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中国临床药理学与治疗学 ›› 2010, Vol. 15 ›› Issue (3): 331-334.

• 药物治疗学 • 上一篇    下一篇

3类活血化瘀中成药对冠心病稳定型心绞痛血管内皮功能的影响

浦江晨, 沈丽华   

  1. 杭州拱墅区拱宸桥社区卫生服务中心内科,杭州 310015,浙江
  • 收稿日期:2010-02-02 修回日期:2010-03-05 发布日期:2020-10-14
  • 作者简介:浦江晨,男,本科,副主任中医师,研究方向:中医消化内科。

Effects and comparison of promoting the blood flow of Chinese formulated products on endothelial function in chronic stable angina

PU Jiang-chen, SHEN Li-hua   

  1. Department of Medical, Community Health Service Center of Gongchenqiao,Hangzhou 310015,Zhejiang,China
  • Received:2010-02-02 Revised:2010-03-05 Published:2020-10-14

摘要: 目的: 比较复方丹参滴丸、银杏叶片、维脑路通对冠心病稳定型心绞痛(Chronic Stable Angina)血管内皮功能的影响情况。方法: 选取本院稳定型心绞痛患者200例,随机分为服用复方丹参滴丸、银杏叶片、维脑路通及安慰剂4组进行治疗(疗程均为4周),通过超声方法检测肱动脉血流介导的血管扩张功能(flow-mediated dilatation, FMD)、硝酸甘油介导的血管舒张反应(nitroglycerin-mediated dilation, NMD),采用酶联免疫吸附法(ELISA)或硝酸还原酶法检测血浆中的内皮素(Endothelin-1, ET-1)及NO水平,分析各组患者服药前后的血管内皮功能变化情况,比较3种活血化瘀类中成药对血管内皮功能的影响。结果: 与安慰剂组比较治疗前后的丹参滴丸组和维脑路通组具有较大的FMD值变化(P<0.05),治疗前后的丹参滴丸组、维脑路通组和银杏叶组具有较大的NMD值变化(P<0.05),治疗前后的丹参滴丸组、银杏叶组和维脑路通组具有较大的ET值变化(P<0.05),其中以丹参滴丸组、银杏叶组最大,维脑路通组次之;与安慰剂组、维脑路通组比较,治疗前后的丹参滴丸组具有较大的NO值变化(P<0.05);其中以丹参滴丸组最大,银杏叶组、维脑路通组次之。结论: 活血化瘀类中成药可改善冠心病稳定型心绞痛患者的血管内皮功能,其作用效果以复方丹参滴丸最为显著,维脑路通及银杏叶片次之。

关键词: 冠心病, 稳定型心绞痛, 内皮功能, 活血化瘀

Abstract: AIM: To observe the effects and comparison of promoting the blood flow of Chinese formulated products on endothelial function in chronic stable angina. METHODS: 200 chronic stable angina patients were randomized to Danshen root, Ginkgo leaf, Troxerutin, or placebo and treated for 4 weeks. The FMD and NMD were measured by echocardiography. The level of ET-1 in plasma was measured by enzyme linked immunosorbent assay(ELISA). The level of NO in plasma was measured by nitrate reductase assay. All the data will be collected before and after treatment to analyze the effects of Chinese formulated products of endothelial function. RESULTS: Compared with the placebo group, before and after treatment of Danshen Pill group and venoruton group have a large change in FMD values (P<0.05), before and after treatment of Danshen Pill group,venoruton group and the Ginkgo biloba group NMD have a large value change (P<0.05), before and after treatment of Danshen Pill group, Ginkgo biloba group and venoruton group have a large ET value change (P<0.05), of which the Danshen Pill group, Ginkgo biloba group the largest group followed by Venoruton; with the placebo group, venoruton group, before and after treatment with a large group of Danshen Dropping Pill NO value change (P<0.05); of which Danshen Dropping Pill group of the largest ginkgo biloba group, followed by venoruton group. CONCLUSION: The Chinese formulated products of promoting the blood flow can improve the endothelial function in chronic stable angina patients, and Fufang Danshen Diwan is the most effective Chinese formulated product of these three drugs.

Key words: Coronary artery disease, Chronic stable angina, Endothelial function, Promoting the blood flow

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