Effects of L-Arginine on microcirculation perfusion after banked-blood transfusion in rabbits with hypovolemia
10.3760/cma.j.issn.0254-1416.2011.10.024
- VernacularTitle:L-精氨酸对低血容量兔输注库血后微循环灌注的影响
- Author:
Xue LI
;
Fang PAN
;
Xiaoning WANG
;
Yi FENG
- Publication Type:Journal Article
- Keywords:
Arginine;
Blood substitutes;
Blood transfusion;
Microcirculation
- From:
Chinese Journal of Anesthesiology
2011;31(10):1249-1252
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of L-Arginine(L-Arg) on microcirculation perfusion after banked-blood transfusion in rabbits with hypovolemia.Methods Thirty healthy male New Zealand white rabbits weighing 2.0-2.5 kg were randomly divided into 3 groups (n =10 each): groups Ⅰ-Ⅲ.Hypovolemia was induced by blood letting (20% of blood volume) and the equal volume of banked-blood was transfused 30 min later in groups Ⅰ and Ⅲ.25% L-Arg 300 mg/kg was injected iv 5 min before blood letting in group Ⅲ,and the equal volume of normal saline was injected in group Ⅰ.Group Ⅱ only received 25% L-Arg 300 mg/kg.MAP,CVP and tip perfusion index (TPI) were recorded at before (T0) and after blood letting (T1),end of banked-blood transfusion (T2),1 h ( T3 ) and 2 h (T4) after banked- blood transfusion,and blood samples were taken for determination of plasma lactate and nitric oxide (NO) concentrations.Results TPI was higher at T2-T4,plasma lactate concentration lower at T1 -T4 and plasma NO concentration lower at T3,T4 in groups Ⅱ and Ⅲ than in group Ⅰ ( P <0.05).There was no significant difference in MAP between groups Ⅱ,Ⅲ and group Ⅰ ( P > 0.05).MAP was lower at T1 in group Ⅲ than in group Ⅱ (P < 0.05).There was no significant difference in CVP among the 3 groups( P > 0.05).Conclusion Pretreatment with L-Arg can increase microcirculation perfusion,and has no effect on hemodynamics in rabbits with hypovolemia after banked-blood transfusion.