益心降压胶囊对原发性高血压左心室肥厚患者MMP-9的影响
段学忠,段博,王翔燕,徐静
摘要(Abstract):
目的观察益心降压胶囊对原发性高血压(EH)合并左心室肥厚(LVH)患者基质金属蛋白酶-9(MMP-9)的影响。方法 68例EH合并LVH(阴虚阳亢血瘀证)患者随机分为治疗组与对照组,均服依那普利片,治疗组加服益心降压胶囊;治疗24周后比较两组血压、左心室重量指数(LVMI)、MMP-9的变化。结果治疗前两组MMP-9、LVMI均较健康组升高,治疗后均降低,治疗组下降幅度大于对照组。两组治疗后收缩压(SBP)、舒张压(DBP)均显著降低,两组治疗后SBP仍高于健康组,DBP与健康组相近。结论益心降压胶囊具有较好的逆转LVH和降低血清MMP-9水平作用,推测其逆转LVH的机制与抑制MMP-9合成、降低血清MMP-9水平有关。
关键词(KeyWords): 原发性高血压;左心室肥厚;阴虚阳亢;血瘀;基质金属蛋白酶-9;益心降压胶囊
基金项目(Foundation):
作者(Author): 段学忠,段博,王翔燕,徐静
参考文献(References):
- [1]中华人民共和国卫生部.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:57-71.
- [2]中国中西医结合研究会.血瘀证诊断标准[J].中西医结合杂志,1987,7(3):129.
- [3]Devereux R B,Alonso D R,Lutas E M,et al.Echocardio-graphic assessment of left ventricular hypertrophy:Compari-son to necropsy findings[J].Am J Cardiol,2002,57:450-458.
- [4]Papazafiropoulou A,Tentolouris N.Matrix metalloproteinasesand cardiovascular diseases[J].Hippokratia,2009,13(2):76-82.
- [5]Papadopoulos D P,Makris T K,Krespi P G,et al.Changes inmetalloproteinases in healthy normotensive patients withhigh-normal blood pressure[J].Eur Cytokine Netw,2005,16(3):211-214.
- [6]Derosa G D,Angelo A,Ciccarelli L,et al.Matrix metallopro-teinase-2,-9,and tissue inhibitor of metalloproteinase-1 inpatients with hypertension[J].Endothelium,2006,13(2):227-231.
- [7]郑翔,苏雨江.基质金属蛋白酶-9与高血压病的相关性[J].海南医学,2010,21(8):108-112.
- [8]Spinale F G.Myocardial matrix remodeling and the matrixmetalloproteinases:influence on cardiac form and function[J].Physiol Rev,2007,87(11):1285-1342.