氧化苦参碱对豚鼠心室肌细胞动作电位的影响

目的研究氧化苦参碱对豚鼠心室肌细胞动作电位的影响,探讨氧化苦参碱的抗心律失常作用机制。方法酶解法分解豚鼠单个心室肌细胞,采用全细胞膜片钳技术记录氧化苦参碱对动作电位的影响。结果氧化苦参碱1μmol·L-1对豚鼠单个心室肌细胞静息膜电位和超射值无明显影响;但可使动作电位复极50%时程（APD50）从给药前（534.7±29.62）ms缩短至（490.3±47.39）ms（n=5,P〈0.01）,使动作电位复极90%时程（APD90）从给药前（572.1±49.98）ms缩短至（549.8±35.42）ms（n=5,P〈0.01）,冲洗后APD50恢复至（498.1±31.78）ms（n=5,P〈0.01）,APD90恢复至（554.2±61.28）ms（n=5,P〈0.01）。结论氧化苦参碱可缩短心室肌细胞动作电位时程,提示此机制可能参与氧化苦参碱的抗心律失常作用。     

抗心律失常药物作用的新靶点

目的　寻找抗心律失常药物作用的新靶点。方法　应用全细胞膜片钳技术记录乌头碱对大鼠心肌细胞动作电位时程的作用 ,分别给予奎尼丁、维拉帕米处理比较二者对动作电位时程的影响。结果　①应用 1μmol·L- 1乌头碱使大鼠单个心肌细胞动作电位复极 5 0 %时程 (APD50 )从给药前 (5 7.2 5± 13.85 )ms增加到 (70 .5 1± 12 .4 4 )ms(n =8,P <0 .0 1) ,动作电位复极 90 %时程 (APD90 )从给药前 (86 .2 5± 2 4 .92 )ms增加到 (114 .12± 6 .81)ms(n =8,P <0 .0 5 )。② 10 μmol·L- 1 奎尼丁使乌头碱处理的大鼠心肌细胞APD50 进一步延长至 (111.6 3± 37.2 4 )ms(n =4 ,P <0 .0 5 ) ,使APD90 延长至 (2 0 1.75± 6 9.75 )ms(n =4 ,P <0 .0 1)。③ 10 μmol·L- 1 维拉帕米使乌头碱诱发的动作电位延长有所恢复 ,APD50 缩短至 (5 1.6 3± 15 .11)ms(n =4 ,P <0 .0 1) ,APD90 缩短至 (91.2 5± 11.0 6 )ms(n =4 ,P <0 .0 5 )。结论　使动作电位时程延长将诱发心律失常 ,使动作电位时程恢复近正常是抗心律失常药物作用的新靶点。     

鹌鹑心室肌细胞电生理特性的研究

目的　建立鹌鹑单个心室肌细胞的分离方法 ,观察鹌鹑心室肌细胞的电生理特性 ,并探讨不同离子通道在鹌鹑心肌电活动中的作用。方法　采用酶解法分离单个心室肌细胞 ,应用全细胞膜片钳技术记录心室肌细胞动作电位和L型钙电流。结果　鹌鹑单个心室肌细胞的静息电位 (RP)为 ( 6 2 .2 8± 2 .6 4 )mV ,超射值 (OS)为 (5 9.38±3.81 )mV ,5 0 %复极时间 (APD50 )和 90 %复极时间 (APD90 )分别为 (80 .4 0± 1 9.1 0 )ms和 (1 2 1 .95± 38.72 )ms。在实验电压 +1 0mV时 ,L型钙电流的峰值为 ( 1 3.2 7± 3.70 )pA pF(n =4 )。结论　鹌鹑心室肌细胞上存在着L型钙电流 ,此电流为构成鹌鹑心室肌细胞动作电位的重要电流之一     

