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芪丹通络汤用于心肌梗死再灌注损伤中的有效性分析
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作者 沙建伟 刘睿颖 《中国科技期刊数据库 医药》 2024年第10期0136-0139,共4页
探究使用芪丹通络汤治疗心肌梗死再灌注损伤的有效性。方法 选择我院2023年1月~12月中收治的心肌梗死再灌注损伤患者60例,依据随机分组方式分成治疗组和对照组。对照组选择常规西药治疗方法,治疗组在此基础上增加芪丹通络汤治疗,持续治... 探究使用芪丹通络汤治疗心肌梗死再灌注损伤的有效性。方法 选择我院2023年1月~12月中收治的心肌梗死再灌注损伤患者60例,依据随机分组方式分成治疗组和对照组。对照组选择常规西药治疗方法,治疗组在此基础上增加芪丹通络汤治疗,持续治疗并观察12周,对两组治疗成效进行评估,包括心肌酶谱指标、中医证候积分及疗效水平。结果 治疗后治疗组的cTnI、CK-MB、NT-proBNP、中医证候各项积分与总分均低于对照组(P<0.05);治疗组的治疗总有效率96.67%高于对照组73.33%,以上观察指标对比后均存在统计学方法(P<0.05)。结论 应用芪丹通络汤治疗心肌梗死后再灌注损伤具有确切的治疗效果,能够改善心肌损伤,减轻临床症状,具有推广价值。 展开更多
关键词 心肌梗死再灌注损伤 芪丹通络汤 有效性
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急性心肌梗死再灌注损伤85例临床观察
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作者 李金红 《河南中医》 2004年第12期70-71,共2页
关键词 急性心肌梗死再灌注损伤 川芎嗪 黄芪注射液 尿激酶 阿斯匹林
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真武汤加味治疗急性心肌梗死再灌注损伤50例临床观察 被引量:5
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作者 李洁芳 汪建红 +1 位作者 龚浩 胡威 《中医药导报》 2007年第5期18-19,共2页
目的:观察真武汤加味治疗急性心肌梗死再灌注损伤的临床疗效。方法:100例急性心肌梗死(AMI)患者均为成功实施PCI或溶栓治疗者,随机分为两组。对照组用西医常规药物治疗,治疗组用西医常规药物加真武汤加味治疗,两组分别于PCI或溶栓后不... 目的:观察真武汤加味治疗急性心肌梗死再灌注损伤的临床疗效。方法:100例急性心肌梗死(AMI)患者均为成功实施PCI或溶栓治疗者,随机分为两组。对照组用西医常规药物治疗,治疗组用西医常规药物加真武汤加味治疗,两组分别于PCI或溶栓后不同时间观察多普勒二维超声心动图(2DE)的左室舒张末容积(LVEDV)、左室射血指数(LVEF)变化。结果:(1)PCI或溶栓后治疗组LVEDV较对照组同期差异均有统计学意义(P<0.01);(2)PCI或溶栓后治疗组LVEF较对照组同期比较,差异有统计学意义(P<0.01)。结论:常规西药结合中药真武汤加味治疗可以显著改善左室收缩功能。 展开更多
关键词 急性心肌梗死再灌注损伤 真武汤 中医药疗法
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芪参益气滴丸对气虚血瘀型急性心肌梗死PCT术后再灌注损伤的疗效观察 被引量:1
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作者 金欢亮 李建华 《长春中医药大学学报》 2024年第5期527-531,共5页
目的探讨芪参益气滴丸对气虚血瘀型急性心肌梗死经皮冠状动脉介入术(PCI)术后再灌注损伤心肌微血管的保护作用。方法选取2017年1月—2019年6月收治的92例气虚血瘀型急性心肌梗死患者,随机分为观察组和对照组,各46例。2组均接受PCI治疗,... 目的探讨芪参益气滴丸对气虚血瘀型急性心肌梗死经皮冠状动脉介入术(PCI)术后再灌注损伤心肌微血管的保护作用。方法选取2017年1月—2019年6月收治的92例气虚血瘀型急性心肌梗死患者,随机分为观察组和对照组,各46例。2组均接受PCI治疗,术后对照组口服阿司匹林肠溶片和硫酸氢氯吡格雷片,观察组在对照组基础上加服芪参益气滴丸治疗,均持续4周。比较治疗前后中医症状评分及疗效;采用ELISA试剂盒测定超氧化物歧化酶(superoxide dismutase,SOD)、还原型谷胱甘肽(L-glutathione reduced,GSH)、肌酸激酶同工酶(creatine kinase isoenzymes,CK-MB)、肌红蛋白(myoglobin,Mb)和心肌肌钙蛋白(cardiac troponinⅠ,cTnI)水平;采用超声仪监测左室射血分数(left ventricular ejection fraction,LVEF)、左室舒张末期内径(left ventricular end diastolic diameter,LVEDD)和左室收缩末期直径(left ventricular end systolic diameter,LVESD);对比2组治疗期间不良事件发生率。结果观察组总有效率为86.96%,显著高于对照组(60.87%)(P<0.05);观察组治疗后胸痛、胸满闷、心悸心慌、气短气促、神疲乏力、咳嗽痰多、手足麻木、口干不欲饮均比对照组明显降低(P<0.01或P<0.05)。治疗4周后,观察组血清SOD、GSH水平均比对照组明显升高(P<0.01);CK-MB、cTnI、Mb水平均比对照组明显降低(P<0.01)。治疗4周后,观察组LVESD(26.65±2.69)mm低于对照组(30.54±3.33)mm(P<0.01)、观察组LVEDD(41.36±3.64)mm低于对照组(45.73±3.41)mm(P<0.01),观察组LVEF(66.54±5.04)%高于对照组(61.43±6.26)%(P<0.01)。结论芪参益气滴丸对气虚血瘀型急性心肌梗死介入治疗后再灌注损伤患者的疗效确切,可减少患者机体中氧自由基,改善心功能及中医症状,降低CK-MB、cTnI、Mb活性,增加SOD、GSH活性,对心肌缺血后再灌注损伤(MIRI)的心肌微血管有明显的保护作用。 展开更多
关键词 芪参益气滴丸 气虚血瘀型 急性心肌灌注损伤 心肌微血管保护
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重组人脑利钠肽对心肌梗死再灌注损伤的实验研究 被引量:3
