J4

• 临床研究 • 上一篇    下一篇

肉碱复方制剂对急性冠脉综合征缺血心肌的影响

胡春梅1,李淑梅1*,陈丽娟1,郭素芳2,张大志   

  1. 1. 吉林大学第二医院心内科,吉林 长春 130041;2.长春铁路医院心内科,吉林 长春130061
  • 收稿日期:2003-06-11 修回日期:1900-01-01 出版日期:2004-01-28 发布日期:2004-01-28
  • 通讯作者: 李淑梅

AEffects of carnitine pharceutics on ischemicmyocardium in acute coronary syndrome

HU Chun-mei1, LI Shu-mei1*, CHEN Li-juan1,GUO Su-fang2,ZHANG Da-zhi   

  1. 1. Department of Cardiology, Second Hospital, Jilin University,Changchun 130041,China;2. Department of Cardiology, Changchun Railway Hospital,Changchun 130061,China
  • Received:2003-06-11 Revised:1900-01-01 Online:2004-01-28 Published:2004-01-28
  • Contact: LI Shu-mei

摘要: 目的:观察肉碱复方制剂对急性冠脉综合征(ACS)患者氧自由基的影响,评价该制剂在ACS治疗中的临床价值。方法:急性冠脉综合征患者共40例,随机分为治疗组(A组,20例),口服肉碱复方制剂10 mL,每日2次,连续30 d,余同B组;对照组(B组,20例)常规治疗;C组为正常献血者。测定A、B两组治疗前后血清SOD、MDA含量等相关指标。 结果:血清SOD:A组治疗前和B组治疗前后均低于C组(P<0.01),A组治疗后与C组比较差异无显著性;治疗前A、B组差异无显著性(P>0.05),治疗后A组高于B组;A组治疗后高于治疗前(P<0.01),B组治疗前后无变化。血清MDA:A和B组治疗前后均高于C组(P<0.01);治疗前和治疗后A和B组比较差异无显著性(P>0.05);A和B组治疗后低于治疗前(P<0.01),但仍于高C组。 结论:肉碱复方制剂可以减轻氧自由基的损伤作用,保护急性冠脉综合征患者缺血心肌。

关键词: 治疗应用, 冠状动脉疾病, 药物疗法, 超氧化物歧化酶, 血液, 丙二醛, 血液, 活性氧

Abstract: Objective To observe the effects of complex pharmaceutics containing carnitine and eortcd on oxygen free radical (OFR) activity in acute coronary syndrome (ACS) patients. Methods Forty patients with ACS were divided into two groups randomly:carnitine and eortcd therapy group (A group, 20 cases) and routine therapy group (B group ,20 cases). 20 healthy blood donors were served as control (C group).Patients in A group were given carnitine and eortcd 10 mL ,bid p.o., twice a day for 30 days, and other administrations were the same as B group. The levels of serum SOD and MDA in A and B group before and after therapy were detected. Results The levels of serum SOD in A group before therapy and B group before and after therapy were lower than that in C group (P<0.01),there was no diffence between A group after therapy and C group, as well as A and B group before therapy (P>0.05). After therapy, A group was higher than B group. The concentration of MDA in A and B groups were higher than that in C group (P<0.01).The level of serum SOD in A group increased significantly after therapy (P<0.05), there was no significant difference in B group before and after therapy (P<0.05); the MDA in A and B groups decreased markedly after therapy, compared with C group (P>0.01), before and after therapy, there was no significant difference between A and B group (P>0.05). The levels of serum MDA after therapy in A and B group were lower than before therapy (P<0.01), however, they were higher than C group. Conclusion Canitine and eortcd can alleviate the injury of OFR and has protective function on ischemic myocardium in ACS patients.

Key words: therapeutic use, coronary disease, drug therapy, superoxide dismutase, blood, malondialdehyde, blood, reactive oxygen species

中图分类号: 

  • R972