钙通道阻断剂与阿斯匹林对肺高压时肺小动脉壁增生的影响
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The Hyperplasia of Pulmonary Arteriole Wall during Pulmonary Hypertension can be Interfered by Calcium Channel Blocking and Aspirin
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    摘要:

    本实验将新西兰大白兔的左肺动脉与降主动脉进行吻合,环束吻合口近端的左肺动脉,建立单侧动力性肺动脉高压模型。术后用药组兔给饮用大剂量心痛定与小剂量阿斯匹林,并定期测定血中内皮素、血栓素A2 /PGI2的浓度变化。观察2~3个月后测肺动脉压及行肺组织病检,发现在形成左→右分流的肺高压兔中,用药组兔虽也行成了肺高压,但肺小动脉壁增生程度明显较肺高压对照组轻,用药组血浆中内皮素的峰值及血栓素A2 /PGI2比值也较肺高压对照组低。提示钙阻滞剂+阿斯匹林对肺高压时肺小动脉壁的增生有一定的抑制作用,此种作用可能与药物抑制内皮素及血栓素A2的生成及促进PGI2的形成有一定关系。

    Abstract:

    Aim To observe whether the hyperplasia of pulmonary arteriole wall during pulmonary hypertension can be interfered by calcium channel-blocking. Methods Performed the anastomosis between left pulmonary artery and descending aorta in New Zealand rabbits, and banded the proximal left pulmonary artery of anastomosis, to establish the model of one-side kinetic pulmonary artery hypertension. After operation rabbits in drug group were fed with nifedipine and aspirin, and the blood concentration of endothelin and TXA2/PGI2 was measured regularly. Pulmonary artery pressure was measured and lung biopsy was performed in 2-3 months observation. Results During rabbits formatting pulmonary hypertension, those giving drugs got minor hyperplasia of pulmonary arteriole wall than those not giving drugs. The blood concentration of endothelin increased at all rabbits but the crest value was lower in drugs group. The ratio of TXA2/PGI2 was lower in drugs group too. Conclusion Calcium channel blocker can inhibit the hyperplasia of pulmonary arteriole wall during the formation of pulmonary hypertension, which could be the results that calcium channel blocking and aspirin inhibit the production of endothelin and TXA2 and promote the produce of PGI2.

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王治平,曾亚辉,杨达华.钙通道阻断剂与阿斯匹林对肺高压时肺小动脉壁增生的影响[J].中国动脉硬化杂志,2001,9(4):302~305.

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  • 收稿日期:2001-04-20
  • 最后修改日期:2001-09-27
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