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温阳活血化痰法抗心肌纤维化作用及机制研究
引用本文:沈雁,曹洪欣.温阳活血化痰法抗心肌纤维化作用及机制研究[J].辽宁中医杂志,2005,32(6):523-524.
作者姓名:沈雁  曹洪欣
作者单位:1. 上海中医药大学附属岳阳中西医结合医院博士后流动站,上海,200437
2. 中国中医研究院,北京,100700
基金项目:黑龙江中医药大学科研基金,黑龙江省95攻关项目(G96C13-3-1)
摘    要:目的:研究温阳活血化痰法抗CHF心肌纤维化的作用及机制。方法:采用异丙肾上腺素(ISO)皮下注射法制备CHF模型,进行血流动力学、病理形态学及胶原特异染色检测,采用放免法测定血浆血管紧张素Ⅱ(AngⅡ)、醛固酮(BLD)及内皮素(ET)水平。结果:温阳活血化痰法能提高CHF模型大鼠dp/dtmin、dp/dtmax和LVSP水平、降低LVEDP水平;减少Ⅰ型胶原蛋白含量,降低血浆AngⅡ、BLD和ET水平。结论:拮抗神经内分泌系统的激活,可能是温阳活血化痰法抗心肌纤维化,改善CHF舒缩功能的作用机理之一。

关 键 词:心肌纤维化  神经内分泌  充血性心力衰竭  温阳活血化痰法
文章编号:1000-1719(2005)06-0523-02
修稿时间:2005年4月6日

Effect and Mechanism of Treatment Warming Yang Promoting Blood Circulation and Resolving Phlegm on Myocardial Fibrosis
SHEN Yan,CAO Hong-xin.Effect and Mechanism of Treatment Warming Yang Promoting Blood Circulation and Resolving Phlegm on Myocardial Fibrosis[J].Liaoning Journal of Traditional Chinese Medicine,2005,32(6):523-524.
Authors:SHEN Yan  CAO Hong-xin
Institution:SHEN Yan1,CAO Hong-xin2
Abstract:Objective:To investigate the effect and mechanism of treatment warming Yang promoting blood circulation and resolving phlegm on myocardial fibrosis in congestive heart failure(CHF).Method:CHF animal model were induced by ISO,hemodynamics and pathological morphology were assayed and the plasma concentration of AngⅡ,BLD and ET were detected by radio-immunity.Results:The treatment could increase the level of dp/dtmax,dp/dtmin and LVSP,down-regulate LVEDP,and also could decrease the level of collagen typeⅠ,the plasma concentration of AngⅡ,BLD and ET.Conclusions:The treatment can inhibit myocardial fibrosis and improve myocardial systole and diastole,which may be due to antagonizing neuroendocrine.
Keywords:myocardial fibrosis  neuroendocrine  CHF  warming Yang  promoting blood circulation and resolving phlegm
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