The Journal of Practical Medicine >
Effect of short⁃duration mechanical ventilation on diaphragm function in septic rats
Department of Anesthesia,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China
Online published: 2023-03-10
Objective To study the effect of short⁃duration mechanical ventilation on the function of the dia⁃ phragm in rats with different degrees of sepsis. Methods Experimental groups included SHAM group,CLP50% group,CLP50%+MV6h group,CLP75% group and CLP75%+MV6h group. Biological signal acquisition system was used to detect diaphragm contraction force and compound muscle action potential(CMAP);HE staining was used to observe muscle fiber cross⁃sectional area(CSA);TUNEL method was adopted to detect apoptosis;ELISA was used to detect serum inflammatory factors;the expression of muscle atrophy⁃related proteins was detected by Western blot. Results In the CLP50%+MV6h group,compared with the CLP50% group,diaphragm contractility was decreased, and serum IL ⁃6 levels and atrophy ⁃ related protein levels were increased. In the CLP75%+MV6h group,compared with the CLP75% group,CMAP amplitude was decreased and duration was prolonged;contractility was decreased, CSA was reduced,inflammatory factor levels were increased,and atrophy⁃related protein levels were increased. Com⁃ pared with the CLP50%+MV6h group,the CLP75%+MV6h group showed decreased CMAP amplitude and increased duration,decreased contractility,decreased CSA,increased inflammatory factor levels and atrophy ⁃ related protein expression,and increased apoptotic index. Conclusion In septic rats,a short⁃term of mechanical ventilation could exacerbate diaphragmatic dysfunction,which became more pronounced as the degree of sepsis increased.
Key words:
sepsis
LI Mingjuan, LI Xuexin, LIU Li.
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Effect of short⁃duration mechanical ventilation on diaphragm function in septic rats
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