高脂血症兔颈总动脉血流动力学超声检测及病理检验
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黑龙江省科技厅自然基金项目(D200603)


Ultrasound Measurement and Pathological Analysis of Common Carotid Artery Hemodynamic Changes in Hyperlipoidemia Rabbits
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    摘要:

    目的利用多普勒超声对高脂血症兔不同时间段的血流动力学检查,探讨动脉粥样硬化早期血流动力学变化规律。方法60只新西兰大白兔随机分为2组,对照组15只,基础饲料喂养;实验组45只,高脂饮食。各组再随机分为3个亚组,分别喂养至4周、8周和12周,超声测量颈动脉血流动力学参数包括:收缩期峰值流速、舒张期流速、搏动指数、阻力指数,收缩期和舒张期血管内径,并行血脂及病理学检查。结果实验组兔血清中胆固醇、低密度脂蛋白胆固醇含量显著升高,8周达高峰,12周略有下降;高密度脂蛋白胆固醇含量8周开始显著降低;甘油三酯含量随造模时间延长逐渐升高(P<0.01)。同一时相点上,与对照组比较,各实验组颈动脉血管内径、阻力指数差异均有显著性(P<0.01),收缩期峰值流速在12周,舒张期峰值流速在4周、8周,搏动指数在4周、12周差异均有显著性(P<0.05)。组间比较,舒张期内径差异无显著性(P>0.05),收缩期内径在4周和12周时差异均有显著性(P<0.05),收缩期峰值流速、舒张期流速、搏动指数在4周与12周,8周与12周时差异有显著性(P<0.01或P<0.001);阻力指数在4周与8周、12周,8周与12周差异均有显著性(P<0.01)。结论血流动力学检测可以动态观察动脉粥样硬化发生发展的过程,其改变早于形态学改变,对早期诊断动脉粥样硬化具有重要意义。

    Abstract:

    Aim To observe the hyperlipemia rabbit hemodynamic changes in the early stage of atherosclerosis by using Doppler ultrasound at different time point. Methods 60 white big-ear rabbits were divided into two groups randomly: 15 rabbits(control group) were fed with normal rabbit chow,while 45 rabbits(experiment group) were fed with high cholesterol diet.Then each group was divided into three subgroups that were fed for 4 weeks,8 weeks and 12 weeks respectively.Hemodynamic parameters(including systolic peak velocity,diastolic velocity,pulsatility index,resistent index,diameter of systole and diastole),blood lipid levels and the pathological examination were detected at each time-point. Results Levels of cholesterol and low-density lipoprotein cholesterol of experiment group increased significantly and reached peaks at 8 week,then they decreased slightly at 12 week;levels of high-density lipoprotein cholesterol decreased significantly from 8 week;triglyceride level had an obvious elevation during the experiment(P<0.01).The rabbit blood vessel diameter and resistance index were with significant difference compared with control group at the same time-point(P<0.01).Systolic peak velocity of 12 week,diastolic peak velocity of 4 week and 8 week,and pulsatility index of 4 week and 12 week of experiment group were all significant in statistics(P<0.05).Among the subgroups Dd had no significant changes;Ds changed at 4 week and 12 week(P<0.05);Vs,Vd and PI between 4 week and 12 week,8 week and 12 week were different(P<0.01 or P<0.001);RI between 4 week and other two time points,8 week and 12 week were different(P<0.01). Conclusion Hemodynamic changes of color Doppler,that presented earlier than morphology,may dynamically detect the progression of atherosclerosis,and play an important role in early diagnosis of atherosclerosis.

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孙立涛,田家玮,付旷,王珍珍,王影,刘宇杰.高脂血症兔颈总动脉血流动力学超声检测及病理检验[J].中国动脉硬化杂志,2008,16(8):603~606.

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  • 收稿日期:2007-09-26
  • 最后修改日期:2008-07-25
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