哇巴因诱发大鼠心律失常作用靶点的研究

目的　观察哇巴因对大鼠心室肌细胞动作电位时程、钾通道的作用 ,探讨哇巴因诱发心律失常的作用机制 ,为寻找新的抗心律失常药物提供依据。方法　应用全细胞膜片钳技术记录哇巴因对大鼠心肌细胞动作电位时程 (APD)、内向整流钾电流 (Ik1 )、瞬时外向钾电流 (Ito)的作用。结果　①哇巴因 5μmol/L使大鼠心室肌细胞动作电位时程从给药前的 86 .3ms± 2 5 .2ms(APD90 ) ,缩短至 58.9ms± 2 0 .8ms(n =5 ,P <0 .0 1 ,给药 1 0min) ;②哇巴因 5μmol/L可增加大鼠心室肌细胞内向整流钾电流 ,使Ik1 从 - 1 868pA± 1 88pA增加到 - 2 393pA± 367pA(刺激电压 - 1 2 0mV ,n=1 0 ,P <0 .0 1 ) ;③哇巴因 5μmol/L可增加大鼠心室肌细胞瞬时外向钾电流 ,使Ito从 1 2 73pA± 31 8pA增加到 1 70 7pA± 486pA(刺激电压 +60mV ,n =5 ,P <0 .0 1 )。结论　哇巴因诱发室性心律失常可能与它缩短心室肌细胞动作电位时程有关 ,而Ito的增加使二期平台期缩短 ,Ik1 的增加使三期复极加快 ,均参与了动作电位时程缩短的过程。同时增加Ik1 将影响静息膜电位 ,可能使膜反应性增强     

缬沙坦对豚鼠心室肌细胞动作电位的作用

目的:观察缬沙坦对豚鼠心室肌细胞动作电位的直接作用,以探讨其可能的抗心律失常作用。方法:采用Langendorff主动脉逆行灌流酶解分离法分离单个心室肌细胞。采用全细胞膜片钳记录,电流钳模式记录单个心室肌细胞的动作电位。实验分3组:对照组(n=5),普通细胞外液灌流,不含缬沙坦;缬沙坦5μM组(n=5);缬沙坦100μM组(n=5)。结果:缬沙坦5μM对豚鼠心室肌细胞静息膜电位、动作电位幅度、动作电位时程均无明显影响。缬沙坦100μM可延长心室肌细胞动作屯位时程,尤其是APD50从(334.2±14.4)ms延长至(375.2士12.0)ms(P<0.01)及APD30从(395.4士13.3)ms延长至(451.4±9.5)ms(P<0.01),对细胞静息膜电位、动作电位幅度无显著影响。结论:高浓度缬沙坦延长心室肌细胞动作电位时程APD50及APD90,而不影响动作电位的静息膜电位及动作电位幅度。适度延长动作电位时程,从而延长心室有效不应期,有助于折返引起的快速室性心律失常的防治,类似Ⅲ类抗心律失常药物的作用。提示缬沙坦可能通过此机制起抗心律失常的作用。     

银杏叶提取物对家兔心室肌细胞瞬时外向钾电流和动作电位的影响

目的:探讨银杏叶提取物(Egb761)对家兔心室肌细胞瞬时外向钾电流(Ito)和动作电位的作用,揭示其抗心肌缺血及缺血引起的心律失常的离子机制。方法:酶解法分离家兔的心室肌细胞。全细胞膜片钳技术记录心肌细胞的Ito和动作电位及其被Egb761作用后的变化。结果:①在电压钳制方式下,60μg/L Egb761作用心室肌细胞5 min后,各个钳制电位下的Ito均明显增大,在钳制电位为+50 mV时,Egb761使Ito的电流密度由对照组的(7.59±0.19)pA/pF增加到(11.18±0.89)pA/pF(P<0.01,n=8),Egb761还使Ito的I-V曲线比对照组Ito的I-V明显抬高,但I-V曲线方向没有发生改变,表明Egb761引起了心肌细胞Ito的明显外流。②在电流钳制下,对照组心室肌细胞动作电位都具有从0期到4期的动作电位形态,60μg/L Egb761使心肌细胞动作电位形态呈三角形尖锥锋形,动作电位时程(APD)明显缩短,其复极化50%时程(APD50)和复极化90%时程(APD90)分别由(83.6±4.3)ms缩短为(51.3±3.2)ms和由(168.7±4.1)ms缩短为(93.8±4.4)ms(分别与对照组相比,P<0.01,n=8),尽管Egb761使动作电位幅度(APA)和静息电位(RP)降低,但与对照组相比,没有显著性差异(P>0.05)。结论:Egb761可使心室肌细胞Ito显著增加和APD明显缩短,从而减轻心肌缺血时细胞内阳离子超载对心肌造成的损伤和心肌缺血引起的心律失常的发生,以及增加心脏泵血功能。     