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作者 李艳 于海初 +1 位作者 王其新 郭慧玲 《中国分子心脏病学杂志》 CAS 2011年第5期293-296,共4页
目的通过构建急性心肌梗死(Acute myocardial infarction,AMI)再灌注兔子模型,观察重组人脑利钠肽(Lyophiluzed Re-combinant Human Brain Natriuretic Peptide,rhBNP)对兔子心肌梗死再灌注损伤的保护作用。方法制备实验性心肌梗死再灌... 目的通过构建急性心肌梗死(Acute myocardial infarction,AMI)再灌注兔子模型,观察重组人脑利钠肽(Lyophiluzed Re-combinant Human Brain Natriuretic Peptide,rhBNP)对兔子心肌梗死再灌注损伤的保护作用。方法制备实验性心肌梗死再灌注损伤模型,随机分为 3 组 :A 组 :假手术组、B 组 :模型组、C 组 :rhBNP 组(治疗前组和治疗后组)。测定心肌酶学(血清天冬氨酸氨基转移酶AST、乳酸脱氢酶 LDH、磷酸肌酸激酶 CK)、超氧化物酶(supemxide dismutase,SOD)活性、髓过氧化物酶(myeloperoxidase,MPO)活性、丙二醛(malonaldehyde,MDA)含量以及治疗前后 N 端脑钠素前体(N-terminal pro-brain natriuretic peptide,NT-proBNP)、超敏 C反应蛋白(high-sensitivity CRP,hs-CRP ,hs-CRP)水平变化。结果与 A 组相比,B 组兔子的 SOD 活性明显下降,MDA 及 MPO 含量均明显增加(P<0.05 或 P<0.01);AST、LDH、CK-MB 均显著升高(P<0.01);与 B 组比较,C 组兔子 SOD 活性明显升高,MDA 及 MPO 含量均明显降低(P<0.05);AST、LDH、CK 活性明显降低(P<0.05 或 P<0.01);C 组治疗前与治疗后相比 NT-proBNP、hs-CRP 水平均显著改善(P<0.05),治疗后血清 NT-proBNP、hs-CRP 水平较治疗前下降较为明显(P<0.05)。结论 AMI 再灌注后静脉应用 rhBNP 对缺血梗死再灌注损伤有明显保护作用,对于急性心肌梗死患者来说,重组人脑利钠肽可作为又一种有效的治疗药物。 展开更多
关键词 重组人脑利钠肽 心肌梗死再灌注损伤 心肌 自由基 疗效
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重组人脑利钠肽对心肌梗死患者PCI术心肌损伤的干预
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作者 李艳 孙绍妮 郭慧玲 《中国医药指南》 2016年第14期137-137,共1页
目的评价外源性补充重组人脑利钠肽(rh BNP)对经皮冠状动脉介入治疗术心肌损伤的影响。方法选择住院并接受PCI治疗的急性心肌梗死患者206例为研究对象,随机分为对照组与实验组,每组103例。对照组103例患者采取常规治疗方案,实验组103例... 目的评价外源性补充重组人脑利钠肽(rh BNP)对经皮冠状动脉介入治疗术心肌损伤的影响。方法选择住院并接受PCI治疗的急性心肌梗死患者206例为研究对象,随机分为对照组与实验组,每组103例。对照组103例患者采取常规治疗方案,实验组103例患者在此基础上术后立即给予rh BNP静脉滴注。所有患者检测术前及术后3 d(rh BNP疗程结束)磷酸激酶同工酶MB(CK-MB)和肌钙蛋白I(Tn I)的浓度。结果 PCI术后,对照组CK-MB及Tn I水平均显著高于实验组(P<0.05)。结论 rh BNP对缺血梗死再灌注损伤有明显保护作用,有助于减轻心肌损伤,对于急性心肌梗死患者来说,重组人脑利钠肽可作为又一种有效的治疗药物。 展开更多
关键词 重组人脑利钠肽 心肌梗死再灌注损伤 心肌 疗效
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Mediated protective effect of electroacupuncture pretreatment by miR-214 on myocardial ischemia/reperfusion injury 被引量:24
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作者 Pei-Yu LIU Yi TIAN Shi-Yuan XU 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2014年第4期303-310,共8页
Background Electroacupuncture pretreatment plays a protective role in myocardial ischemia/reperfusion (I/R) injury and microRNAs (miRNAs) could act on various facets of cardiac function. However, the role of miRNA... Background Electroacupuncture pretreatment plays a protective role in myocardial ischemia/reperfusion (I/R) injury and microRNAs (miRNAs) could act on various facets of cardiac function. However, the role of miRNAs in the cardioprotection by electroacupuncture pre-treatment on myocardial I/R injury remains unknown. The purpose of the study was to examine whether miR-214 was involved in cardio-protection by electroacupuncture. Methods Using rat myocardial I/R model, we examined the role of electroacupuncture pretreatment in myocardial I/R injury and analyzed the changes in the expression of miR-214. In