首页|益气温阳活血方对慢性心力衰竭心室重塑患者凋亡相关因子的影响研究

益气温阳活血方对慢性心力衰竭心室重塑患者凋亡相关因子的影响研究

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目的:探讨益气温阳活血方对慢性心力衰竭(chronic heart failure,CHF)心室重塑患者凋亡相关因子的影响.方法:将CHF患者122例随机分为治疗组64例和对照组58例,2组均按CHF治疗指南给予常规治疗,治疗组加服用益气温阳活血方.2组治疗前后分别以心脏超声检查患者左心室收缩末径(LVESD)、舒张末径(LVEDD)和左心室射血分数(LVEF),采用酶联免疫吸附法测定患者血浆凋亡相关因子Fas、Fas配体(FasL)、B细胞淋巴瘤(Bax)/白血病-2(Bcl-2)、半胱胺酸天冬氨酸酶-3(casPase-3)和半胱胺酸天冬氨酸酶-9(casPase-9)的含量.结果:治疗3个月后,与治疗前比较,两组LVESD、LVEDD以及Fas、FasL、Bax、caspase-3和caspase-9含量降低,而LVEF、Bcl-2含量明显升高,差异均有统计学意义(P<0.05).结论:益气温阳活血方通过影响Fas、FasL、Bax、Bcl-2、caspase-3和caspase-9含量抑制CHF患者心室重塑,改善心脏功能.
A Research on Effects of Yiqi Wenyang Huoxue Decoction on aPoPtosis-related Factors in the cardiac Remodeling of Patients with Chronic Heart Failure
Objective:To study effects of Yiqi Wenyang Huoxue decoction on aPoPtosis-related factors in the cardiac remodeling of patients with chronic heart failure.Methods:122 Patients with chronic heart failure were randomly divided into a control group and a treatment group.Both of the two group were given conventional treatment,while the treatment group received Yiqi Wenyang Huoxue decoction as well at the same time.Then LVESD,LVEDD and LVEF were measured by using ultrasonic cradiography,while Plasma levels of Fas,FasL,Bax,Bcl-2,casPase-3 and casPase-9 were measured by ELISA before and after the treatment.Results:(1) After three months' treat,compared with those before therapy,LVEDD,LVESD,levels of Fas,FasL,Bax,caspase-3 and caspase-9 decreased,while LVEF and levels of Bcl-2 increased greatly in treatment group (P < 0.05).Conclusions:Yiqi Wenyang Huoxue decoction can inhibit the myocardial remodeling through regulating levels of Fas,FasL,Bax,Bcl-2,caspase-3 and caspase-9.

cardiac remodelingmyocardial aPoPtosisdecoction of Yiqi Wenyang Huoxueclinical research

阮欣克、卞震炯

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贵阳中医学院,贵州贵阳550002

贵阳中医学院第二附属医院,贵州贵阳550003

心室重塑 心肌凋亡 益气温阳活血方 临床研究

贵州省科技联合基金

黔科合中药字[2012]LKZ7009号

2016

贵阳中医学院学报
贵阳中医学院

贵阳中医学院学报

影响因子:1.18
ISSN:1002-1108
年,卷(期):2016.38(3)
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