Liquid resuscitation combined with hydrogen inhalation reduce acute kidney injury during septic shock in rats
10.3969/j.issn.1000-4718.2017.09.027
- VernacularTitle:联合氢气吸入的液体复苏方案对脓毒性休克大鼠肾脏的保护作用
- Author:
Wei LIU
1
;
ping Li SHAN
;
qian Qian LIU
;
Zhi LIU
Author Information
1. 中国医科大学附属第一医院急诊科
- Keywords:
Septic shock;
Acute kidney injury;
Fluid resuscitation;
Hydrogen
- From:
Chinese Journal of Pathophysiology
2017;33(9):1703-1707,1728
- CountryChina
- Language:Chinese
-
Abstract:
AIM:To investigate the therapeutic effects of a novel fluid resuscitation protocol (early fluid resuscitation plus 2% hydrogen inhalation) on acute kidney injury during septic shock induced by lipopolysaccharide (LPS) in rats.METHODS:Male Wistar rats were randomly divided into 4 groups (15 rats per group):control group,septic shock group,septic shock with early fluid resuscitation group (fluid group) and septic shock with early fluid resuscitation plus 2% hydrogen inhalation group (fluid + H2 group).The rats were ventilated,and a 2% hydrogen mixture was used in fluid + H2 group.LPS (10 mg/kg) was administered to establish the septic shock model in rats and fluid resuscitation was performed in fluid group and fluid + H2 group.RESULTS:Fluid resuscitation with 2% hydrogen inhalation decreased the levels of serum creatinine,blood urea nitrogen and neutrophil gelatinase-associated lipocalin.It also reduced oxidative stress injury and decreased renal tumor necrosis factor-α and interleukin-6 levels compared with fluid resuscitation alone.CONCLUSION:Early fluid resuscitation plus 2% hydrogen inhalation provided more protection against acute kidney injury during septic shock.