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目的本实验以10us/d上皮生长因子(EGF)皮下给药促进大白鼠小肠缺血再灌注损伤后粘膜的修复,观察细胞的增殖。方法SD雄性大白鼠60只,阻断肠系膜上动脉后去除阻断为小肠缺血再灌注损伤模型,随机分为对照组(A)、皮下放置不含EGF缓释片组(B)和放置EGF缓释片组(C)。观察各组0时(缺血60分钟再灌注120分钟后)、第2、4、8天组织学改变,并进行粘膜细胞DNA流式细胞仪分析。结果组织学检查示B组再生绒毛较C组短小、稀少。肠粘膜细胞经流式细胞仪DNA分析,结果表明48小时修复,C组S期细胞(13.02%±1.39%)较B组升高更为明显(CvsBP<0.05),损伤修复后第4、8天,B组细胞增殖已趋于正常,与A组比较P>0.05,而C组上皮细胞增殖仍居高不下,较B组和A组均有统计学意义(P<0.01)。结论EGF不仅可促进缺血再灌注后小肠粘膜的再生修复,同时有助于消化吸收功能的早期恢复。
Objective This experiment used 10us / d epidermal growth factor (EGF) subcutaneously to promote mucosal repair after intestinal ischemia / reperfusion injury in rats and observed cell proliferation. Methods Sixty male Sprague-Dawley rats were divided into control group (A), subcutaneous injection of EGF-free (B) group and EGF Sustained release tablets group (C). Each group 0 (ischemia 60 minutes after reperfusion 120 minutes), 2, 4, 8 days histological changes, and mucosal DNA flow cytometry. Results Histological examination showed that the regenerated villi in group B were shorter and sparse than those in group C. The intestinal mucosal cells were analyzed by flow cytometry. The results showed that the cells in group C (13.02% ± 1.39%) were more obvious than those in group B (CvsBP <0.05) after 48 hours of repair. The damage On the 4th and 8th day after repair, the cell proliferation of group B tended to be normal, compared with that of group A (P> 0.05), while the proliferation of epithelial cells of group C remained high, which was significantly higher than that of group B and group A ( P <0.01). Conclusion EGF can not only promote the regeneration of intestinal mucosa after ischemia-reperfusion, but also help the early recovery of digestion and absorption.