Protective Effects of the Preconditioning with Different Doses of Sodium Aescinate on Tourniquet-induced Ischemic Reperfusion.pdfVIP
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Protective Effects of the Preconditioning with Different Doses of Sodium Aescinate on Tourniquet-induced Ischemic Reperfusion.pdf
· 542 ·
CLINICALEXPERIENCE
ProtectiveEffectsofthePreCOnditiOningwithDifferent
DosesofSodium AescinateonTourniquet--induced
IschemicReperfusion
YANGGuang(杨 光),CUISu-yang(崔苏扬),andHUANGLi-bing(黄礼兵)
ABSTRACT objecfive:Toevaluatetheprotectiveeffectsofsodiumaescinate(SA)preconditioningonthe
tourniquet-inducedischemia-repeffusion(I/R)injuryafterIimbsoperation.Methods:Seventy-fivepatientswith
grade I-ⅡissuedbyAmericanSocieytofAnesthesiologyundergoinglowerlimbopemtionwererandomly
assignedto3groups:thecontrolgroup,low-doseSA-treatedgroupandhigh_doseSA—treatedgroup;each
groupenrolled25patients.Thepatientsweretreatedwith5mgand10mgSA30minbefore tourniquetinflation
inthetwotreatmentgroupsseparately.whilethepatientsinthecontroIgroupreceivednormaIsaline.Venous
bloodsampleswereobtainedbeforetourniquetwasjnflated(TObaseline).And5(T1),10(T2),2O(T3)minafter
tourniquetwasreleased.Thenitricoxide(NO),maIondiaIdehyde(MDA)andsuperoxidedismutase(SOD)Ievels
weredeterminedbycommerciaJkits.Meanwhile,arteriaJpressure(MAP)andheadrate(HR)weremonitorde
from anautomaticinvigilator.Results:InthecontroIgroup,MDA andNO levelswereincreased,andSODand
MAPweredecreasedsignificantlyaftertourniquetdeflationcomparedtoTObaselinefPO.05)。Aftertourniquet
deflation,MDA andNO Ievelsinthetwotreatedgroupsweresignificantlydecreased;meanwhile,SOD Ievels
andMAPwereincreased,andthevariationsofHRweremorestablecomparedwiththecontroIgroup (all
P0.05).TherewasnosignificantdifferenceinalIoftheabovebetweenthetwotreatedgroups(P0.05).
Conclusion:TheprotectiveeffectsofSApreconditioningontourniquet—inducedlimbI/Rinjurymightpossibly
contributetotheincreasingofSODIevels.andMAPandthedecreasingofMDAandNO Ievels.
KEYWORDS ischemicrepeffusioninjury,sodiumaescinate,Iimb
METHODS
Tourn
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