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1、(p=1.00,p>0.05),差異無統(tǒng)計(jì)學(xué)意義;大劑量聯(lián)合治療組與生理鹽水組腎臟組織病變率相比(p=0.485,p>0.05),差異無統(tǒng)計(jì)學(xué)意義。結(jié)果表明卡馬西平聯(lián)合塞來昔布,卡馬西平聯(lián)合大劑量塞來昔布在治療難治性癲癇大鼠時(shí),對大鼠腎臟組織無影響。3、聯(lián)合治療組與生理鹽水組血液INR值相比(p=0.179,p>0.05),差異無統(tǒng)計(jì)學(xué)意義;大劑量聯(lián)合治療組與生理鹽水組INR值相比(p=0.212,p>0.05),差異無統(tǒng)計(jì)學(xué)意義。結(jié)果表明卡馬西平聯(lián)合塞來昔布,卡馬西平聯(lián)合大劑量塞來昔布在治療難治性癲癇大鼠時(shí),對大
2、鼠凝血功能無影響。4、海人酸手術(shù)組與假手術(shù)組相比,cTnT值明顯升高,有顯著性差異(p=0.00,p<0.05),差異有統(tǒng)計(jì)學(xué)意義,提示采用海人酸海馬區(qū)快速點(diǎn)燃方法制作癲癇模型,并且未給予大鼠抗癲癇藥物治療時(shí),增加了大鼠心肌細(xì)胞的損傷;聯(lián)合治療組與生理鹽水組cTnT值相比(p=0.000,p<0.05)、大劑量聯(lián)合治療組與生理鹽水組cTnT值相比(p=0.000,p<0.05),cTnT均明顯降低,差異有統(tǒng)計(jì)學(xué)意義;大劑量聯(lián)合治療組與聯(lián)合治療組cTnT值相比(p=0.000,p<0.05),cTnT明顯降低,差異有
3、統(tǒng)計(jì)學(xué)意義。結(jié)果表明卡馬西平聯(lián)合塞來昔布,卡馬西平聯(lián)合大劑量塞來昔布在治療難治性癲癇大鼠時(shí),均降低了大鼠心肌損傷標(biāo)志物cTnT值,表明聯(lián)合治療對大鼠心肌細(xì)胞沒有產(chǎn)生進(jìn)一步的毒副作用。結(jié)論:選擇性COX-2抑制劑塞來昔布聯(lián)合抗癲癇藥物卡馬西平治療難治性癲癇模型大鼠時(shí),對大鼠胃竇粘膜、腎臟組織、凝血功能、心肌細(xì)胞均無毒副作用。關(guān)鍵詞:塞來昔布;卡馬西平;難治性癲癇;毒副作用31.2英文摘要Assessmentofcelecoxibcombinedwithcarbamazepineonthesideeffectsofre
4、fractoryepilepticratsAbstract:Objective:Thisstudywasdesignedtoobservetheadverseeffectsofselectivecyclooxygenase-2(COX-2)inhibitorcelecoxibcombi-ningwithanti-epilepticdrugs(AEDs)carbamazepineforthetreatmentofrefractoryepilepsyrats,whichincludedthechangeofantral
5、mucosa,kidneys,coagulationandcTnT.Thestudyoftargetorgantoxicitywastoprovideanimalexperimentalbasisforclinicalmedicationsafety.Method:1.experimentalgroups:theexperimentwasdividedintosevengroups:sham-operatedgroup,thekainicacidsurgerygroup,salinecontrolgroup,car
6、bamazepinetherapygroup,celecoxibtherapygroup,carbamazepinecombiningwithconventionaldosecelecoxibtherapygroup(combinationtherapygroup),carbamazepinecombiningwithhighdosecelecoxibtherapy(high-dosecombinationtherapygroup).2.theestablishmentofrefractoryepilepsymod
7、el:A,modelofepilepsy:themodelofepilepsywasestablishedbykainicacid-inducedhippocampalkinding.First,kainicacid(KA)1.5μg(1μg/μl)wasinjectedtoexactlyrighthippocampusCA3regionofmaleWistarrats,withhippocampalCA3regionandthefrontalsinusareamountedelectrodes.Second,pa
8、rtofthepost-operativeratswereclassifiedtokainicacidsurgerygroup,therestweretoepilepsymodelgroupwhentheyexperiencedstageⅣlevelseizuresormorein0.5-6hoursaccordingtoRacineclassificati