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温阳、益气方药对心肌梗死后心力衰竭大鼠肾素、血管紧张素Ⅱ及醛固酮时相性变化的影响
  • ISSN号:1673-1727
  • 期刊名称:《中华中医药杂志》
  • 分类:R544.1[医药卫生—心血管疾病;医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:[1]河南省中医院,郑州450011, [2]洛阳市第一中医院,洛阳471000
  • 相关基金:国家自然科学基金(No.81173408)
中文摘要:

目的:比较温阳、益气两类药物不同用药时间点对心力衰竭(简称心衰)大鼠血浆中肾素、血管紧张素Ⅱ、醛固酮含量的影响,为临床治疗慢性心衰及选择用药周期提供部分实验依据。方法:3批动物均采用冠脉结扎法造成心肌梗死后心衰动物模型,根据左心室射血分数平均分为模型组、温阳(附子、肉桂干浸膏)组、益气(人参、黄芪干浸膏)组、温阳+益气(附子、肉桂干浸膏∶人参、黄芪干浸膏=1∶1)组、卡托普利组、地高辛组,每组6只,另设假手术组。心肌梗死手术后第2天开始给予药物干预治疗,每日灌胃1次,3个批次实验大鼠分别药物干预1、2、4周后腹主动脉取血,放免法检测血浆中肾素、血管紧张素Ⅱ、醛固酮含量。结果:与模型组比较,药物干预1、2周益气组、温阳+益气组、卡托普利组大鼠血液肾素、血管紧张素Ⅱ、醛固酮含量均降低(P〈0.05),药物干预4周温阳组、益气组、温阳+益气组、卡托普利组大鼠血液肾素、血管紧张素Ⅱ、醛固酮含量均降低(P〈0.05)。结论:温阳药物抑制血液肾素、血管紧张素Ⅱ、醛固酮过度激活的作用较益气药物弱,随着用药时间的延长,益气及温阳药物抑制肾素、血管紧张素Ⅱ、醛固酮过度激活的作用逐渐增强。

英文摘要:

Objective: To compare the effects of warming yang prescription with invigorating qi prescription on renin, angiotensin Ⅱ, and aldosterone at different time phase in plasma of rats with heart failure. The changes of each index were recorded with the drug-taking process. This study aimed to provide a basis for the clinical treatment of drug-taking period for the chronic heart failure. Methods: The rat model of heart failure after myocardial infarction was established by coronary artery ligation. Based on the left ventricle ejection fraction, three batches of rats were randomly divided into model group, warming yang group(the dry extractum of Radix Aconiti Lateralis Preparata and Cortex Cinnamomi), invigorating qi group(the dry extractum of Radix Ginseng and Radix Astragali seu Hedysari), compatibility of warming yang and invigorating qi group(mixing the dry extractum of Radix Aconiti Lateralis Preparata and Cortex Cinnamomi∶ Radix Ginseng and Radix Astragali seu Hedysari as 1∶1 ratio), captopril group, digoxin group, and sham operation group, 6 rats in each group. After modeling, the corresponding drugs were respectively given by gavage once a day. The blood from three batches of rats was respectively collected with abdominal aortic method after one, two and four weeks. The levels of renin, angiotensin Ⅱ and aldosterone in the plasma were detected by radioimmunoassay. Results: After treatment for one and two weeks, the levels of renin, angiotensin Ⅱ and aldosterone in the invigorating qi group, the compatibility of warming yang and invigorating qi group and the captopril group were all lower than those in the model group(P〈0.05). After treatment for four weeks, the levels of renin, angiotensin Ⅱ and aldosterone in the warming yang group, the invigorating qi group, the compatibility of warming yang and invigorating qi group and the captopril group were all lower than those in the model group(P〈0.05). Conclusion: The inhibiting effect of warming yang prescription is weaker

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期刊信息
  • 《中华中医药杂志》
  • 中国科技核心期刊
  • 主管单位:中国科学技术协会
  • 主办单位:中国中医药学会
  • 主编:佘倩
  • 地址:北京市和平街北口樱花路甲4号
  • 邮编:100029
  • 邮箱:
  • 电话:
  • 国际标准刊号:ISSN:1673-1727
  • 国内统一刊号:ISSN:11-5334/R
  • 邮发代号:18-90
  • 获奖情况:
  • 国家中医药管理局优秀期刊一等奖
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,波兰哥白尼索引,美国剑桥科学文摘,日本日本科学技术振兴机构数据库,中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:36061