黄芪皂甙对豚鼠心室肌细胞动作电位的作用

目的研究黄芪皂甙（saponins of astrag—alus,SA）对豚鼠心室肌细胞动作电位（AP）的作用。方法实验采用标准玻璃微电极细胞内记录心室肌细胞动作电位（AD）。结果应用9A20mg／L后心室肌细胞动作电位的幅度从给药前的（69.31±6．07）mV降低到（57．37±368）mV（n=6,p〈0．05）;动作电位时程（APD40）从给药前的（263.38±16.56）ms延长到（284.55±21．21）ms（n=6,P〈0.05）。应用SA40mg／L后心室肌动作电位的幅度从给药前的（71.37±56.54）mV降低到（47．23±8.67）mV（n=6,p〈0.05）;动作电位时程（APD90）的从给药前的（238．31±13.28）ms延长到（314.64±27．36）ms（n=6,p〈0.05）。结论SA可以降低心室肌动作电位幅值延长动作电位时程,并且有一定的剂量依赖性。     

广枣总黄酮对豚鼠心室肌细胞动作电位的作用研究

目的研究广枣总黄酮（TFC）对豚鼠心室肌细胞动作电位（action potential AP）的作用。方法实验采用标准玻璃微电极细胞内记录技术记录心室肌细胞动作电位（AP）。结果应用TFC（20mg&#183;kg^-1）后心室肌动作电位的幅度从给药前的（70.25&#177;5.97）mV降低到（58.73&#177;4．86）mV（n=6,P〈0．01）;动作电位时程（APD90）的从给药前的（236.08&#177;17．63）ms延长到（282．13&#177;22．01）ms（n=6,P〈0．01）。结论TFC可以降低心室肌动作电位幅值延长动作电位时程。     

丹皮酚对豚鼠心肌细胞动作电位及钙通道电流的影响

目的 :研究丹皮酚对分离的单个豚鼠心肌细胞动作电位及钙通道电流 (ICa)的影响。方法 :单个细胞膜片钳技术。结果 :①丹皮酚 40 0 μg/ml可使动作电位时程 (APD)明显缩短。APD50 和APD90 分别由给药前的 (35 2±2 7)ms和 (416± 33)ms缩短至 (16 8± 2 0 )ms和 (2 6 5± 2 3)ms(P <0 .0 5 ,n =5 ) ,分别缩短了 5 2 .2 %和 35 .6 % ,而静息电位和动作电位幅值无明显改变 ;② 5 0～ 40 0 μg/ml丹皮酚浓度依赖性阻滞ICa,使其最大峰值由 (916 .7± 197.3)pA分别降至 (5 83 .3± 10 8.8)pA和 (2 5 0 .0± 12 0 .0 )pA(P <0 .0 1) ,抑制率分别为 36 .4%和 72 .7% ,并使ICa的I V曲线上移 ,但不使I V曲线发生偏移。结论 :丹皮酚对ICa的阻滞作用为其抗心律失常作用的主要机制之一     

高胆固醇血症大鼠心室肌细胞动作电位时程的变化

目的:观察高胆固醇血症大鼠心室肌细胞动作电位(APD)时程的变化.方法:应用全细胞膜片钳技术记录高胆固醇大鼠心室肌细胞动作电位的变化.结果:高胆固醇血症组血清TC含量从1.34 ± 0.22mmol/L增至7.58±1.55mmol/L(P<0.01 n=5).高胆固醇血症大鼠单个心室肌细胞APD50( 116.2±15.4ms)明显高于正常组大鼠APD5070.8±18.1ms (n=5,p<0.01), 高胆固醇血症组APD90(144.0±16.50ms)明显高于正常组(95.1±16.2ms)(n=5, p<0.01);结论:高胆固醇血症大鼠动作电位时程明显延长,动作电位时程延长易发生早后除极和迟后除极.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.