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• 药物研究 • 上一篇    下一篇

尿激酶、阿替普酶与瑞替普酶对家兔深静脉血栓的影响

孙双勇   

  1. 天津药物研究院新药评价有限公司
  • 收稿日期:2018-08-29 修回日期:2018-11-27 出版日期:2018-12-25 发布日期:2018-12-25
  • 基金资助:
    天津市特支计划青年拔尖人才基金

Thrombolytic Effects of Urokinase, Alteplase and Reteplase on Inferior Vena Cava Thrombosis in Rabbits

sunshuangyong   

  1. Tianjin Institute of Pharmaceutical Research New Drug Evaluation Co.Ltd
  • Received:2018-08-29 Revised:2018-11-27 Online:2018-12-25 Published:2018-12-25
  • Supported by:
    Special Program of Talents Development for Excellent Youth Scholars

摘要: 目的:观察尿激酶(UK)、阿替普酶(rt-PA)和瑞替普酶(r-PA)对家兔深静脉血栓的溶栓作用,并对其出血情况进行观察。方法:采用电损伤伴狭窄法制备家兔深静脉血栓模型,分别静脉给予UK、rt-PA与r-PA,观察给药后血栓重量和出血变化情况,通过凝固法测定血浆凝血酶原时间(PT)、部分凝血酶试剂(APTT)、凝血酶时间(TT)和纤维蛋白原(FIB),ELISA试剂盒法测定血浆纤溶酶原(PLG)含量。结果:家兔造模后,下腔静脉中形成明显的血栓,静脉给予UK、rt-PA和r-PA后,血栓均有不同程度的减少,溶栓强度依次增强;给予溶栓药物后,家兔均出现了不同程度的出血,出血量和出血时间亦依次增加;rt-PA可以延长TT,rt-PA可以延长PT和TT,rt-PA和r-PA可以降低FIB含量,UK和r-PA可以降低PLG含量。结论:三代溶栓药物对深静脉血栓的抑制程度依次增强,但出血也出现显著增加,溶栓药物进行深静脉溶栓治疗时,应密切观察出血情况。 [关键词]尿激酶;阿替普酶;瑞替普酶;家兔;深静脉血栓 [中图分类号]

Abstract: Objective: To observe the thrombolytic effects and hemorrhage of urokinase(UK), alteplase(rt-PA) and reteplase(r-PA) on deep venous thrombosis (DVT) in rabbits. Methods: Rabbit models of deep vein thrombosis were prepared by electrical stimulation and stenosis, and uk, rt-PA and r-PA were administered intravenously. The changes of thrombus weight and bleeding after administration were observed. Activated partial thromboplastin time (APTT), thrombin time (TT), fibrinogen (FIB) were determined using plasma coagulation method, and plasminogen (PLG) levels were measured using chromogenic substrate method. Results: The three thrombolytic agents had significant thrombolytic effects on the thrombus of inferior vena cava in rabbits, and the ability of thrombolytic were r-PA>rt-PA>UK. The three thrombolytic agents caused different degrees of bleeding, and the degrees of bleeding were r-PA>rt-PA>UK. Alteplase significantly prolonged TT,reteplase significantly prolonged PT and TT. r-PA and rt-PA significantly reduced the content of FIB in the plasma, and UK and r-PA significantly reduced the content of PLG in the plasma. Conclusion: The three thrombolytic agents had inhibitory effects on deep venous thrombosis, but bleeding also increased significantly with the increase of efficacy. When thrombolytic agents were used for deep vein thrombolysis treatment