中国组织工程研究

• 组织构建实验造模 experimental modeling in tissue construction • 上一篇    下一篇

犬肺动脉高压模型连续热稀释法的应用

陈丹丹,周达新,管丽华,陈发东,董丽莉,钱菊英,葛均波   

  1. 复旦大学附属中山医院心内科/上海市心血管病研究所,上海市 200032
  • 收稿日期:2012-11-02 修回日期:2012-12-05 出版日期:2013-06-11 发布日期:2013-06-11
  • 通讯作者: 周达新,硕士,主任医师,复旦大学附属中山医院心内科,上海市 200032 zhoudaxin@msn.com
  • 作者简介:陈丹丹☆,女,1982年生,浙江省慈溪市人,博士,医师,主要从事肺动脉高压的研究。 chenchendandan@163.com
  • 基金资助:

    上海市自然科学基金资助课题(07ZR14024)赞助

Application of continuous thermodilution method in beagle models with pulmonary arterial hypertension

Chen Dan-dan, Zhou Da-xin, Guan Li-hua, Chen Fa-dong, Dong Li-li, Qian Ju-ying, Ge Jun-bo   

  1. Department of Cardiology, Zhongshan Hospital of Fudan University, Shanghai Cardiovascular Disease Institute, Shanghai 200032, China
  • Received:2012-11-02 Revised:2012-12-05 Online:2013-06-11 Published:2013-06-11
  • Contact: Zhou Da-xin, Master, Chief physician, Department of Cardiology, Zhongshan Hospital of Fudan University, Shanghai Cardiovascular Disease Institute, Shanghai 200032, China zhoudaxin@msn.com
  • About author:Chen Dan-dan☆, M.D., Physician, Department of Cardiology, Zhongshan Hospital of Fudan University, Shanghai Cardiovascular Disease Institute, Shanghai 200032, China chenchendandan@163.com
  • Supported by:

    the Natural Science Foundation of Shanghai, No. 07ZR14024*

摘要:

背景:以往小动物肺动脉高压模型有创测压方法一般根据生物信号采集系统的压力波形图引导,采用右心导管法进行压力测定;由于设备技术和动物体积的限制无法应用肺动脉导管测定心输出量及肺血管阻力。
目的:在脱氢野百合碱诱导建立犬肺动脉高压模型中利用Swan-Ganz七腔漂浮导管和Vigilance系统根据连续热稀释法测定心输出量、肺血管阻力,肺动脉压力,探讨连续心排量法在肺动脉高压动物模型中的应用价值。
方法:10只比格犬随机分成2组:实验组用脱氢野百合碱右心房注射的方法建立肺动脉高压的动物模型,对照组右心房注射二甲基酰胺做对照;在用药前,用药后8周使用漂浮导管和Vigilance系统分别测定两组犬右心房收缩压、右心室收缩压、肺动脉收缩压、平均肺动脉压力、肺毛细血管楔压及心输出量。
结果与结论:实验组用药后肺血管阻力显著上升(P=0.00),实验组用药后心输出量显著减少(P < 0.05)。使用连续热稀释法测定肺血管阻力和心输出量较传统的间断热稀释法更准确稳定。利用漂浮导管和Vigilance系统根据连续热稀释法原理在脱氢野百合碱诱导的犬肺动脉高压模型中进行肺血管阻力和心输出量测定,该方法具有准确稳定、可重复操作和对实验模型创伤小的优点。

关键词: 组织构建, 组织构建实验造模, 高血压, 肺性, 肺动脉高压模型, 脱氢野百合碱, 野百合碱, Swan-Ganz漂浮导管, Vigilance系统, 连续热稀释法, 肺血管阻力, 心输出量, 省级基金

Abstract:

BACKGROUND: Previous methods of invasive blood pressure monitoring in small animals with pulmonary hypertension are mediated by pressure tracings of biological signals acquisition system using right heart  catheter method, however, due to the limitations of experimental instruments and animal size, pulmonary vascular resistance and cardiac output cannot be measured with pulmonary artery catheter method.
OBJECTIVE: To measure cardiac output and pulmonary vascular resistance in beagle models with pulmonary hypertension induced by dehydromonocrotaline by using Swan-Ganz seven-lumen floating catheter and Vigilance monitor system with principles of continuous thermodilution method, and to explore the application value of continuous cardiac output method in pulmonary hypertension models.
METHODS: Ten beagles were randomized into two groups: control group (right atrium was injected with dimethylformamide), and experimental group (right atrium was injected with dehydromonocrotaline to establish pulmonary hypertension models). Prior to the administration and 8 weeks after administration, the right atrial systolic pressure, right ventricular systolic pressure, pulmonary arterial systolic pressure, mean pulmonary arterial pressure, pulmonary capillary wedge pressure and cardiac output of beagles in two groups were measured using Swan-Ganz floating catheter and Vigilance monitor system.
RESULTS AND CONCLUSION: In the experimental group, the pulmonary vascular resistance was significantly increased (P=0.00), while cardiac output was significantly decreased (P < 0.05) at 8 weeks after dehydromonocrotaline injection. Continuous thermodilution method was superior to conventional interrupted thermodilution method. We concluded that floating catheter and Vigilance monitor system based on the principles of continuous thermodilution method is an accurate, stable, and repeatable method for measuring pulmonary vascular resistance and cardiac output in beagle models with pulmonary hypertension induced by dehydromonocrotaline, with less trauma.

Key words:  tissue construction, experimental modeling in tissue construction, hypertension, pulmonary, pulmonary hypertension model, dehydromonocrotaline, monocrotaline, Swan-Ganz floating catheter, Vigilance system, continuous thermodilution method, pulmonary vascular resistance, cardiac output, provincial grants-supported paper

中图分类号: