Objective: To investigate the intervention effect of Jianxin Decoction (健心汤, JXD) on the cytokine level in serum of patients with congestive heart failure (CHF). Methods; Sixty-six patients with CHF were randomly d...Objective: To investigate the intervention effect of Jianxin Decoction (健心汤, JXD) on the cytokine level in serum of patients with congestive heart failure (CHF). Methods; Sixty-six patients with CHF were randomly divided into the control group (n = 33) and the trial group (n = 33). The control group received conventional treatment, and the trial group was treated with conventional therapy plus JXD for 4 weeks. Before and after treatment, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and nitrogen monoxide (NO) in serum and cardiac function were determined. Results: After treatment, the levels of TNF-α, IL-6 and NO were significantly lower than those before treatment (P<0.05, or P<0.01) in the two groups, and the lowering degree of the indices in the trial group was more significantly reduced than that in the control group (P<0.05). And cardiac functions in both groups were improved significantly (P<0.05, or P< 0.01). Conclusion: JXD could prevent and reverse ventricular remodeling so as to ameliorate cardiac function through regulating the levels of cytokines.展开更多
目的:观察苓桂术甘汤对慢性心衰竭(chronic heart failure,CHF)大鼠心脏指数和血流动力学的影响。方法:采用冠状动脉结扎法复制CHF大鼠模型,于模型复制后第7周开始灌胃给药,连续给药4周后,测定大鼠血流动力学参数、心脏指数。结果:苓桂...目的:观察苓桂术甘汤对慢性心衰竭(chronic heart failure,CHF)大鼠心脏指数和血流动力学的影响。方法:采用冠状动脉结扎法复制CHF大鼠模型,于模型复制后第7周开始灌胃给药,连续给药4周后,测定大鼠血流动力学参数、心脏指数。结果:苓桂术甘汤小(4.29 g/kg)、中(21.45 g/kg)、大(42.90 g/kg)剂量能明显提高CHF大鼠左心室收缩压(left ventricular systolic pressure,LVSP),左心室内压最大上升速率(maxi mal rate of left ventricular pressure of development,+dp/dtmax)和左心室内压最大下降速率(maxi mal rate of left ventricular pressure of decline,-dp/dtmax)(P<0.05,或P<0.01),降低左心室缩张末压(left ventricular end diastolic pressure,LVEDP)(P<0.01),并能明显降低CHF大鼠心脏质量指数(heart mass index,HMI)和左心室质量指数(left ventricular mass index,LVMI)(P<0.05,或P<0.01),其中苓桂术甘汤中剂量组LVEDP和LVMI降低最为显著,优于卡托普利组(P<0.05)。结论:苓桂术甘汤对CHF大鼠心脏舒缩性能具有显著的改善作用,其作用与其阻抑大鼠心室重构密切相关。展开更多
目的研究强心安神汤对Wistar慢性心衰模型大鼠AngⅡ含量及AT1 m RNA表达的影响,探讨其可能的作用机制。方法除空白组外,将Wistar大鼠造模后分为模型组、西药组、强心安神汤高剂量组及强心安神汤低剂量组,干预4周后,抽静脉血以免疫组化...目的研究强心安神汤对Wistar慢性心衰模型大鼠AngⅡ含量及AT1 m RNA表达的影响,探讨其可能的作用机制。方法除空白组外,将Wistar大鼠造模后分为模型组、西药组、强心安神汤高剂量组及强心安神汤低剂量组,干预4周后,抽静脉血以免疫组化法测定大鼠血清中AngⅡ的含量;处死大鼠,提取心肌组织,以RT-PCR法检测心肌组织AT1 m RNA的表达。结果强心安神汤组大鼠血清AngⅡ含量及AT1 m RNA表达与模型组及西药组比较,差异有统计学意义(P<0.05或P<0.01)。结论强心安神汤治疗心衰的机制可能与其抑制AngⅡ引起的AT1 m RNA表达上调有关。展开更多
文摘Objective: To investigate the intervention effect of Jianxin Decoction (健心汤, JXD) on the cytokine level in serum of patients with congestive heart failure (CHF). Methods; Sixty-six patients with CHF were randomly divided into the control group (n = 33) and the trial group (n = 33). The control group received conventional treatment, and the trial group was treated with conventional therapy plus JXD for 4 weeks. Before and after treatment, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and nitrogen monoxide (NO) in serum and cardiac function were determined. Results: After treatment, the levels of TNF-α, IL-6 and NO were significantly lower than those before treatment (P<0.05, or P<0.01) in the two groups, and the lowering degree of the indices in the trial group was more significantly reduced than that in the control group (P<0.05). And cardiac functions in both groups were improved significantly (P<0.05, or P< 0.01). Conclusion: JXD could prevent and reverse ventricular remodeling so as to ameliorate cardiac function through regulating the levels of cytokines.
文摘目的:观察苓桂术甘汤对慢性心衰竭(chronic heart failure,CHF)大鼠心脏指数和血流动力学的影响。方法:采用冠状动脉结扎法复制CHF大鼠模型,于模型复制后第7周开始灌胃给药,连续给药4周后,测定大鼠血流动力学参数、心脏指数。结果:苓桂术甘汤小(4.29 g/kg)、中(21.45 g/kg)、大(42.90 g/kg)剂量能明显提高CHF大鼠左心室收缩压(left ventricular systolic pressure,LVSP),左心室内压最大上升速率(maxi mal rate of left ventricular pressure of development,+dp/dtmax)和左心室内压最大下降速率(maxi mal rate of left ventricular pressure of decline,-dp/dtmax)(P<0.05,或P<0.01),降低左心室缩张末压(left ventricular end diastolic pressure,LVEDP)(P<0.01),并能明显降低CHF大鼠心脏质量指数(heart mass index,HMI)和左心室质量指数(left ventricular mass index,LVMI)(P<0.05,或P<0.01),其中苓桂术甘汤中剂量组LVEDP和LVMI降低最为显著,优于卡托普利组(P<0.05)。结论:苓桂术甘汤对CHF大鼠心脏舒缩性能具有显著的改善作用,其作用与其阻抑大鼠心室重构密切相关。
文摘目的研究强心安神汤对Wistar慢性心衰模型大鼠AngⅡ含量及AT1 m RNA表达的影响,探讨其可能的作用机制。方法除空白组外,将Wistar大鼠造模后分为模型组、西药组、强心安神汤高剂量组及强心安神汤低剂量组,干预4周后,抽静脉血以免疫组化法测定大鼠血清中AngⅡ的含量;处死大鼠,提取心肌组织,以RT-PCR法检测心肌组织AT1 m RNA的表达。结果强心安神汤组大鼠血清AngⅡ含量及AT1 m RNA表达与模型组及西药组比较,差异有统计学意义(P<0.05或P<0.01)。结论强心安神汤治疗心衰的机制可能与其抑制AngⅡ引起的AT1 m RNA表达上调有关。
