Effects of different crystalloid fluids resuscitation on renal structure and function in sepsis rats
10.3760/cma.j.cn112138-20191127-00775
- VernacularTitle:不同晶体液复苏对脓毒症大鼠肾脏结构及其功能的影响
- Author:
Jibin HAN
1
;
Le WANG
;
Hongjiang YAN
;
Feng XU
;
Xiadi WEI
;
Hong LIU
Author Information
1. 山西医科大学第一医院重症医学科，太原 030001
- From:
Chinese Journal of Internal Medicine
2020;59(6):460-463
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the effects of resuscitation with normal saline and sodium potassium magnesium calcium and glucose injection on renal structure and function in septic rats. Rat model of sepsis was established by ligation and perforation of cecum. Male SD rats were divided into four groups: sham operation group, sepsis group, saline resuscitation group, sodium potassium magnesium calcium and glucose injection resuscitation group. Blood gas analysis was performed at the end of resuscitation. The rats were sacrificed 72 hours after resuscitation. Blood samples were taken to measure the plasma levels of blood urea nitrogen (BUN), creatinine, interleukin-1β (IL-1β), interleukin-6 (IL-6) and tumor necrosis factorα (TNFα). Caspase-3 expression was detected by immunohistochemistry in kidney sections. The degree of renal injury was evaluated by regular HE staining and electron microscope. Compared with normal saline resuscitation, sodium potassium calcium magnesium glucose injection resuscitation could decrease the levels of BUN, serum creatinine, IL-1β, IL-6 and TNFα ( P<0.05) , reduce the expression of caspase-3 ( P<0.05) , and improve the renal injury score ( P<0.05) . Sodium potassium calcium magnesium glucose injection resuscitation can significantly improve the renal function of sepsis rats with less pathological damage of the kidney.
