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氯沙坦抑制球囊成形术后兔血管内膜的增殖

Effects of losartan on neointimal proliferation after balloon angioplasty in rabbits

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【作者】 张玉平李建军刘颖

【Author】 ZHANG Yu ping,LI Jian jun,LIU Ying (The People′s Hospital of Wuhan University,Wuhan 430060,China)

【机构】 武汉大学人民医院武汉大学人民医院 湖北武汉430060湖北武汉430060湖北武汉430060

【摘要】 目的 :探讨氯沙坦对球囊成形术后兔血管内膜增殖的影响。方法 :将 2 4只新西兰兔随机分为三组 :对照组、模型组及氯沙坦组。后两组持续给予 1.5 %高胆固醇喂养 ,实验初始行腹主动脉内膜剥脱术 ,8周后对狭窄部位行球囊成形术 ,氯沙坦组于球囊成形术前 1周开始口服氯沙坦 10 m g/ (kg· d)。 12周末取腹主动脉行病理形态学观察。结果 :氯沙坦组内膜厚度 (IT)减少 6 5 % ,内膜面积 (IA )减少 34% ,内膜厚度比中膜厚度 (IT/ MT)减少 32 % ,内膜面积比中膜面积 (IA/ MA)减少 2 8% (P<0 .0 1)。结论 :氯沙坦在不影响血脂的情况下明显抑制血管损伤后内膜增殖

【Abstract】 Objective:To investigate the effects of losartan on the neointimal proliferation after balloon angioplasty in rabbits.Methods:Twenty four rabbits were divided randomly into three groups at random:control group,model group and losartan group.The latter two groups were fed with 1.5 % cholesterol diet for 12 weeks.At first the celiac arterial endothelium were denuded.Then they were underwent balloon angioplasty in the celiac artery after 8 weeks.From 1 week before balloon angioplasty losartan group were supplemented by losartan 10 mg/(kg·d).Then the arteries were harvested for morphological observation.Results:Treatment with losartan significantly reduced neointimal thickness(IT) reduce to 65 %,neointimal area(IA) reduce to 34 %,IT/MT reduce to 32 %,IA/MA reduce to 28 %( P <0.01).Conclusion:The therapy of losartan could reduce the neointimal proliferation induced by balloon injury in rabbits without effects on the serrum triglyceride and total cholesterol.

【关键词】 氯沙坦血管成形术内膜增殖
【Key words】 losartanrabbitangioplastyneointimal proliferation
  • 【文献出处】 临床医药实践 ,Proceeding of Clinical Medicine , 编辑部邮箱 ,2002年08期
  • 【分类号】R965
  • 【下载频次】7
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