榄香烯乳持续高热低渗腹腔灌注兔实验研究

Feasibility and Safety of Elemene Combined with Continuous Hyperthermia Hypotonic Peritoneal Perfusion in Rabbits

  • 摘要: 目的: 探讨榄香烯乳联合持续高热低渗腹腔灌注化疗(CHHPP)的可行性。 方法: 将24只新西兰兔随机分为4组,每组6只:A1组(榄香烯乳-CHHPP组),A2组(顺铂-CHHPP组),A3组(顺铂联合榄香烯乳-CHHPP组),A4组(单纯CHHPP组)。检测兔实验前后(第8天)血常规、肝肾功能,流式细胞仪测定外周血T细胞亚群CD4、CD8细胞,并在实验后第8天处死所有实验兔以观察其腹壁吻合口愈合和腹腔粘连情况,并取兔肝脏、肾脏进行病理学检查。 结果: 1)实验后A1组外周血WBC比实验前升高(P<0.05),并明显高于实验后A2组和A4组WBC(P<0.01)。而A2组WBC在实验后明显降低(P<0.01),并明显低于实验后A1、A3和A4组WBC(P<0.01)。2)实验后4组兔球蛋白GLB均增高(P<0.01),白蛋白ALB均降低(P<0.05)。实验后A2组谷丙转氨酶AST明显高于A1组和A4组(P均lt;0.01)。3)A2、A3组BUN均高于A4组(P<0.01,P<0.05)。4)实验后A2组CD4、CD8大幅度下降(P<0.01),并明显低于A1、A2、A3组值(P<0.01)。5)病理变化:各组兔病理学改变无统计学差异,但2例A3组兔出现了较明显的肝细胞亚大块和大块坏死。 结论: 本组实验中榄香烯乳联合持续高热低渗腹腔灌注化疗对兔机体无明显毒副反应,榄香烯乳可减轻CHHPP对兔机体的损害。

     

    Abstract: Objective: To explore the safety and feasibility of Elemene combined with continuous hyperthermic hypotonic peri-toneal perfusion(CHHPP) in rabbits. Methods: A total of 24 New Zealand rabbits were randomly divided into four groups.Group A1 received Elemene-CHHPP(n=6), group A2 received Cisplatin-CHHPP(n=6), group A3 received the same dose of Elemene combined with Cisplatin-CHHPP (n=6), and group A4 received only CHHPP (n=6). Routine blood work, liver function tests, renal function tests and quantitation of CD4 and CD8 T-lymphocytes in the peripheral blood were per-formed before and after the treatment. All of the experimental rabbits were sacrificed on the eighth day after treatment. The condition of the abdominal wound and the abdominal cavity adhesions were observed using light microscopy. Tissue samples from the liver and the kidney were histologically examined with light microscopy. Results: The white blood cell count(WBC) increased significantly after the treatment in group A1(P<0.05). Myelosuppression was observed in group A2(P<0.05), and the WBC in group A2 was significantly lower than that in the other three groups (P<0.01, P<0.01, and P<0.01, respectively). The serum level of globulin(GLB) was significantly increased and the albumin (ALB) was decreased in all 4 groups (P<0.05 and P<0.01, respectively). The blood aspartate (AST) level in group A2 was significantly increased compared with that of the other three groups. The blood urea nitrogen (BUN) in group A2 and group A3 was significantly increased compared with that of group A1 and group A4. No significant difference was found in the histomorphology a-mong the 4 groups, but the liver samples from 2 rabbits in group A3 appeared to have sub-massive necrosis and massive necrosis. Conclusion: Elemene-CHHPP is feasible and safe. Elemene can decrease the side effects caused by CHHPP.

     

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