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三甲氧苄嗪对幼兔心肌缺血再灌注保护作用的研究

Additional effect of trimetazidine to four cardioplegias on immature rabbit myocardium during global ischemia

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【作者】 梅运清路亚枫张宴婉程邦昌高尚志龙村胡大一

【Author】 MEI Yunqing, LU Yafeng, ZHANG Yanwan, et al. Cardiovascular Center, Beijing Tongren Hospital, Beijing 100730

【机构】 北京同仁医院心血管中心阜外心血管病医院麻醉体外循环科武汉大学人民医院心胸外科北京同仁医院心血管中心 100730100730100730

【摘要】 目的:探讨四种晶体停搏液(MST、Tyers、HTK和Roe)中加入细胞保护剂三甲氧苄嗪(TMZ)对未成熟心肌的作用。方法:以离体灌注幼兔心为研究对象,观察四种晶体停搏液在幼兔心14℃缺血2h后血流动力学、冠脉流出液心肌酶和心肌生化的变化。结果:与对照组相比,TMZ可显著提高晶体停搏液离体灌注幼兔心功能的恢复,明显减少心肌酶的漏出和氧自由基的生成,增加高能磷酸盐的储存(P<0.05)。结论:TMZ可明显提高晶体停搏液对未成熟心肌的保护效果。

【Abstract】 Objective:To investigate the effect of four cardioplegias (MST、Tyers、HTK and Roe) containing trimetazidine (final concentration was 10-6mol/L) on immature rabbit myocardium. Method:To observe the change of hemodynamics, myocardial enzyme in the coronary effluent and myocadial biochemistry of the perfused immature rabbit heart in vitro received two hours ischemia. Results: Compared with control group (noncardioplegic group), cardioplegias containing trimetazidine could markedly enhance the post-ischemic hemodynamics, tremendousl lower the myocardial enzyme leakage and production of oxygen free radicals, and improve high-energy phosphates preservation. Conclusions: Cytoprotective agent trimetazidine can significantly improve the myocardial protective effect of the four crystalloid cardioplegias.

  • 【文献出处】 国外医学.心血管疾病分册 ,Foreing Med Sci Sect Cardiovusc Dis , 编辑部邮箱 ,2003年05期
  • 【分类号】R96
  • 【下载频次】40
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