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左尼卡汀联合参松养心胶囊治疗冠心病室性早博疗效观察 被引量:1
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作者 房均平 杜芹 +1 位作者 吴萍 魏晚雨 《哈尔滨医药》 2011年第6期424-425,共2页
目的探讨左尼卡汀联合参松养心胶囊治疗冠心病室性早博的疗效。方法室性早博患者157例随机分成2组,联合组(77例)静脉滴注0.9%NS 100 mL+左尼卡汀3 gqd×12 d,同时服用参松养心胶囊4粒,每日3次共4周:对照组(80例)单服参松养心胶囊4粒... 目的探讨左尼卡汀联合参松养心胶囊治疗冠心病室性早博的疗效。方法室性早博患者157例随机分成2组,联合组(77例)静脉滴注0.9%NS 100 mL+左尼卡汀3 gqd×12 d,同时服用参松养心胶囊4粒,每日3次共4周:对照组(80例)单服参松养心胶囊4粒,每日3次,共4粒。两组治疗4周前后观察24 h动态心电图的变化及症状改善情况。结果联合组总有效率为98.70%,对照组83.75%,两组差异有统计学意义(P<0.05)治疗组症状改善总有效率97.40%,对照组为86.25%(P<0.05)。结论单独便用参松养心胶囊也能改善冠心病合并室性早博患者的早博数量和相关的临床症状,但左尼卡汀联合参松养心胶囊治疗冠心病合并室性早博疗效优于单独便用参松养心胶囊。 展开更多
关键词 左尼卡汀 参松养心胶囊 冠心病 室性早博
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左卡尼汀联合丙种球蛋白对心肌酶谱异常重症手足口病的临床疗效 被引量:4
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作者 张保霞 张晓 《西北药学杂志》 CAS 2020年第4期581-585,共5页
目的探讨使用左卡尼汀联合丙种球蛋白治疗心肌酶谱异常重症手足口病(HFMD)的临床效果。方法将入选的96例重症HFMD患儿,随机均分为对照组(n=48)和联合组(n=48)。2组患儿均给予隔离消毒、补液、吸氧、退热和抗病毒等常规治疗,对照组在常... 目的探讨使用左卡尼汀联合丙种球蛋白治疗心肌酶谱异常重症手足口病(HFMD)的临床效果。方法将入选的96例重症HFMD患儿,随机均分为对照组(n=48)和联合组(n=48)。2组患儿均给予隔离消毒、补液、吸氧、退热和抗病毒等常规治疗,对照组在常规治疗的基础上给予丙种球蛋白静脉滴注治疗,联合组在对照组治疗的基础上予以左卡尼汀注射液治疗。2组均治疗7 d。于治疗前、后分别测量2组患儿的心功能指标,包括左室射血分数(LVEF)、射血缩短分数(FS)和心脏指数(CI);测定外周血心肌酶谱,包括乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、天门冬氨酸氨基转移酶(AST)、超氧化物歧化酶(SOD)、丙二醛(MDA)、可溶性细胞凋亡因子(sFas)及可溶性细胞凋亡因子配体(sFasL);记录2组患儿症状消失时间、心电图恢复时间以及住院时间。结果治疗后,联合组症状消失时间、心电图恢复时间和住院时间均明显短于对照组,差异有统计学意义(P<0.05);联合组的心功能指标(LVEF,FS和CI)均高于对照组,差异有统计学意义(P<0.05);联合组心肌酶谱(LDH、CK、CK-MB和AST)均低于对照组,差异有统计学意义(P<0.05)。治疗后联合组的有效率为93.75%,明显高于对照组的83.33%,差异有统计学意义(P<0.05)。结论左卡尼汀联合丙种球蛋白治疗心肌酶谱异常的重症HFMD患儿更能有效缓解临床症状,降低心肌酶谱和改善心功能。 展开更多
关键词 手足口病 心肌酶谱异常 左尼卡汀 丙种球蛋白 疗效
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Protective effect of L-carnitine in cyclophosphamide-induced germ cell apoptosis 被引量:1
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作者 Bin ZHU Yan-fei ZHENG +7 位作者 Yue-ying ZHANG Yun-song CAO Lei ZHANG Xin-gang LI Teng LIU Zhao-zhu JIAO Qi WANG Zhi-gang ZHAO 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2015年第9期781-787,共7页
Cyclophosphamide(CP) is a widely used anti-cancer agent; however, it can also induce serious male infertility. There are currently no effective drugs to alleviate this side-effect. L-Carnitine has been used to treat m... Cyclophosphamide(CP) is a widely used anti-cancer agent; however, it can also induce serious male infertility. There are currently no effective drugs to alleviate this side-effect. L-Carnitine has been used to treat male infertility, but whether it can be used to protect against CP-induced male infertility is still unclear. This study aims to explore the effect and mechanism of L-carnitine in male infertility induced by CP. CP was used to establish an animal model. After three weeks of treatment, rats were sacrificed and testis and serum were harvested for further evaluation. Testosterone and estrogen levels were measured by enzyme-linked immunosorbent assay(ELISA). Testicular injury was examined by hematoxylin and eosin(H & E) staining, and germ-cell apoptosis was evaluated by terminal deoxynucleotidyl transferase dU TP nick end labeling(TUNEL). The expression of LC3 and Beclin-1 was examined by immunohistochemistry, Western blot, and real-time polymerase chain reaction(PCR), respectively. Compared with the CP group, L-carnitine