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[巴曲酶对急性心肌缺血犬冠状动脉节段阻力及冠状动脉血流量的影响]

[The effect of batroxobin on coronary segmental resistance and coronary blood flow in acute myocardial ischemic dogs].

作者信息

Gao F, Sun C K, Pei J M, Wang Y M, Li Y, Niu G B, Zang Y M

机构信息

Department of Physiology, Fourth Military Medical University, Xi'an.

出版信息

Yao Xue Xue Bao. 1996;31(10):727-31.

PMID:9863238
Abstract

To study the effects of batroxobin on coronary circulation and cardiac performance in acute myocardial ischemia, Batroxobin was given intravenously to dogs with experimental coronary stenosis. A dose-dependent increase of coronary blood flow (CBF) was observed. Forty minutes after batroxobin (2 BU.kg-1 at infusion rate 0.1 BU.kg-1.min-1) administration, CBF increased by 12% (P < 0.05), small coronary resistance(RS) decreased from 4.1 +/- 0.5 to 3.2 +/- 0.5 mmHg.min.ml-1 (P < 0.01), while large coronary resistance(RL) changed insignificantly from 3.9 +/- 0.8 to 3.8 +/- 0.7 mmHg.min.ml-1 (P > 0.05). Two hours following drug administration, the changes in CBF, RS and RL still remained and RT decreased by 13% (P < 0.05). The + LV(dp/dt)max and -LV(dp/dt)max increased by 14% and 16% (P < 0.05) respectively compared with those in control group. It is concluded that batroxobin improves the ischemic canine coronary circulation and cardiac performance by way of lowering the small coronary resistance and thus increasing CBF. The data also suggest the benificial effect of batroxobin in acute myocardial ischemia.

摘要

为研究巴曲酶对急性心肌缺血时冠脉循环及心脏功能的影响,将巴曲酶静脉注射给实验性冠状动脉狭窄的犬。观察到冠脉血流量(CBF)呈剂量依赖性增加。在输注速率为0.1 BU.kg-1.min-1静脉注射巴曲酶(2 BU.kg-1)40分钟后,CBF增加了12%(P<0.05),小冠状动脉阻力(RS)从4.1±0.5降至3.2±0.5 mmHg.min.ml-1(P<0.01),而大冠状动脉阻力(RL)从3.9±0.8轻度变化至3.8±0.7 mmHg.min.ml-1(P>0.05)。给药两小时后,CBF、RS和RL的变化仍然存在,总外周阻力(RT)下降了13%(P<0.05)。与对照组相比,左心室最大上升速率(+LV(dp/dt)max)和左心室最大下降速率(-LV(dp/dt)max)分别增加了14%和16%(P<0.05)。结论是,巴曲酶通过降低小冠状动脉阻力从而增加CBF来改善缺血犬的冠脉循环及心脏功能。这些数据也提示了巴曲酶在急性心肌缺血中的有益作用。

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