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地佐辛联合高乌甲素在老年胆囊切除术后的应用效果及对致痛因子、TXA_(2)/PGI_(2)平衡影响
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作者 尚丹 《医学理论与实践》 2022年第12期2071-2073,共3页
目的:分析地佐辛联合高乌甲素在老年腹腔镜胆囊切除术(LC)术后的应用效果及对致痛因子、血栓素A_(2)(TXA_(2))/前列环素(PGI_(2))平衡的影响。方法:选取2020年3月—2021年5月我院62例行LC术患者,根据随机抽签法分为2组,常规组(31例)术... 目的:分析地佐辛联合高乌甲素在老年腹腔镜胆囊切除术(LC)术后的应用效果及对致痛因子、血栓素A_(2)(TXA_(2))/前列环素(PGI_(2))平衡的影响。方法:选取2020年3月—2021年5月我院62例行LC术患者,根据随机抽签法分为2组,常规组(31例)术后采用地佐辛镇痛,研究组(31例)术后予以地佐辛+高乌甲素镇痛。比较2组术后(2h、4h、8h、12h、24h)视觉模拟量表(VAS)评分、不良反应发生情况、镇痛前后血浆P物质、5-羟色胺(5-HT)及TXA_(2)、PGI_(2)稳定代谢产物血栓素B_(2)(TXB_(2))、6-酮—前列腺素F_(1α)(6-keto-PGF_(1α))水平变化。结果:术后4h、8h、12h研究组VAS评分较常规组低(P<0.05);与常规组比较,镇痛后研究组血浆P物质、5-HT水平及TXB_(2)/6-ke-to-PGF_(1α)较低(P<0.05);2组不良反应总发生率对比无明显差异(P>0.05)。结论:地佐辛联合高乌甲素是一种安全可行的老年LC术后镇痛方法,能有效下调致痛因子水平,调节TXA_(2)/PGI_(2)平衡,减轻疼痛。 展开更多
关键词 高乌甲素 地佐辛 腹腔镜胆囊切除术 致痛因子 txa_(2)/pgi_(2)平衡
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氨氯地平干预兔动脉粥样硬化过氧化脂质代谢、前列环素/血栓烷A_2平衡异常的研究 被引量:1
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作者 马建林 毛焕元 +1 位作者 周本财 周顺长 《心脏杂志》 CAS 2004年第6期517-519,522,共4页
目的 :观察动脉粥样硬化 (AS)兔过氧化脂质代谢、前列环素 (PGI2 ) /血栓烷A2 (TXA2 )平衡异常以及氨氯地平干预作用。方法 :采用高脂饲料或高脂饲料加氨氯地平喂养家兔 6 0d ,喂养前、后抽血测生化指标 ,喂养后处死动物作组织学研究。... 目的 :观察动脉粥样硬化 (AS)兔过氧化脂质代谢、前列环素 (PGI2 ) /血栓烷A2 (TXA2 )平衡异常以及氨氯地平干预作用。方法 :采用高脂饲料或高脂饲料加氨氯地平喂养家兔 6 0d ,喂养前、后抽血测生化指标 ,喂养后处死动物作组织学研究。结果 :喂养后血清总胆固醇 (TC)、主动脉和血浆丙二醛 (MDA)、全血血小板活化因子 (PAF)、血浆TXB2 、内皮素 (ET)水平显著升高 ,血小板聚集性增强 ,而主动脉组织和血浆 6 酮 前列腺素 (6 Keto PGF1α)、血浆超氧化物歧化酶 (SOD)水平显著下降 ,并且发生AS病变。氨氯地平可以降低MDA及ET含量 ,提高PGI2 /TXA2 比值 ,减轻AS病变。结论 :AS家兔体内出现脂质过氧化代谢异常、PGI2 /TXA2 平衡失调 ,而氨氯地平具有明显的拮抗作用 ,其机制可能与抗氧化有关。 展开更多
关键词 动脉粥样硬化 脂质过氧化 氨氯地平 pgi2/txa2平衡
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Primary Mechanisms for Novel Compound Pivanampeta Against Atherosclerosis in Rat and Rabbit Model of Atherosclerosis 被引量:1
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作者 山丽梅 张锦超 +1 位作者 赵艳玲 汪海 《Journal of Chinese Pharmaceutical Sciences》 CAS 2004年第1期68-75,共8页
Aim To investigate the anti-atherosclerotic mechanisms of the novel compoundpivanampeta in the early and later stages of atherosclerosis evolution. Methods Rats or rabbits wererandomly assigned to the control, the mod... Aim To investigate the anti-atherosclerotic mechanisms of the novel compoundpivanampeta in the early and later stages of atherosclerosis evolution. Methods Rats or rabbits wererandomly assigned to the control, the model and the pivanampeta-treated groups. The rats