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Rho激酶抑制剂法舒地尔对慢性阻塞性肺疾病合并肺动脉高压患者外周血晚期内皮祖细胞的影响

Influence of Rho kinase inhibitor Fasudil on late endothelial progenitor cells in peripheral blood of COPD patients with pulmonary artery hypertension.

作者信息

Liu Pei, Zhang Hongmei, Tang Yijun, Sheng Chunfeng, Liu Jianxin, Zeng Yanjun

机构信息

Intense Care Unit, Taihe Hospital of Hubei Medical University, 32 Renmin Road, Hubei, 442000, China.

Department of Respiratoy Diseases,Taihe Hospital of Hubei Medical University, 32 Renmin Road Hubei, 442000, China.

出版信息

Bosn J Basic Med Sci. 2014 Feb;14(1):40-4. doi: 10.17305/bjbms.2014.2295.

Abstract

The objective of our work was to investigate the influence of Fasudil, a Rho inhibitor on the number and function of the late endothelial progenitor cells in peripheral blood of chronic obstructive pulmonary diseases (COPD) patients with pulmonary artery hypertension. Eighty COPD patients with pulmonary artery hypertension were selected and divided into two groups: the treatment group and the control group, which had 40 patients respectively. The control group received routine treatment, including oxygen uptake, anti-infection and phlegm dissolving. The treatment group received the Fasudil in addition to the routine treatment. The changes on the number and function of the late endothelial progenitor cells in peripheral blood of the patients before and after the treatment were compared between the two groups. The changes on the pulmonary artery pressure were also compared. The number of the late endothelial progenitor cells in peripheral blood of the treatment group increased and the function was enhanced. The pulmonary artery pressure was reduced. The difference before and after the treatment and with the control group was statistically significant (p<0.05). The changes on the number and function of the late endothelial progenitor cells in peripheral blood and the pulmonary artery pressure before and after the treatment of the control group were not statistically significant (p>0.05). The Rho-kinase inhibitor Fasudil increased the number and enhanced the function of the late endothelial progenitor cells in peripheral blood of COPD patients with pulmonary artery hypertension.

摘要

我们研究的目的是探讨Rho抑制剂法舒地尔对慢性阻塞性肺疾病(COPD)合并肺动脉高压患者外周血晚期内皮祖细胞数量及功能的影响。选取80例COPD合并肺动脉高压患者,分为治疗组和对照组,每组40例。对照组接受常规治疗,包括吸氧、抗感染及化痰。治疗组在常规治疗基础上加用法舒地尔。比较两组患者治疗前后外周血晚期内皮祖细胞数量及功能的变化,同时比较肺动脉压力的变化。治疗组外周血晚期内皮祖细胞数量增加,功能增强,肺动脉压力降低。治疗前后及与对照组比较差异有统计学意义(p<0.05)。对照组治疗前后外周血晚期内皮祖细胞数量及功能和肺动脉压力变化无统计学意义(p>0.05)。Rho激酶抑制剂法舒地尔可增加COPD合并肺动脉高压患者外周血晚期内皮祖细胞数量并增强其功能。

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