addition, I/R was simulated in vitro by performing oxy-gen-glucose deprivation (OGD) on H9c2 cell cultures, and the effect of electroacupuncture pretreatment on I/R injury as well as expressional level of miR-214 were examined in vitro. Furthermore, the miR-214 mimic was transfected into OGD-treated H9c2 cells, we analyzed the cell apoptosis, lactate dehydrogenase (LDH) and creatine kinase (CK) activities, intracellular free Ca2+concentration ([Ca2+]i) as well as the relative protein levels of sodium/calcium exchanger 1(NCX1), BCL2-like 11 (BIM), calmodulin-dependent protein kinase IIδ(CaMKIIδ) and Cyclophilin D (CypD). Results The in vivo results revealed that compared with the I/R group, the electroacupuncture pretreatment group showed significant decreased myocardial infarct size, as well as the increased indices of the cardiac function, including heart rate, mean arterial pressure, left ventricular systolic pressure and maximal rate for left ventricular pressure rising and declining (±dp/dt max). In addition, electroacupuncture pretreatment could inhibit the elevation of LDH and CK activities induced by I/R injury. The quantitative PCR (qPCR) results demonstrated electroacupuncture pretreatment could provide cardioprotection against myocardial I/R injury in rats with miR-214 up-regulation. In the meanwhile, in vitro, electroacupuncture pretreatment protected H9c2 cells from OGD-induced injury. Trans-fection of miR-214 mimic showed protective effects on OGD-induced injury to H9c2 cells by reducing apoptosis, decreasing LDH and CK activities, rescuing the OGD-induced Ca2+and down-regulating elevated protein levels of NCX1, BIM, CaMKIIδand CypD. Conclusions Our findings firstly demonstrated that electroacupuncture pretreatment promotes the expression of miR-214 in myocardial I/R injury and miR-214 contributes to the protective effect of electroacupuncture on myocardial I/R injury. 展开更多
关键词 I/R injury miR-214 ELECTROACUPUNCTURE Protective effect
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MicroRNA-15a/b are up-regulated in response to myocardial ischemia/reperfusion injury 被引量:15
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作者 Li-Feng Liu Zhuo Liang +5 位作者 Zhen-Rong Lv Xiu-Hua Liu Jing Bai Jie Chen Chen Chen Yu Wang 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2012年第1期28-32,共5页
Objective Several studies have indicated that miR-15a,miR-15b and miR-16 may be the important regulators of apoptosis.Since attenuate apoptosis could protect myocardium and reduce infarction size,the present study was... Objective Several studies have indicated that miR-15a,miR-15b and miR-16 may be the important regulators of apoptosis.Since attenuate apoptosis could protect myocardium and reduce infarction size,the present study was aimed to find out whether these miRNAs participate in regulating myocardial ischemia reperfusion (I/R) injury.Methods Apoptosis in mice