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地奥心血康对心肌缺血再灌注犬心功能及去甲肾上腺素含量的影响
引用本文:张键,王蔚东,赵丹,刘子红,赵雪俭.地奥心血康对心肌缺血再灌注犬心功能及去甲肾上腺素含量的影响[J].中国新药与临床杂志,1994(3).
作者姓名:张键  王蔚东  赵丹  刘子红  赵雪俭
作者单位:白求恩医科大学第一临床学院心血管内科,白求恩医科大学病理生理研究室
摘    要:28只杂种犬分地奥心血康组(DAXXK)和生理盐水组(NS)。结扎冠状动脉左前降支使心肌缺血。分别于结扎即刻静脉滴注DAXXK(5.0mg/kg)和100mlNS。NS组随缺血再灌注时间延长,CI,LVSP,±dP/dtmax,等明显下降,而TPVR与血清Lev含量进行性升高。DAXXK与NS比较,有显著改善心功能的效应。

关 键 词:心肌再灌注损伤,皂甙类,去甲肾上腺素,地奥心血康,血流动力学

Effects of Di-ao-xin-xue-kang on cardiac function and serum levarterenol in dog myocardial reperfusion injuty
ZHANG Jian.Effects of Di-ao-xin-xue-kang on cardiac function and serum levarterenol in dog myocardial reperfusion injuty[J].Chinese Journal of New Drugs and Clinical Remedies,1994(3).
Authors:ZHANG Jian
Abstract:To determine the effects of Di-ao-xi-xue-kang(DAXXK) on myocurdial reperfusion injury,28 open-chest dogs were subjected to left anterior coronary descending artery occlusion for 90 min followed by 4 h reperfusion.Dogs were randomized to receive either DAXXK(5.0mg/kg,n=10) or saline(NS,n=18) iv at the moment of occlusion.Cardiac function and hemodynamic variables were measured before occlusion,90 min after occlusion,and 30 min,2 h and 4 h after reperfusion.Levarterenol(Lev)in serum was evaluated before occlusion,90 min after occlusion,2h and 4 h after reperfusion. Cardiac indexCI),left ventricular pressusre(LVSP)and ±dp/dt_(max) markedly decreased.while total peripheral vasculaar resistance(TRVR)and Lev in serum were increased with the development of occlusion-reperfusion in NS group.DAXXK improved left ventriculaar function after occlusion-reperfusion in comparison with NS group,and there was a decreasing tendency of TPVR and Lev in DAXXK group.These results suggest that DAXXK reduees myocardial ischemia reperfusion injury with salvage of myocardium,improved cardiac function,and reduced TPVR and Lev as well.
Keywords:myocardial reperfusion injury  saponins  norepinephrine  Di-ao-xin-xue-kang  hemodynamics
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