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期 刊 ：中国中药杂志 2005年 30卷 11期 页码：844.

关键词：心肌缺血-再灌注损伤；三保心；超氧化物歧化酶；丙二醛；一氧化氮；血栓形成；

Keywords:myocardial injury of ischemia and reperfusion, San Baoxin, superoxide dismutase, malondialdehyde, nitric oxide, thrombosis,

摘 要 ：目的:探讨三保心中药复方(三保心)对大鼠心肌缺血-再灌注损伤的保护作用及对体外血栓形成的影响。方法:结扎大鼠左冠状动脉前降支40min后再灌注180min。观察三保心对心肌缺血再灌注损伤大鼠超氧化物歧化酶(SOD)活性、丙二醛(MDA)含量和一氧化氮(NO)含量的影响。采用chandler法造成体外血栓和电刺激颈总动脉形成体内血栓,观察三保心对体内外血栓形成的影响。结果:三保心可显著提高心肌缺血-再灌注损伤大鼠血清中SOD活性,降低MDA含量,同时明显升高NO含量。三保心高剂量组明显延长大鼠体内血栓形成时间。各剂量组均能显著抑制大鼠体外血栓的形成。结论:三保心对缺血再灌注心肌损伤有一定的保护作用,其作用机制可能与扩张血管、提高氧自由基清除酶活性、抑制脂质过氧化反应有关。且具有抑制体内外血栓形成的作用。

Abstract:Objective: To investigate the effects of San Baoxin on myocardial injury induced by ischemia-reperfusion (MI/R) and thrombogenesis in rats in vivo and ex vivo. Method: The experimental model was established by ligation of left anterior descending coronary artery for 30 minfollowed by reperfusion for 180 min. The Chandler method was used to produced ex vivo thrombosis and an electrical stimulation of common carotid artery was adopted to form in vivo thrombosis respectively, the effect of antithrombosis induced by San Baoxin was observed. Result: San Baoxin significantly decreased the content of malondialdehyde (MDA), obviously elevated the activity of superoxide dis-mutase (SOD) and increased the amount of NO of the serum simultaneously. The San Baoxin at the dosage of 10 g·kg^-1 could remarkably lengthen the OT(P<0.05). All San Baoxin dosages could inhibit the formation of ex vivo thrombosis. Conclusion: San Baoxin protects the myocardium from injury of ischemic and reperfusion. The protective effect of San Baoxin may be due to that it can dilate vessels, increase the activity of clearance enzyme of free radical and inhibit lipid peroxidation and the formation of ex vivo and in vivo thrombosis.

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