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麝香通心滴丸对STEMI患者PCI术后心肌血流再灌注影响的疗效观察 被引量:8
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作者 朱岩峰 樊民 +3 位作者 樊荣 姚望 邓中龙 钱佳 《上海中医药杂志》 2018年第11期39-41,53,共4页
目的观察麝香通心滴丸对急性ST段抬高型心肌梗死(STEMI)患者冠状动脉介入(PCI)术后心肌血流再灌注的影响。方法将160例STEMI并拟行PCI治疗的患者随机分为治疗组与对照组,每组80例。两组PCI术前及术后均予常规西药,同时治疗组于冠脉造影... 目的观察麝香通心滴丸对急性ST段抬高型心肌梗死(STEMI)患者冠状动脉介入(PCI)术后心肌血流再灌注的影响。方法将160例STEMI并拟行PCI治疗的患者随机分为治疗组与对照组,每组80例。两组PCI术前及术后均予常规西药,同时治疗组于冠脉造影前舌下含服麝香通心滴丸以及PCI术后继续口服本药,对照组以同样方法给予安慰剂。两组术后疗程均为1个月,观察术中介入指标,比较术后心肌血流再灌注相关指标及术后1个月左室射血分数(LVEF)的情况。结果 (1)最终完成试验者153例,治疗组75例,对照组78例。(2)两组PCI术中用药(替罗非斑、肝素)、抽吸导管使用、梗死相关动脉、植入支架数情况比较,差异均无统计学意义(P>0.05)。(3)两组PCI术后ST段回落率比较,治疗组明显高于对照组(P<0.05);两组校正TIMI帧数比较,治疗组明显低于对照组(P<0.05)。(4)术后1个月与术后3天组内比较,治疗组LVEF水平明显升高(P<0.05)。组间术后1个月比较,治疗组LVEF水平明显高于对照组(P<0.05)。结论麝香通心滴丸可明显改善STEMI患者PCI术后的心肌血流再灌注,提高其近期心功能。 展开更多
关键词 心肌梗死 心肌血流再灌注 冠状动脉介入术 麝香通心滴丸 安慰剂
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尼可地尔联合麝香滴丸对STEMI患者PCI术后心肌血流再灌注的疗效观察
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作者 高凌俊 《中文科技期刊数据库(全文版)医药卫生》 2021年第9期256-257,共2页
观察尼可地尔联合麝香通心滴丸对急性ST段抬高型心肌梗死(STEMI)病人冠脉介入(PCI)术后心肌血流再灌注的作用。方法:筛选126名急诊PCI的STEMI病人当作探究目标,随机划分成观测组与对比组,每组有63名,对比组普通医治+尼可地尔片(5mg/次,3... 观察尼可地尔联合麝香通心滴丸对急性ST段抬高型心肌梗死(STEMI)病人冠脉介入(PCI)术后心肌血流再灌注的作用。方法:筛选126名急诊PCI的STEMI病人当作探究目标,随机划分成观测组与对比组,每组有63名,对比组普通医治+尼可地尔片(5mg/次,3/d),观测组在对比组前提下再施加麝香通心滴丸(2丸/次,3/d),两组疗程都为1个月。观测血液炎症因子,术后心肌再灌注指标与左室射血分数(LVEF)的情况。结果两组炎症因子都显著下降(p<0.05),观测组下降越加明显(p<0.01),且两组对比;观测级下降明显(p<0.05);两组PCI术后ST段回落率对比,观测组显著高于对比组(p<0.05),两组校正TIMI帧数对比,观测组显著少于对比组(p<0.05);术后1个月与术后3天组内对比,观测组LVEF水平显著提升(p<0.05),组间对比,观测组LVEF水平显著高于对比组(p<0.05)。结论:尼可地尔联合麝香通心滴丸能显著地改良STEMI病人PCI术后的心肌血流再灌注,增强其心功能。 展开更多
关键词 心肌梗死 心肌血流再灌注 冠脉介入术 尼可地尔 麝香通心丸
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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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EXPERIMENTAL STUDY OF HOMIUM:YAG LASER TRANSMYOCARDIAL REVASCULARIZATION IN ACUTE ISCHEMIC SETTINGS WITH MYOCARDIAL CONTRAST ECHOCARDIOGRAPHY
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作者 王立清 胡盛寿 +3 位作者 李澎 谢峰 吴清玉 郭加强 《Chinese Medical Sciences Journal》 CAS CSCD 2000年第4期201-204,共4页
Objective. To study the mechanism and effects of blood perfusion to the acute ischemic region of myocardium through Ho-YAG laser channels with myocardial contrast echocardiography. Methods. To produce the model of acu... Objective. To study the mechanism and effects of blood perfusion to the acute ischemic region of myocardium through Ho-YAG laser channels with myocardial contrast echocardiography. Methods. To produce the model of acute myocardial ischemia,we partially ligated the left anterior decending(LAD)coronary artery of canine hearts between lst.and 2nd.diagonal branches and then performed transmyocardial revascularization in this region with Ho-YAG laser.Myocardial contrast echocardiography was made with a new generation of ultrasound contrast agent and second harmonic imaging of this region before,after ischemia and after laser revascularization.Pictures were taken with “R” wave trigger skill. Results.Acoustic density derterming in the ischemia region (anterior wall)with MCE(myocardial contrast echocardiography)was obviously decreased(540±181) after the LAD was ligated,as compared with before(1169±161, P<001).It was increased remarkably after transmyocardial laser revascularizatuon(TMLR)(112±201, P<001)as compared with that when ischemia and approximated to that before ischemia(P>005).There were no differences in acoustic density in the lateral wall(as control)among these comprehensive three periods(P>005).Contrast in the laser region developed one cardiac cycle ahead of that in the non-ischemic normal region. Conclusion.Acute ischemic myocardium can be perfused by oxygenated blood from the left ventricle through Ho-YAG laser channels.Evidence of blood perfusion through laser channels during systolic phase was detected,and myocardial contrast ultrasonography using intravenous perfluorocarbon-exposed sonicated dextrose albumin rnay be regarded as a reliable method in the study of transmyocardial revascularization. 展开更多
关键词 myocardial ischemia laser REVASCULARIZATION echocardiagraphy
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