目的:观察参附注射液对心脏不同部位结扎大鼠的微循环状态的影响。方法:采用左冠状动脉前降支近心尖端、远心尖端结扎法造早、中期心源性休克大鼠模型,用Geneandi-M2型倒置微循环系统观察空白组、早、中期休克模型组,早、中期休克给药组大鼠各时段的红细胞流速、血管管径、白细胞黏附数及血管通透性。结果:参附注射液早期注射均使休克大鼠红细胞流速加快、血管管径变宽、白细胞黏附数减少、血管通透性降低,有效的改善休克大鼠微循环,其中10ml/kg早期给药组的微循环改善更为明显;中期给药组各时间点对休克大鼠红细胞流速、白细胞黏附数有较好的改善作用,但对血管通透性和血管管径未见明显改善。结论:早期给参附注射液治疗心源性休克的效应比中期给药的疗效更明显,这为心源性休克患者提早治疗提供理论依据。
Objective: To observe the effect of Shenfu Injection( SFI) on the microcirculatory disturbance in mesentery of rats with heart ligation in different sections.Methods: We ligated the end or root of left anterior descending coronary arteries( LADCA) to mimic the early-and midstage of cardiogenic shock.The parameters in mesenteric microcirculation,such as velocity of RBCs in venules,diameters of venules,the count of leukocyte adhesion and vascular permeability which calculated by FITC-dextran leakage were observed through an Geneandi-M2 inverted intravital microscope and high-speed video camera system.Results: Ligating the LADCA of rats caused some syndromes in microcirculation,including a significant decrease of velocity of RBCs,narrowing of the vascular diameter,increase of counts of adhesive leukocytes and capillary permeability.The microcirculation parameters in rats with early-cardiogenic shock were improved by SFI,especially when the dosage was 10ml/kg.While there were no apparent-effect on the vascular diameter and permeability in mid-stage cardiogenic shock.Conclusion:The curative effect of early treatment with SFI was more apparent than that of the mid administration.