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李淑梅,刘斌,陈海芬,宋伟.葛根素注射液对急性心肌梗塞患者血浆内皮素及肾素血管紧张素系统的影响[J].,1997,(6):339-341
葛根素注射液对急性心肌梗塞患者血浆内皮素及肾素血管紧张素系统的影响
Effect of Puerarin on Plasma Endothelin,Renin Activity and Angiotensin Ⅱ in Patients with Acute Myocardial Infarction
  
DOI:
中文关键词:  葛根素  急性心肌梗塞  内皮素  肾素血管紧张素系统
英文关键词:Puerarin  acute myocardial infarction  endothelin  renin-angiotensin system
基金项目:
Author NameAffiliation
李淑梅 白求恩医科大学第二临床学院心血管内科 
刘斌 白求恩医科大学第二临床学院心血管内科 
陈海芬 白求恩医科大学第二临床学院心血管内科 
宋伟 白求恩医科大学第二临床学院心血管内科 
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中文摘要:
      目的:观察急性心肌梗塞(acutemyocardialinfarction,AMI)患者血浆内皮素(endothelin,ET)与肾素活性(reninactivity,RA)、血管紧张素Ⅱ(angiotensinⅡ,AT-Ⅱ)的变化及葛根素对其影响。方法:将43例AMI患者分为两组,分别接受葛根素(23例)及极化液(20例)治疗,以放免法检测治疗前及治疗后不同时期血浆ET、RA及AT-Ⅱ活性的变化。结果:AMI患者血浆ET、RA及AT-Ⅱ血活性明显高于健康对照组(P<0.01),且ET与RA及AT-Ⅱ间均存在着显著正相关(P<0.01);经葛根素治疗后血浆ET及RA、AT-Ⅱ在3天内恢复至正常,而经极化液治疗组血浆RA及AT-Ⅱ于7天方恢复接近正常,ET在14天才降至正常。结论:葛根素是对AMI患者异常反应的神经内分泌系统有重要调节作用的药物。
英文摘要:
      To study the changes of endothelin (ET), renin activity (RA) and angiotensin Ⅱ (AT-Ⅱ)before and after puerarin treatment in patients with acute myocardial infarction (AMI).Methods: Forty-three patients with AMI were divided into two groups,and were given puerarin and glucose-insulin-kalium(GIK) treatment respectively. Plasma ET, RA and AT-Ⅱ were measured by radioimmunoassay (RIA) before and after treatment in different phases. Results: It showed that plasma ET and RA, AT-Ⅱ levels in AMI were higher than those in control group (P<0.01 ). ET level was conversely correlated with RA and AT-Ⅱ (P< 0.01). After treatment with puerarin,plasma levels of ET,RA and AT-Ⅱ were recovered to normal in 3 days,but these data recovered to nearly normal until 7~14 days in group with GIK treatment. Conclusion: Puerarin might play an important role in regulating the imbalance of ET,RA and AT-Ⅱ of patients with AMI.
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