依达拉奉对急性心肌梗死溶栓后再灌注损伤的影响

被引:7
作者
叶维聪
李树裕
苏伟青
林晰喻
曹雪凤
机构
[1] 广东省廉江市人民医院心内科
关键词
依达拉奉; 急性心肌梗死; 再灌注损伤;
D O I
暂无
中图分类号
R542.22 [];
学科分类号
1002 ; 100201 ;
摘要
目的探讨依达拉奉(edaravone)对急性心肌梗死(AMI)溶栓后再灌注损伤的影响。方法60例AMI患者被随机分为治疗组与对照组,治疗组给予依达拉奉静滴2周。观察两组血管再通率及再灌注心律失常发生率,并记录每例患者入院即刻和7 d1、4 d的12导联心电图,用QRS记分法进行QRS记分,预测梗死面积,于治疗14 d后,行超声心动图检查测定心功能。结果两组血管再通率比较无明显差异(P>0.05);两组治疗后再灌注心律失常发生率、治疗后14 dQRS记分、梗死面积、左室射血分数(LVEF),均有显著性差异(P<0.05,P<0.01)。结论依达拉奉具有降低AMI溶栓后心肌再灌注损伤的作用,并且能改善近期心脏功能。
引用
收藏
页码:821 / 824
页数:4
相关论文
共 7 条
[1]   大鼠心肌缺血再灌注后心功能变化与心肌梗死面积的相关性分析 [J].
杨建业 ;
张迎春 ;
唐俊明 ;
潘国栋 ;
王家宁 .
实验动物与比较医学, 2008, (01) :4-9
[3]   Correction of defective interdomain interaction within ryanodine receptor by antioxidant is a new therapeutic strategy against heart failure [J].
Yano, M ;
Okuda, S ;
Oda, T ;
Tokuhisa, T ;
Tateishi, H ;
Mochizuki, M ;
Noma, T ;
Doi, M ;
Kobayashi, S ;
Yamamoto, T ;
Ikeda, Y ;
Ohkusa, T ;
Ikemoto, N ;
Matsuzaki, M .
CIRCULATION, 2005, 112 (23) :3633-3643
[4]   Effects of edaravone on reperfusion injury in patients with acute myocardial infarction [J].
Tsujita, K ;
Shimomura, H ;
Kawano, H ;
Hokamaki, J ;
Fukuda, M ;
Yamashita, T ;
Hida, S ;
Nakamura, Y ;
Nagayoshi, Y ;
Sakamoto, T ;
Yoshimura, M ;
Arai, H ;
Ogawa, H .
AMERICAN JOURNAL OF CARDIOLOGY, 2004, 94 (04) :481-484
[5]  
Efficacy of Edaravone, a Free Radical Scavenger, on Left Ventricular Function and Structure in Diabetes Mellitus[J] . Tetsuya Hayashi,Tatsuhiko Mori,Koichi Sohmiya,Yoshikatsu Okada,Sakiko Inamoto,Nobuaki Okuda,Hiroshi Mori,Yasushi Kitaura.Journal of Cardiovascular Pharmacology . 2003 (6)
[6]  
The Role of Endothelin, Protein Kinase C and Free Radicals in the Mechanism of the Post-ischemic Endothelial Dysfunction in Guinea-pig Hearts[J] . Michal Maczewski,Andrzej Beresewicz.Journal of Molecular and Cellular Cardiology . 2000 (2)
[7]   Effect of MCI-186 on postischemic reperfusion injury in isolated rat heart [J].
Minhaz, U ;
Tanaka, M ;
Tsukamoto, H ;
Watanabe, K ;
Koide, S ;
Shohtsu, A ;
Nakazawa, H .
FREE RADICAL RESEARCH, 1996, 24 (05) :361-367