was more than control group (P0.01). The breathing rate (P0.01)
expiratory/inspiratory (P0.01) and mean respiratory depth (P0.05) were significantly different in the groups. Arterial oxygen pressure [P(O
2
)
]
of experimental group was degraded (P0.05)
and partial pressure of carbon dioxide in arterial blood [P(CO
2
)
]
was significant elevated (P0.05) compared with that of the control group. In pathological examination
control group had the mucosa of pharynx was covered by stratified squamous epithelium
glandular organ was thin
and the genioglossus was arranged closely. In experiment group
the pharyngeal epithelium was cornified and proliferated
with proliferation of glandular organ
but the genioglossus was collapsed. Conclusion The hypobaric hypoxia condition can be used to produce rabbit model of OSAS. The physiology and the pathology of rabbit models were similar to the changes in OSAS patients.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621