目的:观察冠心Ⅱ号核心组成药物丹参、川芎、红花合煎剂(丹川红)对大鼠心肌缺血模型心肌细胞凋亡的影响。方法:缺血前0.5h给大鼠灌胃冠心Ⅱ号标准汤剂、丹川红或等容积生理盐水,采用结扎左冠状动脉前降支法建立大鼠急性心肌缺血模型。3h后收集大鼠心脏,应用末端脱氧核苷酸转移酶介导的dUTP缺口末端标记法(TUNEL)观察大鼠心肌缺血区的心肌细胞凋亡情况或24h后收集大鼠心脏,应用氯化三苯基四氮唑(TFC)组织化学染色法测量心肌梗死面积。结果:各给药组心肌梗死面积(Infarct Size)和心肌细胞凋亡指数(Apoptosis Index)显著低于模型对照组;其中,丹川红高剂量组与冠心Ⅱ号标准汤剂组、丹川红低剂量组相比,心梗面积和凋亡指数无统计学差异;丹川红低剂量组与冠心Ⅱ号标准汤剂组相比,结果有统计学差异。结论:由药物丹参、川芎、红花组成的丹川红合煎剂与原方冠心Ⅱ号疗效一致,都能通过抑制心肌细胞凋亡以减少心肌缺血损伤,起到保护心肌作用。
Objective:To observe the effects of Dan-Chuan-Hong decoction on myocardial apoptosis of acute myocardial ischemia in rats. Methods:Rats received Guan-Xin-Er-Hao,Dan-Chuan-Hong or normal saline at 30 minutes before ischemia. The model of acute myocardial infarction (AMI) in rats was set up by ligating the descending branch of left coronary artery. 3 hours after AMI, the hearts were isolated to detect the apoptosis of myocardial ischemia by TUNEL;24 hours after AMI ,the hearts were isolated to determine the area of myocardial infarction by quantitative histological assay (triphenyhetrazolium chloride,TTC stain). Results:Comparing with model group,the myocardial infarct size and apoptosis index of all the treatment groups decreased. Comparing with Guan-Xin-Er-Hao (30 g/kg)or Dan-Chuan-Hong ( 10 g/kg), the myocardial infarct size and apoptosis index of Dan-Chuan-Hong (20 g/kg)had no statistic difference. And there was statistic difference between Guan-Xin-Er-Hao (30 g/kg)and Dan-Chuan-Hong (10 g/kg). Conclusion: Comparing with Guan-Xin-Er-Hao ,the decoction of Dan-Chuan-Hong has similar effect ,which could protect hearts from myocardial ischemia by inhibiting the myocardial apoptosis.