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  • 不同受压时间窗及干预方式对压疮大鼠模型皮肤损伤及缺血再灌注的影响

    Subjects: Medicine, Pharmacy >> Preclinical Medicine submitted time 2018-06-15 Cooperative journals: 《南方医科大学学报》

    Abstract: Objective To observe the effect of different time windows and interventions on skin pressure ulcers and ischemiareperfusion (I/R) injury in rats. Methods Sixty-eight SD rats were randomly divided into blank control group (n=4) and model group (n=64). The rats in the model group were randomly divided into group A (n=32) without intervention and group B (n= 32) with post-conditioning. The degree of skin compression, neutrophil infiltration and serum levels of free radicals were observed in the rats after compression for 2, 4, 6, and 8 h (8 rats at each time point). Results A significant difference was found in the severity of skin damage among the control group, group A, and group B (P=0.001), and the injury was milder in group B than in group A. Severe skin lesions occurred in 2 rats after skin compression for 6 h, as compared with 6 after compression for 8 h (P=0.043), but in none of the rats after compression for 2 or 4. Seventeen rats in group B and 15 in group A showed grade 1 neutrophil infiltration in the skin lesions, and 8 rats in group B and 10 in group A showed grade II neutrophil infiltration (P=0.002). Neutrophil infiltration was the mildest in rats with a 2-h compression, and exacerbated progressively and significantly as the compression time extended (P=0.027). With the prolongation of the intervention time, the rats in both groups A and B showed decreased SOD and increased MDA and NO levels, and overall the I/R injury was milder in 2- and 4-h compression groups than in 6- and 8-h compression groups. The level of serum SOD was significantly higher and MDA and NO levels were significantly higher in group B than in group A (P<0.05). Conclusion Ischemic post-conditioning can relieve I/R injury in acute pressure ulcer in rats. The effective time window for intervention is within 6 h of ischemia, and the effect of ischemic postconditioning is optimal within 2 h. Ischemic post-conditioning can alleviate free radical injury and inflammation caused by I/R injury.

  • 不同受压时间窗及干预方式对压疮大鼠模型皮肤损伤及缺血再灌注的影响

    Subjects: Medicine, Pharmacy >> Preclinical Medicine submitted time 2018-01-25 Cooperative journals: 《南方医科大学学报》

    Abstract: Objective To observe the effect of different time windows and interventions on skin pressure ulcers and ischemiareperfusion (I/R) injury in rats. Methods Sixty-eight SD rats were randomly divided into blank control group (n=4) and model group (n=64). The rats in the model group were randomly divided into group A(n=32) without intervention and group B (n= 32) with post-conditioning. The degree of skin compression, neutrophil infiltration and serum levels of free radicals were observed in the rats after compression for 2, 4, 6, and 8 h (8 rats at each time point). ResultsAsignificant difference was found in the severity of skin damage among the control group, groupA, and group B (P=0.001), and the injury was milder in group B thaningroupA.Severeskinlesionsoccurredin2ratsafterskincompressionfor6h,ascomparedwith6aftercompressionfor 8 h (P=0.043), but in none of the rats after compression for 2 or 4. Seventeen rats in group B and 15 in groupAshowed grade 1 neutrophil infiltration in the skin lesions, and 8 rats in group B and 10 in group Ashowed grade II neutrophil infiltration (P= 0.002). Neutrophil infiltration was the mildest in rats with a 2-h compression, and exacerbated progressively and significantly as the compression time extended (P=0.027). With the prolongation of the intervention time, the rats in both groups A and B showed decreased SOD and increased MDA and NO levels, and overall the I/R injury was milder in 2- and 4-h compression groups than in 6- and 8-h compression groups. The level of serum SOD was significantly higher and MDAand NO levels were significantly higher in group B than in groupA(P<0.05). Conclusion Ischemic post-conditioning can relieve I/Rinjury in acute pressure ulcer in rats. The effective time window for intervention is within 6 h of ischemia, and the effect of ischemic postconditioning is optimal within 2 h. Ischemic post-conditioning can alleviate free radical injury and inflammation caused by I/R injury.

  • CD8+CD28+/CD8+CD28- T细胞平衡预测炎症性肠病患者并发消化道出血的价值

    Subjects: Medicine, Pharmacy >> Preclinical Medicine submitted time 2017-12-21 Cooperative journals: 《南方医科大学学报》

    Abstract: Objective To evaluate the sensitivity and specificity of CD8 + CD28 + /CD8 + CD28 - T lymphocyte balance in predicting the gastrointestinal hemorrhage (GH) in patients with inflammatory bowel disease (IBD). Methods Forty-nine IBD patients, including 30 with ulcerous colitis (UC) and 19 with Crohn's disease (CD), were enrolled to test peripheral blood CD8 + CD28 +and CD8+CD28 - T cells using flow cytometry. All the patients were followed up for one year. The receiver-operating characteristic (ROC) curves were used to test the efficiency of CD8 + CD28 + /CD8 + CD28 - T lymphocyte balance to predict GH. The differences in lasting time of remission (LTR) under different factors were compared using Kaplan-Meier survival analysis, and the correlation between CD8+T lymphocytes and the factors were analyzed. Results The utilization rates of immunosuppressant, steroids, and biological agent (BA) were significantly higher in CD patients than in UC patients (P=0.003, 0.043 and 0.002, respectively). The frequencies of CD8 + CD28 + T cells were obviously higher in UC patients than those in CD patients (t=3.022, P=0.004). CD8 + CD28 + T cells, CD8 + CD28 - T cells, and especially CD8 + CD28 + /CD8 + CD28 - ratio (area under curve of 0.977, P=0.000;cut-off value of 1.14[13.95%/12.24%]with a sensitivity of 93.3% and a specificity of 91.2%) showed good efficiencies in predicting GH (P<0.01). The mean and median of LTR of IBD patients who did not receive BA or surgical treatment were significantly longer (χ 2 =9.730, P=0.002; χ 2 =15.981, P=0.000). CD8 + CD28 + /CD8 + CD28 - ratio was significantly related to both BA (P= 0.009) and surgery (P=0.038). Conclusion Both decreased CD8 + CD28 + T cells and elevated CD8 + CD28 - T cells are closely correlated with GH, and their ratio can predict the occurrence of GH with a high sensitivity and specificity and is correlated with BAand surgery at the cut-off value of 1.14.