外源性磷酸肌酸对开心手术病人的心肌保护作用

20例需行瓣膜置换手术的风湿性心脏瓣膜病患者 ,随机等分为 2组。实验组 (CP组 )于术前 2d静脉滴注护心通 ,总量为 4g ;对照组 (C组 )用 5 %G S滴注。结果示实验组的心脏自动复跳率明显高于对照组 ,而对正性肌力药物的需求、缺血再灌后的MDA活性增高及心肌超微结构的改变则较对照组明显减轻 ,两组间的心肌酶活性和心肌ATP含量差异无显著性。提示护心通是一有效的心肌保护药物

Cardioprotective effect of exogenous phosphocreatine in patients undergoing open heart surgery

Twenty patients with rheumatic heart valve disease undergoing valve replacement were randomly divided into 2 group (n=10): phosphocratine (neoton) group (group CP) in which 4.0 g neoton was used intravenously 2 days before operation and control group (group C) in which 5% G.S instead of neoton. The results showed that spontaneous recovery rate of heart beat in group CP was significantly higher than that in group C; requirement of inotropic drugs, serum MDA value and ultrastructural changes of myocardium were less in group CP than those in group C. There were no differences in release of myocardial enzymes and myocardial ATP content between 2 groups. It is suggested that neoton is an effective cardioprotective drug.