川芎嗪对先天性心脏病肺动脉高压体外循环下血栓素A2及前列环素的影响 |
| |
引用本文: | 黄瑞健,廖崇先,陈道中.川芎嗪对先天性心脏病肺动脉高压体外循环下血栓素A2及前列环素的影响[J].中国中西医结合杂志,1998,18(6):1-335. |
| |
作者姓名: | 黄瑞健 廖崇先 陈道中 |
| |
作者单位: | 福建医科大学附属第一医院胸心外科!福州350005(黄瑞健),福建医科大学附属协和医院心外科!福建省胸心外科研究所(廖崇先,陈道中,翁钦永),福建医科大学附属协和医院同位素室(陈为民) |
| |
摘 要: | 目的 :探讨川芎嗪对先天性心脏病肺动脉高压患者体外循环下血栓素A2(TXA2 ) /前列环素 (PGI2 )平衡的保护作用。方法 :将 3 0例非紫绀型先天性心脏病肺动脉高压患者随机分为对照组 (1 5例 )和用药组 (1 5例 )。川芎嗪分别于麻醉诱导后静脉滴注 3mg/kg及转流后加入氧合器中 1mg/kg ,分别于麻醉诱导后、转流 1 5min、升主动脉开放 5min、停机后2 0min、6h及 2 4h采血并测定TXA2 、PGI2 。结果 :用药组与对照组比较 ,除术前、停机后 2 4h外 ,其余各时点均有显著性差异 (P <0 0 1 )。结论 :川芎嗪能纠正先天性心脏病肺动脉高压患者体外循环下TXA2 、PGI2 的失衡。
|
关 键 词: | 川芎嗪 体外循环 血栓素A2 前列环素 肺动脉高压 |
Effects in Tetramethylpyrazine on TXA_2 and PGI_2 by Cardio Pulmonary Bypass in Congenital Heart Diseases with Pulmonary Hypertension Patients |
| |
Authors: | Huang Ruijian Liao Chongxian Chen Daozhong |
| |
Abstract: | Objective: To study protective effects of tetramethylpyrazine (TMP) on the imbalance of TXA 2/PGI 2 during cardiopulmomary bypass (CPB) in congenital heart disease (CHD) with pulmonary hypertension (PH) patients. Methods: Thirty patients suffered from non cyanotic CHD PH were randomly divided into control group (n=15) and treatment group (n=15). 3 mg/kg of TMP was dripped intravenously after anesthesia and 1 mg/kg of TMP was infused into oxygenator after CPB individually. Blood samples were collected and TXA 2 as well as PGI 2 were measured after anesthesia induction, 15 min during CPB, 5 min after release of the aortic cross clamp,and 20 min, 6 hrs and 24 hrs after CPB. Results: There was significant difference between treatment group and control group except before operation and 24 hrs after CPB. Conclusions: The imbalance of TXA 2 and PGI 2 in patients with CHD PH during CPB could correct by TMP. |
| |
Keywords: | tetramethylpyrazine cardiopulmonary bypass thromboxane A 2 prostacyclin pulmonary hypertension |
本文献已被 CNKI 万方数据 等数据库收录! |