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吕宝经,荣烨之,赵美华,黄国芳,朱向阳,杨瑾文.生脉散对急性心肌梗塞患者的抗脂质过氧化作用[J].,1994,(12):712-714
生脉散对急性心肌梗塞患者的抗脂质过氧化作用
Effect of Sheng Mai San on Lipid Peroxidation in Acute Myocardial Infarction Patients
  
DOI:
中文关键词:  生脉散  心肌梗塞  自由基  脂质过氧化  超氧化物歧化酶  谷胱甘肽过氧化物酶
英文关键词:Sheng Mai San  acute myocardial infarction  free radical  lipid peroxidation
基金项目:
Author NameAffiliation
Lu Bao-jing 上海第二医科大学附属新华医院心肌疾病研究室 
Rong Ye-zhi 上海第二医科大学附属新华医院心肌疾病研究室 
Zhao Mei-hua 上海第二医科大学附属新华医院心肌疾病研究室 
黄国芳 上海第二医科大学附属新华医院心肌疾病研究室 
朱向阳 上海第二医科大学附属新华医院心肌疾病研究室 
杨瑾文 上海第二医科大学附属新华医院心肌疾病研究室 
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中文摘要:
      本文探讨了30例心绞痛和68例急性心肌梗塞(AMI)患者与脂质过氧化损伤的关系,并观察了中药生脉散颗粒剂对AMI患者的抗脂质过氧化作用。发现冠心病(CHD)患者较健康人血中超氧化物歧化酶(SOD),谷胱甘肽过氧化物酶(GSH-Px)活性明显降低,而丙二醛(MDA)显著升高(P<0.001)。当给AMI患者口服生脉散颗粒剂9g/d2周,血中SOD和GSH-Px明显升高,MDA显著降低(P<0.05);给药4周则前者进一步升高,后者更为降低(P<0.001,P<0.01),而AMI对照组之变化无显著性差异(p>0.05)。结果表明:CHD与自由基(FR)触发的脂质过氧化损伤有关;生脉散是一种有效的自由基清除剂,具有抗脂质过氧化作用。用生脉散防治CHD有重要临床意义。
英文摘要:
      The effect of Sheng Mai San(SMS) on the coronary heart disease(CHD) patients (30 angina pectoris and 68 acute myocardial infartion, AMI) and its peroxidation damage was studied. It was shown that the activities of superoxide dismutase(SOD) and glutathione peroxidase(GSH-Px) in blood were decreased and the content of malondialdehyde(MDA) in plasma was increased in CHD patients in comparison with the healthy controls(P<0.001). When SMS was orally administered in 38 AMI patients, both SOD and GSH-Px activities were increased and the level of MDA decreased (P< 0.05), and these changes were even more significant when SMS was further ingested for another two weeks(P<0.001). At the same time, it was found that the changes of SOD, GSH-Px and MDA in the control group(30 AMI patients not taking SMS) were not significantly different(P>0.05). It could be assumed that the pathogenesis of CHD is associated with free redical(FR) triggering a chain reaction of the lipid peroxidation, and that SMS is acting as an effective free radical scavenger, which would ameliorate the lipid peroxidation damage. Thus, SMS could be administered in the prevention and the treatment of CHD.
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