or rabbitsin the model group and the pivanampeta-treated group were fed with hypercholesterol diet. Thecarotids of rabbits were cut into pieces and stained with HE. The rat or rabbit serum levels of TC,LDL-CHO, HDL-CHO, IL-8, ET-1, PGI_2, TXA_2, and NO were assayed. The expressions of MCP-1 and IL-8mRNA on rabbit carotid were determined by semi-quantitative RT-PCR. Results Pivanampeta exerted aninhibitory effect on TXA_2 formation without PGI_2 production in the early and later stages ofatherosclerosis. The significantly increased release of NO and the decreased release of IL-8 in theanimals in pivanampeta-treated group were both detected in the rat atherosclerosis model. In therabbit atherosclerosis model the expressions of IL-8 and MCP-1 mRNA in pivanampeta-treated groupwere decreased significantly. However, the treatment with pivanampeta had no effect on the levels ofplasma cholesterol, MDA and SOD. Conclusion The increase of serum NO contents and the decrease ofplasma TXA_2 level, as well as its inhibition of expression of IL-8 and MCP-1 are probably involvedin the mechanisms underlying the anti-atherosclerotic effects of pivanampeta. 展开更多
关键词 ATHEROSCLEROSIS nitric oxide pgi_2 txa_2
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The Potential Pathway of L-arginine·L-aspartate for Inhibition of Platelet Function
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作者 王银叶 王超 +2 位作者 韩梅 彭师奇 赵明 《Journal of Chinese Pharmaceutical Sciences》 CAS 2004年第1期76-79,共4页
Aim L-Arginine· L-aspartate, a double salt, has been recently reported toinhibit platelet aggregation and thrombosis, but its action mechanism is not clear yet. This studywas conducted to investigate its effect o... Aim L-Arginine· L-aspartate, a double salt, has been recently reported toinhibit platelet aggregation and thrombosis, but its action mechanism is not clear yet. This studywas conducted to investigate its effect on FITC-PAC-1, an anti-glycoprotein IIb/IIIa monoclonalantibody binding to activated platelets, and on correlative autacoid levels in plasma or inplatelets in order to explore its potential pathway of inhibiting platelet aggregation andthrombosis. Methods Monoclonal antibody binding to activated platelets was assayed by flowcytometry; NO was assessed by colorimetric method. cAMP, TXB_2 or 6-keto-PGF_(1α) levels wereassessed by radioimmunoassay. Results Gavaged 30 mg·kg^(-1) of L-arginine·L-aspartate increasedboth concentration of NO in