hearts subjected to I/R was detected by TUNEL assay in vivo,while flow cytometry analysis followed by Annexin V/PI double stain in vitro was used to detect apoptosis in cultured cardiomyocytes which were subjected to hypoxia/reoxygenation (H/R).Taqman real-time quantitative PCR was used to confirm whether miR-15a/15b/16 were involved in the regulation of cardiac I/R and H/R.Results Compared to those of the controls,I/R or H/R induced apoptosis of cardiomyocytes was significantly iucreased both in vivo (24.4% ± 9.4% vs.2.2% ± 1.9%,P < 0.01,n =5) and in vitro (14.12% ±0.92% vs.2.22% ± 0.08%).The expression of miR-15a and miR-15b,but not miR-16,was increased in the mice I/R model,and the results were consistent in the H/R model.Conclusions Our data indicate miR-15 and miR-15b are up-regulated in response to cardiac I/R injury,therefore,down-regulation of miR- 15a/b may be a promising strategy to reduce myocardial apoptosis induced by cardiac I/R injury. 展开更多
关键词 miR-15a/b APOPTOSIS Myocardial reperfusion injury Ischemia/Reperfusion injury
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Cardioprotective effects of anesthetic preconditioning in rats with ischemia-reperfusion injury: propofol versus isoflurane 被引量:6
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作者 Xing TAO Ling-qiao LU +2 位作者 Qing XU Shu-ren LI Mao-tsun LIN 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2009年第10期740-747,共8页
Objective: We compare the cardioprotective effects of anesthetic preconditioning by propofol and/or isoflurane in rats with ischemia-reperfusion injury. Methods: Male adult Wistar rats were subjected to 60 min of an... Objective: We compare the cardioprotective effects of anesthetic preconditioning by propofol and/or isoflurane in rats with ischemia-reperfusion injury. Methods: Male adult Wistar rats were subjected to 60 min of anterior descending coronary artery occlusion followed by 120 rain of reperfusion. Before the long ischemia, anesthetics were administered twice for 10 min followed by 5 min washout. Isoflurane was inhaled at 1 MAC (0.016) in I group, whereas propofol was inhaled intravenously at 37.5 mg/(kg.h) in P group. A combination ofisoflurane and propofol was administered simultaneously in I+P group. Results: In control (without anesthetic preconditioning, C group), remarkable myocardial infarction and apoptosis accompanied by an increased level of cardiac troponin T were noted 120 min aider ischemia-reperfusion. As compared to those of control group, I and P groups had comparable cardioprotection. In addition, I+P group shares with I and P groups the comparable cardioprotective effects in terms of myocardial infarction and cardiac troponin T elevation. Conclusion: A combination of isoflurane and propofol produced no additional cardioprotection. 展开更多
关键词 ANESTHETIC HEART PROPOFOL ISOFLURANE Apoptosis
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