依达拉奉联合卡托普利对心肌缺血再灌注损伤的保护作用
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Protective Effects of Edaravone Injection and Captopril on Myocardial Ischemia-reperfusion Injury
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    目的观察依达拉奉联合卡托普利对体外循环心肌缺血再灌注损伤患者的保护作用。方法选取我院2009~2010年符合条件体外循环心脏手术患者68例,随机分为治疗组34例和对照组34例,治疗组给予依达拉奉联合卡托普利,对照组给予依达拉奉。观察心律失常的发生率、心率的变化并于复灌后120min采桡动脉血分别测定肌酸磷酸激酶同工酶、肌钙蛋白I、血管紧张素Ⅱ和丙二醛、超氧化物歧化酶活力及一氧化氮含量。结果灌注后治疗组的肌酸磷酸激酶同工酶、肌钙蛋白I、血管紧张素Ⅱ和丙二醛均明显低于对照组,而超氧化物歧化酶和一氧化氮则明显增高,与对照组比较差异均有统计学意义(P><0.05)。结论依达拉奉联合卡托普利可以降低心率和心律失常发生率;提高心肌超氧化物歧化酶及一氧化氮活性,减少丙二醛的产生,减轻心肌缺血再灌注损伤,有效地保护心肌功能。

    Abstract:

    Aim To observe the protective effects of Edaravone injection and Captopril in patients of myocardial ischemia-reperfusion injury.Methods 68 eligible patients of CPB heart surgery in the year of 2009~2010 were selected and divided randomly and averagely into treatment group(n=34)and control group(n=34).The treatment group will be given Edaravone injection and Captopril.The control group will just be given Edaravone injection.Then the researcher will observe the incidence of arrhythmia,changes of heart rate and detect the contents of CK-MB,cTnI,artery angiotensionⅡ(AngⅡ)and MDA,SOD and NO by mining the radical artery after 120 minutes of the reperfusion.Results The content of CK-MB,cTnI,AngⅡand MDA in treatment group was lower obviously.However,there is obvious increase in content of SOD and NO.Compared with the control group,the differences were statistically significant for the research(P><0.05).Conclusion Edaravone injection and Captopril will reduce the incidence of arrhythmia and heart rate,increase the activities of myocardial SOD and NO.It can reduce the MDA production and the myocardial ischemia reperfusion injury and effectively protect the myocardial function.

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徐志颖.依达拉奉联合卡托普利对心肌缺血再灌注损伤的保护作用[J].中国动脉硬化杂志,2010,18(10):821~823.

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  • 收稿日期:2010-07-08
  • 最后修改日期:2010-10-12
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