兔激素性股骨头坏死的血液流变学改变
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Detection of the Hemorrheological Index in steroid-induced Femoral Head Necrosis
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    摘要:

    目的 探讨血液流变学指标在激素性股骨头坏死过程中的变化规律及其作用。方法 20只兔随机分成2组,每组10只。A组(激素性股骨头坏死动物模型组):间隔24h耳缘静脉内2次注射大肠杆菌内毒素,每次40μg/kg,注射内毒素后注射醋酸泼尼松龙20mg/kg。B组(正常对照组)。两组分别在注射后24h、72h、7d、14d 及21d,进行血浆黏度、全血黏度、血小板计数及血脂测定,21d取股骨头和肝脏行病理组织学观察。结果 A组用药后24h血浆黏度、全血黏度升高,血脂升高(P<0.01)血小板计数减少(P<0.01),用药后72h、7d、14d 及21d,持续异常,与B组相比差异显著。A组21d时病理切片见股骨头骨细胞和肝细胞变性、坏死。结论 在激素性股骨头坏死动物模型中,血液流变学指标异常在引起血栓前状态,形成血栓导致骨坏死过程中可能发挥了重要作用。

    Abstract:

    Objective To study the change of hemorrheological index during the steroid-induced necrosis of the femoral head. Methods 20 rabbits were randomly divided into 2 groups. In group A, 10 rabbits were given 40μg?kg^(-1) of LPS intravenously 2 times at an interval of 24 hours, and immediately injected intravenously with 20mg?kg^(-1) of prednisoloni acetates once time. In group B, 10 rabbits were used as control. At the 24th, 3rd, 7th, 14th, 21st day after the injection, hemorrheological index, blood-lipid levels and the blood platelet levels were measured, and then after the last measure the rabbit's femoral head and liver were undertaken light microscopic examination. Results The 24th hour after the injection of group A, hemorrheological index and blood-lipid levels increased (P<0.01), the blood platelet levels decreased (P<0.01). At the 3, 7, 14 and 21 day, abnormal indexes lasted during the whole observation. Histologically, the 21st day after the injection, In group A the degeneration and necrosis of the hepatocytes and osteocytes were found. In group B, the hepatocytes and osteocytes were normal as usual. Conclusion Abnormality in hemorrheological index might potentiate the prethrombotic status and induce the thrombus formation in steroid-induced necrosis of the femoral head.

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王健,席焕久,张元和,韩冬.兔激素性股骨头坏死的血液流变学改变[J].医用生物力学,2007,22(1):68-71

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