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The role and significance of nuclear factor-kappa B activity after cardiopulmonary-cerebral resuscitation

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF EMERGENCY MEDICINE
Issue:
1
DOI:
10.3760/j.issn:1671-0282.2006.01.005
Key Word:
心肺脑复苏;复苏;多脏器功能障碍综合征

Abstract: 目的观察心搏骤停患者经心肺脑复苏(CPCR)后核因子κB(NF-κB)活性和肿瘤坏死因子-α(TNF-α)水平的变化及意义.方法以电泳迁移率变动分析法(EMSA)检测外周血单个核细胞的NF-κB活性,放射免疫法测定血清TNF-α水平.结果NF-κB活性、TNF-α水平和APACHEⅡ评分在复苏后多脏器功能障碍综合征(PR-MODS)组和死亡组分别明显高于非PR-MODS组和存活组(P<0.05);NF-κB活性、TNF-α水平和APACHEⅡ评分均呈正相关(P<0.05).结论心搏骤停和CPCR过程可以使NF-κB激活、TNF-α表达增加,这对PR-MODS的发生、病情轻重具有重要决定作用.

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