中药白花前胡及其有效成分甲素的心血管药理和临床应用研究

来源 :中药药理与临床 | 被引量 : 0次 | 上传用户:xiaodaoluan
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用心脏血流动力学方法,超声微测距及全细胞膜片钳制等多种技术,首次较全面系统地证明了中药白花前胡(BQ)及其有效成分甲素(Pd-Ia)的抗心律失常及化心肌缺血作用。其中tvPd-Ia1~3mg/kg增加麻醉犬冠脉流量,减少主动脉血压、+LVdP/dtmax、率压积及全身血管阻力,其作用与钙拮抗剂地尔硫卓类似。iv输入Pd-Ia0.15mg/kg/min30min,在不影响心率、血压及心肌收缩功能等情况下;迅速改善经15min闭塞左前降枝伴3h再灌注的麻醉犬心肌收缩功能不良,再灌后5min即使心肌节段收缩率恢复到用药前的41±51%(P<0.05,n=8)。Pd-Ia剂量依赖性地减少钙电流峰值,是一钙内流阻断剂。经15例住院患者24小时动态心电图初步观察,BQ口服液对冠心病并发和原因不明性室性心律失常有满意疗效。 Using cardiac hemodynamics, ultrasonic micro-distance measurement and whole-cell patch clamp techniques, the anti-cardiac rhythm of Chinese herbal medicine BQ and its active ingredient A (Pd-Ia) was demonstrated systematically for the first time. Abnormal and myocardial ischemia. Among them, tvPd-Ia1 ~ 3mg/kg increased coronary flow in anesthetized dogs, reduced aortic blood pressure, +LVdP/dtmax, rate pressure product and systemic vascular resistance, and its effect was similar to the calcium antagonist diltiazem. Iv Enter Pd-Ia 0.15mg/kg/min for 30min without affecting heart rate, blood pressure and myocardial contractile function; Rapidly improve myocardial contractile dysfunction after 15min occlusion of left anterior descending artery with 3h reperfusion, 5 min after reperfusion Even myocardial segmental contraction rate returned to 41±51% before administration (P<0.05, n=8). Pd-Ia dose-dependently reduces calcium current peaks and is a calcium influx blocker. According to the preliminary observation of 24-hour Holter in 15 inpatients, BQ oral solution has satisfactory effects on the occurrence of coronary artery disease and unexplained ventricular arrhythmia.
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