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观察了内毒素血症时血浆降钙素基因相关肽(CGRP)的变化及其与血流动力学改变的关系。结果表明,用辣椒素抑制CGRP再注射内毒素时,血浆CGRP的释放量仅为内毒素血症对照组的39.1%,同时动物的平均动脉压(MAP)、中心静脉压(CVP)和总末梢阻力(TPR)的降低幅度明显减少(分别为87.50±6.57,3.87±0.88,3.04±0.27kPa)。当再次注射CGRP时,随着血浆CGRP含量的增加,MAP、CVP和TPR又明显降低(分别63.75±5.18,0.60±1.53,2.28±0.28kPa)。3组动物的血浆CGRP变化差值与MAP的变化差值呈显著的负相关(分别为r=-0.8390,r=-0.8368,r=-0.9564;P<0.05,0.05,0.01),但与CO的变化差值无相关(分别r=0.3751,r=-0.2578,r=0.2258;P>0.05)。提示内毒素血症CGRP直接参与对血流动力学改变的作用,但并不直接影响心肌功能的改变。
The changes of plasma calcitonin gene related peptide (CGRP) in endotoxemia and its relationship with hemodynamic changes were observed. The results showed that the plasma CGRP release was only 39.1% of that in the endotoxemia control group, and mean arterial pressure (MAP), central venous pressure (CVP) and The reduction in total distal resistance (TPR) was significantly reduced (87.50 ± 6.57, 3.87 ± 0.88 and 3.04 ± 0.27 kPa, respectively). When CGRP was injected again, MAP, CVP and TPR decreased significantly with the increase of plasma CGRP (63.75 ± 5.18, 0.60 ± 1.53 and 2.28 ± 0.28 kPa, respectively). There was a significant negative correlation between the difference of plasma CGRP and the change of MAP in the three groups (r = -0.8390, r = -0.8368, r = -0.9564, P <0.05, 0.05,0.01), but not with the difference of CO (r = 0.3751, r = -0.2578, r = 0.2258, P> 0.05). It is suggested that endotoxemia CGRP is directly involved in the hemodynamic changes, but it does not directly affect the changes of cardiac function.