摘要Objective:To discuss the effect of catechins on myocardial injury and inflammatory factors in rats with coronary heart disease under PI3K/Akt/eNOS signaling pathway.Methods:A total of 50 healthy adult pathogen-free(SPF)-grade SD rats were divided into five groups by random number table method.Except for the blank group,the other four groups were fed with high fat to construct a rat model of coronary artery disease.After the model was successfully constructed,the blank group and the model group were given saline by gavage,the positive group was given 25 mg/kg aspirin by gavage,the low-dose group was given 20 mg/kg catechin by gavage,and the high-dose group was given 60 mg/kg catechin by gavage.The expression levels of PI3K/Akt/eNOS signaling pathway-related proteins,myocardial injury markers,myocardial infarction and myocardial inflammatory factors were observed and compared in the five groups.Results:Overall,there were significant differences in the expression levels of PI3K,p-Akt/Akt,and p-eNOS/eNOS in the five groups of rats(P<0.05);there were significant differences in the expression levels of CK-MB and cTnI in the five groups of rats(P<0.05);there were significant differences in ischemic area,infarct area,and myocardial infarction range in the four groups of rats,except for the blank group(P<0.05);there were significant differences in the expression levels of IL-1β,IL-18,TNF-α,and ET-1 in the five groups of rats(P<0.05).Conclusion:Catechins can reduce the severity of myocardial injury,reduce the range of myocardial infarction,and reduce myocardial inflammation in rats with coronary heart disease by up-regulating expression level of PI3K/Akt/eNOS signaling pathway-related proteins.Compared with aspirin,high-dose catechins have a more prominent protective effect on the myocardium of rats with coronary heart disease.