川芎嗪对急性心肌梗死溶栓后顿抑心肌的保护作用The Protective Effect of Tetramethylpyragine on Stunned Myocardium in Patients with Acute Myocardial Infraction after Reperfusion Therapy
诸葛丽敏,吴清,楼正家
摘要(Abstract):
目的观察川芎嗪对急性心肌梗死(AMI)溶栓治疗后顿抑心肌的保护作用。方法将AMI患者83例随机分为治疗组和对照组,两组均于发病3~6h内用尿激酶(UK)溶栓,治疗组在使用UK前静滴川芎嗪。结果两组溶栓再通率相近,治疗组治疗后超氧化物歧化酶(SOD)活性下降程度较对照组为低,而丙二醛(MDA)含量增高程度亦明显低于对照组;两组反映心肌顿抑程度的相关指标比较,亦以治疗组改善明显。结论川芎嗪能有效预防AMI患者溶栓治疗后心肌顿抑产生,改善心功能。
关键词(KeyWords): 急性心肌梗死;溶栓;川芎嗪;顿抑心肌
基金项目(Foundation):
作者(Author): 诸葛丽敏,吴清,楼正家
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