plasma and 6-keto-PGF_(1) in incubated supernatant of aortic segment ofrats ex vivo (P < 0.05), but it did not influence cAMP content in platelets and the level of TXB_2or 6-keto-PGF_(1) in plasma of rats, whereas ASA significantly lowered TXB_2 or 6-keto-PGF_(1α) inplasma. Both 100 μmol-L^(-1) of L-arginine ·L-aspartate and ASA inhibited FITC-PAC-1 binding toactivated platelets in vitro. Conclusion The increase in NO and PGI_2 release from endo-thelialcells and consequent inhibition of platelet activation may contribute to the inhibition of plateletaggregation and thrombosis by L-arginine· L-aspartate; whereas arachidonic acid or cAMP metabolicpathway is not closely correlative with the studied effect. 展开更多
关键词 L-arginine·L-aspartate nitric oxide pgi_2 txa_2 cAMP glycoproteinIIb/IIIa monoclonal antibody
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川芎嗪对妊娠期高血压综合征患者血浆血栓素A_2/前列环素平衡的调节作用 被引量:4
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作者 吴雪娣 罗利飞 《临床医学》 CAS 2008年第7期76-77,共2页
目的观察川芎嗪对妊娠期高血压综合征(PIH)患者血浆血栓素A2(TXA2)/前列环素(PGI2)平衡的调节作用。方法选择50例轻中度PIH患者为川芎嗪治疗组,予以川芎嗪120 mg静脉滴注10d,另取正常妊娠对照组50例。放射免疫法检测川芎嗪治疗组治疗前... 目的观察川芎嗪对妊娠期高血压综合征(PIH)患者血浆血栓素A2(TXA2)/前列环素(PGI2)平衡的调节作用。方法选择50例轻中度PIH患者为川芎嗪治疗组,予以川芎嗪120 mg静脉滴注10d,另取正常妊娠对照组50例。放射免疫法检测川芎嗪治疗组治疗前后TXA2和PGI2的稳定代谢产物血浆血栓素B2(TXB2)和6-keto-PGF1α含量的变化,正常妊娠对照组只测定1次。结果与正常妊娠对照组相比较,川芎嗪治疗组患者血浆TXA2含量上升,而血浆PGI2含量下降(均P<0.05)。经过川芎嗪治疗10d后,患者血浆TXA2含量下降,而血浆PGI2含量上升(均P<0.05)。结论PIH患者存在TXA2/PGI2比值升高。川芎嗪治疗PIH患者的另一作用机制可能是通过降低TXA2含量和升高PGI2含量,从而纠正TXA2/PGI2比值失衡。 展开更多
关键词 妊娠期高血压综合征 川芎嗪 txa_2 pgi_2
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活血软坚通络方对大鼠冠脉微血管血栓及内皮损伤因子水平的影响 被引量:1
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作者 张萌 李明 +3 位作者 张莉 张明 苗鑫 李元民 《山东第一医科大学(山东省医学科学院)学报》 2021年第9期657-661,共5页
目的研究中药活血软坚通络方对大鼠冠状动脉微血管血栓及内皮损伤因子水平的影响。方法将60只健康Wistar大鼠,采用随机数字表法分成模型组、尼可地尔组、中药组、假手术组(对照组)。模型组选择向大鼠左心室注射月桂酸钠建立大鼠冠状动... 目的研究中药活血软坚通络方对大鼠冠状动脉微血管血栓及内皮损伤因子水平的影响。方法将60只健康Wistar大鼠,采用随机数字表法分成模型组、尼可地尔组、中药组、假手术组(对照组)。模型组选择向大鼠左心室注射月桂酸钠建立大鼠冠状动脉微血管血栓及内皮损伤动物模型,用药干预组分别给予尼可地尔1.5 mg·(kg·d)^(-1)、中药15 g·(kg·d)^(-1),假手术组、模型组给予等量的蒸馏水灌服。28天后观察大鼠心肌切片病理改变及冠状动脉微血管血栓阻塞情况,并检测血清前列腺素Ⅰ_(2)(PGI_(2))、血栓素A_(2)(TXA_(2))。结果与假手术组比较,造模各组经左心室注射月桂酸钠导致冠脉微血管血栓形成及心肌病理损伤;用药28天,与模型组比较,中药组可减轻微血管栓塞,改善心肌病理损伤,增加PGI_(2),减少TXA_(2);与尼可地尔组相比,中药组在改善微血管血栓及减轻内皮损伤因子方面未见明显差别。结论利用月桂酸钠造模可引起大鼠冠脉微血管血栓形成及内皮损伤;中药组可减轻冠脉微血管栓塞并改善微血管病变内皮功能;与尼可地尔组相比,中药组未见明显优势。 展开更多
关键词 冠脉微血管 活血软坚通络 微血管血栓 内皮损伤因子 月桂酸钠 pgi_(2)/txa_(2)
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