辛伐他汀对缺血性心力衰竭大鼠脑钠肽及射血分数的影响

  • 摘要: 目的:探讨3-羟基-3-甲基戊二酰辅酶A还原酶抑制剂辛伐他汀对缺血性心力衰竭大鼠模型血清脑钠肽及射血分数的影响。方法:选择健康雄性SD大鼠100只,制作急性心肌梗死后心力衰竭模型,造模成功后随机选取16只大鼠分为对照组及他汀组,每组8只,另设假手术组8只大鼠,他汀组直接予辛伐他汀5 mg/(kg·d)灌胃,对照组及假手术组予等量蒸馏水灌胃,4周后行射血分数的超声测定及血清脑钠肽水平检测。结果:4周后他汀组与对照组脑钠肽水平均升高,同时射血分数下降,与假手术组比较差异均有统计学意义(P均<0.05);其中他汀组的脑钠肽水平低于对照组,射血分数高于对照组(P均<0.05)。血清脑钠肽水平与射血分数呈负相关关系(r=-0.71,P<0.01),心力衰竭大鼠血清脑钠肽浓度随射血分数升高而降低。结论:缺血性心力衰竭大鼠在接受辛伐他汀治疗时可明显改善心功能。

     

    Abstract: Objective:To investigate the effects of 3-hydroxy-3 -methyl glutaryl coenzyme A (HMG-CoA) reductase inhibitors simvastatin on brain natriuretic peptide (BNP) and ejection fraction (EF), in rats with ischemic heart failure. Methods:Healthy male SD rats with postoperative heart failure after surgery, were randomly selected and divided into control group and statin group, And eight healthy male SD rats were selected as sham group. Simvastatin was given 5 mg·kg-1·d-1 in stain group, while pure water was given in other groups. After 4 weeks of intragastric administration treatment, serum BNP concentration detection and EF measurement via ultrasound. Results:After 4 weeks, the BNP levels incresed in stain group and control gorup, meanwhile EF decreased, and the differences were statistical significance among three groups(P <0.05). The level of serum BNP in statin group was lower and EF higher than those in control group. Serum BNP levels and EF showed a negative correlation (r = -0.71, P <0.01). Serum BNP concentration of heart failure were reduced with ejection fraction increased Conclusion:Rats with ischemic heart failure received simvastatin treatment can significantly improve heart function.

     

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