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[化痰祛瘀方对痰瘀互结证冠心病中国小型猪心功能的改善作用]

[Effect of formula of removing both phlegm and blood stasis in improving cardiac function of Chinese mini-swine with coronary heart disease of phlegm-stasis cementation syndrome].

作者信息

Li Lei, Lin Cheng-Ren, Ren Jian-Xun, Miao Lan, Yao Ming-Jiang, Li Dan, Shi Yue, Ma Yan-Lei, Fu Jian-Hua, Liu Jian-Xun

出版信息

Zhongguo Zhong Yao Za Zhi. 2014 Feb;39(3):483-7.

Abstract

OBJECTIVE

To evaluate that the effect of formula of removing both phlegm and blood stasis in improving cardiac function of Chinese mini-swine with coronary heart disease of phlegm-stasis cementation syndrome.

METHOD

Totally 36 Chinese mini-swine were randomly divided to six groups: the normal control group, the model group, the Danlou tablet group, and Tanyu Tonzhi Fang(TYTZ) groups with doses of 2. 0, 1. 0 and 0. 5 g kg-1, with six in each group. Except for the normal control group, all of other groups were fed with high-fat diet for 2 weeks. Interventional balloons are adopted to injure their left anterior descending artery endothelium. After the operation, they were fed with high-fat diet for 8 weeks to prepare the coronary heart disease model of phlegm-stasis cementation syndrome. After the operation, they were administered with drugs for 8 weeks. The changes in the myocardial ischemia were observed. The changes in the cardiac function and structure were detected by cardiac ultrasound and noninvasive hemodynamic method.

RESULT

Compared with the normal control group, the model group showed significant increase in myocardial ischemia and SVR and obvious decrease in CO, SV and LCW in noninvasive hemodynamic parameters (P <0.05 or P <0.01). The ultrasonic cardiogram indicated notable decrease in IVSd, LVPWs, EF and FS, and remarkable increase in LVIDs (P<0. 05 orP<0.01). Compared with the model group, TYTZ could reduce the myocardial ischemia, strengthen cardiac function, and improve the abnormal cardiac structure and function induced by ischemia (P <0. 05 or P <0. 01).

CONCLUSION

TYTZ shows a significant effect in improving cardiac function of Chinese mini-swine with coronary heart disease of phlegm-stasis cementation syndrome. The clinical cardiac function detection method could be adopted to correctly evaluate the changes in the post-myocardial ischemia cardiac function, and narrow the gap between clinical application and basic experimental studies.

摘要

目的

评价化痰祛瘀方对痰瘀互结证冠心病中国小型猪心功能的改善作用。

方法

将36只中国小型猪随机分为6组:正常对照组、模型组、丹蒌片组、痰瘀同治方高剂量组(2.0 g·kg-1)、中剂量组(1.0 g·kg-1)、低剂量组(0.5 g·kg-1),每组6只。除正常对照组外,其余各组均给予高脂饲料喂养2周。采用介入球囊损伤其左前降支动脉内皮。术后继续给予高脂饲料喂养8周,制备痰瘀互结证冠心病模型。术后给予药物干预8周。观察心肌缺血情况。采用心脏超声和无创血流动力学方法检测心功能和心脏结构变化。

结果

与正常对照组比较,模型组心肌缺血、外周血管阻力显著增加,无创血流动力学参数中每搏输出量、心输出量、左心室做功显著降低(P<0.05或P<0.01)。超声心动图示室间隔厚度、左室后壁厚度、射血分数、短轴缩短率显著降低,左室内径显著增加(P<0.05或P<0.01)。与模型组比较,痰瘀同治方可减轻心肌缺血,增强心功能,改善缺血所致心脏结构和功能异常(P<0.05或P<0.01)。

结论

痰瘀同治方对痰瘀互结证冠心病中国小型猪心功能有显著改善作用。采用临床心功能检测方法可正确评价心肌缺血后心功能变化,缩小临床应用与基础实验研究的差距。

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