significantly increases sperm motility, viability, and testosterone level(P<0.05). Western blot and real-time PCR results showed that L-carnitine treatment can significantly up-regulate the LC3-II and Beclin-1 expression in the CP+L-carnitine group when compared with the control group(P<0.05). In addition, TUNEL-positive cells were also more numerous in the CP group; however, L-carnitine can effectively retard cell apoptosis in the CP+ L-carnitine group. In conclusion, L-carnitine contributes to the inhibition of cell apoptosis and the modulation of autophagy in protecting CP-induced testicular injury. These results suggest the applicability of L-carnitine in the treatment of male infertility. 展开更多
关键词 L-CARNITINE INFERTILITY CYCLOPHOSPHAMIDE LC3 BECLIN-1
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L-Carnitine, but not coenzyme Q10, enhances the anti-osteoporotic effect of atorvastatin in ovariectomized rats
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作者 Hussam A.S.MURAD 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2016年第1期43-53,共11页
Objective: Statins' therapy in osteoporosis can aggravate muscle damage. This study was designed to assess which agent, L-carnitine or coenzyme Q10, could enhance the anti-osteoporotic effect of atorvastatin while a... Objective: Statins' therapy in osteoporosis can aggravate muscle damage. This study was designed to assess which agent, L-carnitine or coenzyme Q10, could enhance the anti-osteoporotic effect of atorvastatin while antagonizing myopathy in ovariectomized rats. Methods: Forty-eight female Sprague Dawley rats were used; forty rats were ovariectomized while eight were sham-operated. Eight weeks post-ovariectomy, rats were divided into ovariectomized-untreated group and four ovadectomized-treated groups (n=8) which received by gavage (mg/(kg.d), for 8 weeks) 17^-estradiol (0.1), atorvastatin (50), atorvastatin (50)+L-carnitine (100), or atorvastatin (50)+coenzyme Q10 (20). At the end of therapy, bone mineral density (BMD), bone mineral content (BMC), and serum levels of bone metabolic markers (BMMs) and creatine kinase (CK) were measured. Femurs were used for studying the breaking strength and histopathological changes. Results: Treatment with atorvastatin+L-carnitine restored BMD, BMC, and bone strength to near normal levels. Estrogen therapy restored BMD and BMC to near normal levels, but failed to increase bone strength. Although atorvastatin and atorvastatin+coenzyme Q10 improved BMD, BMC, and bone strength, they failed to restore levels to normal. All treatments decreased BMMs and improved histopathological changes maximally with atorvastatin+L-carnitine which restored levels to near normal. Atorvastatin aggravated the ovariectomy-induced increase in CK level while estrogen, atorvastatin+L-carnitine, and atorvastatin+coenzyme Q10 decreased its level mainly with atorvastatin+L-camitine which restored the level to near normal. Conclusions: Co- administration of L-carnitine, but not coenzyme Q10, enhances the anti-osteoporotic effect of atorvastatin while an- tagonizing myopathy in ovariectomized rats. This could be valuable in treatment of osteoporotic patients. However, further confirmatory studies are needed. 展开更多
关键词 ATORVASTATIN Coenzyme Q10 L-CARNITINE OVARIECTOMIZED
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