OBJECTIVE: This study used gated myocardial perfusion imaging(G-MPI) to assess the clinical value of Xinmailong injection in chronic congestive heart failure(CHF).METHODS: A total of 102 CHF patients were randomly div...OBJECTIVE: This study used gated myocardial perfusion imaging(G-MPI) to assess the clinical value of Xinmailong injection in chronic congestive heart failure(CHF).METHODS: A total of 102 CHF patients were randomly divided into the control group(n=51) and the Xinmailong group(n=51). Patients in the control group were routinely treated. Patients in the Xinmailong group were additionally treated with Xinmailong injection in addition to routine treatment. Before and 3 months after treatment, G-MPI was used to determine changes in the left ventricular ejection fraction(LVEF), left ventricular end-diastolic volume(LVEDV) and left ventricular end-systolic volume(LVESV). Fourteen days after treatment, changes in plasma brain natriuretic peptide(BNP) levels were determined.RESULTS: Before treatment, there were no significant differences in LVEF, LVEDV, LVESV, and BNP levels between the two groups(all P>0.05). After treatment, LVEDV, LVESV, and BNP levels were significantly lower, and LVEF was significantly higher in the Xinmailong group than in the control group(all P<0.05).CONCLUSION: Additional use of Xinmailong injection in addition to routine treatment improves cardiac function of CHF patients. Because of the safety and effectiveness of Xinmailong injection, this therapy should be promoted.展开更多
目的观察窒息新生鼠应用心脉隆干预后心肌缺氧缺血损伤NF-κB和TNF-α的变化,探讨心脉隆抗未成熟心肌缺氧缺血损伤的作用及其机制。方法将96只新生SD大鼠按随机数字表法分为3组:正常对照组(n=32)、窒息组(n=32)、心脉隆干预组(n=32),各...目的观察窒息新生鼠应用心脉隆干预后心肌缺氧缺血损伤NF-κB和TNF-α的变化,探讨心脉隆抗未成熟心肌缺氧缺血损伤的作用及其机制。方法将96只新生SD大鼠按随机数字表法分为3组:正常对照组(n=32)、窒息组(n=32)、心脉隆干预组(n=32),各组再分3、6、12、24 h 4个时间点,每个时间点各8只;建立新生鼠窒息模型,测定新生鼠血清心肌酶(CK-MB)水平并观察心肌组织病理形态学变化,应用免疫组织化学法检测心肌NF-κB的表达、ELISE法检测心肌TNF-α的表达。结果窒息组血清CK-MB水平、心肌NF-κB和TNF-α的表达较正常对照组显著增强,以6 h达到高峰(均P<0.01),且心肌NF-κB和TNF-α表达具有正相关性(r=0.979,P<0.01);心脉隆干预组与窒息组相比,血清CK-MB水平、心肌NF-κB和TNF-α的表达均显著减弱(均P<0.01)。结论窒息新生鼠心肌组织NF-κB、TNF-α的表达增加,窒息6 h后NF-κB、TNF-α的表达达高峰;心脉隆可降低心肌NF-κB、TNF-α的表达,减轻未成熟心肌损伤。展开更多
文摘OBJECTIVE: This study used gated myocardial perfusion imaging(G-MPI) to assess the clinical value of Xinmailong injection in chronic congestive heart failure(CHF).METHODS: A total of 102 CHF patients were randomly divided into the control group(n=51) and the Xinmailong group(n=51). Patients in the control group were routinely treated. Patients in the Xinmailong group were additionally treated with Xinmailong injection in addition to routine treatment. Before and 3 months after treatment, G-MPI was used to determine changes in the left ventricular ejection fraction(LVEF), left ventricular end-diastolic volume(LVEDV) and left ventricular end-systolic volume(LVESV). Fourteen days after treatment, changes in plasma brain natriuretic peptide(BNP) levels were determined.RESULTS: Before treatment, there were no significant differences in LVEF, LVEDV, LVESV, and BNP levels between the two groups(all P>0.05). After treatment, LVEDV, LVESV, and BNP levels were significantly lower, and LVEF was significantly higher in the Xinmailong group than in the control group(all P<0.05).CONCLUSION: Additional use of Xinmailong injection in addition to routine treatment improves cardiac function of CHF patients. Because of the safety and effectiveness of Xinmailong injection, this therapy should be promoted.
文摘目的观察窒息新生鼠应用心脉隆干预后心肌缺氧缺血损伤NF-κB和TNF-α的变化,探讨心脉隆抗未成熟心肌缺氧缺血损伤的作用及其机制。方法将96只新生SD大鼠按随机数字表法分为3组:正常对照组(n=32)、窒息组(n=32)、心脉隆干预组(n=32),各组再分3、6、12、24 h 4个时间点,每个时间点各8只;建立新生鼠窒息模型,测定新生鼠血清心肌酶(CK-MB)水平并观察心肌组织病理形态学变化,应用免疫组织化学法检测心肌NF-κB的表达、ELISE法检测心肌TNF-α的表达。结果窒息组血清CK-MB水平、心肌NF-κB和TNF-α的表达较正常对照组显著增强,以6 h达到高峰(均P<0.01),且心肌NF-κB和TNF-α表达具有正相关性(r=0.979,P<0.01);心脉隆干预组与窒息组相比,血清CK-MB水平、心肌NF-κB和TNF-α的表达均显著减弱(均P<0.01)。结论窒息新生鼠心肌组织NF-κB、TNF-α的表达增加,窒息6 h后NF-κB、TNF-α的表达达高峰;心脉隆可降低心肌NF-κB、TNF-α的表达,减轻未成熟心肌损伤。