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纸质出版:2011
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曹桂秋,穆玉明,曾倩倩,李艳红,姜涛.结扎不同冠脉建立兔急性心肌梗死模型的特点比较[J].陆军军医大学学报(原第三军医大学学报),2011,33(11):1148-1151.
Cao Guiqiu,Mu Yuming,Zeng Qianqian,Li Yanhong,Jiang Tao.Establishment of rabbit acute myocardial infarction model by ligating different coronary arteries[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(11):1148-1151.
曹桂秋,穆玉明,曾倩倩,李艳红,姜涛.结扎不同冠脉建立兔急性心肌梗死模型的特点比较[J].陆军军医大学学报(原第三军医大学学报),2011,33(11):1148-1151. DOI:
Cao Guiqiu,Mu Yuming,Zeng Qianqian,Li Yanhong,Jiang Tao.Establishment of rabbit acute myocardial infarction model by ligating different coronary arteries[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(11):1148-1151. DOI:
目的 对结扎不同冠脉分支制备兔急性心肌梗死模型的方法进行对比研究,并探讨其在科研应用中的意义。 方法 选择30只新西兰大白兔,随机分为2组,非人工通气状态下,分别结扎左前降支(left anterior descending,LAD)及左旋支的粗大恒定分支左室支(left ventricular branch,LVB),并于结扎前及结扎后30 min、24 h、1周行心电图及心肌酶检测,结扎前及结扎后24 h、1周经静脉行心肌超声造影(myocardial contrast echocardiography
MCE)检查,结扎后1周行冠脉造影及血液动力学指标检测,随即处死动物留取左室标本称重并进行氯化三苯四氮唑(TTC)染色测定梗死面积。 结果 ①冠脉结扎术后30 min两组心电图ST均明显抬高,24 h后LAD组即明显回落(P0.05),1周后差异更为明显(P0.01)。②术后1周冠脉造影证实LAD组81.8%近中段闭塞,LVB组100%近中段闭塞,差异无统计学意义(P0.05)。③造模1周后两组收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、左心室压力最大上升和下降速率(maximum rate of rise and descend of left ventricular pressure,±dp/dt
max
)、左室舒张末压(left ventricular end-diastolic pressure,LVEDP)、射血分数(ejection factor,EF)均较术前明显减低(P0.05),左心室舒张末期内径(left ventricular end-diastolic dimension,LVEDD)较术前增大,LVB组较LAD组变化更为明显(P0.05),尤以A×β最为显著(P0.01)。④TTC染色后计算LAD组心梗面积小于LVB组(P0.05),且心梗前后心肌灌注指标A×β变化值与±dp/dt
max
、心梗面积呈显著正相关(r=0.62、0.55、0.80,P0.05)。 结论 结扎LVB建立的兔急性心肌梗死模型梗死面积理想,范围稳定可靠,可用于长期随访观察的急性心肌梗死相关研究,而结扎LAD则更适用于急性再灌注或侧支循环实验观察。
Objective To compare the method for establishing
rabbit acute myocardial infarction (AMI) models by ligating different branches of coronary arteries. Methods Thirty New Zealand white rabbits were randomly divided into two groups with their left anterior descending branch ligated (LAD group) or their left ventricular branch ligated (LVB group). The animals underwent ECG and their creatinase level was measured before and 30 min
24 h and 1 week after ligation. The animals received myocardial contrast echocardiography (MCE) before and 24 h and 1 week after ligation followed by coronary arteriography
and their hemodynamic indications were detected 1 week after ligation. The animals were sacrificed and left ventricular tissue samples were taken for the measurement of the infarct size (IS) with triphenyltetrazolium chloride (TTC) staining. Results The ST segment on ECG of the two groups was significantly elevated 30 min after ligation
declined significantly in LAD group 24 h after ligation(P0.05)and more significantly 1 week after ligation(P0.01). Coronary arteriography showed that 81.8% and 100% of middle coronary artery segment were occluded in LAD group and LVB group
respectively
1 week after ligation(P0.05). The systolic blood pressure (SBP)
diastolic blood pressure (DBP)
maximal elevation and decline rates of left ventricular pressure (LVEDP)
±dp/dt
max
and ejection factor (EF) in both groups were significantly lower while the left ventricular end-diastolic dimension (LVEDD) was significantly higher in LVB group than in LAD group 1 week after ligation than before ligation(P0.05). TTC staining showed that the IS was smaller in LAD group than in LVB group(P0.05)and the variance of A×β was positively correlated with the ±dp/dt
max
and IS(r=0.62
0.55
and 0.80
P0.05). Conclusion The infarct size is ideal
stable and reliable in the rabbit AMI model established by ligating the LVB
and can thus be used in observation of AMI during long-term follow-up. The rabbit AMI model established by ligating the LAD is more
suitable for observing acute reperfusion and collateral circulation.
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