Objective: To study the effects of total glucosides of paeony (TGP) on the expression and apoptosis of endoplasmic reticulum stress factor CCAAT/ enhancer binding protein homologous protein (CHOP), glucose regulated protein 78 (GRP78), glucose regulated protein 94 (GRP94) in rats with myocardial ischemia reperfusion (I/R) injury. Metiiods: 75 health clean SD rats were selected and divided into 5 groups according to the digital random list method, with 15 rats in each group, which were recorded as sham operation group, I/R group, 50 mg/kg TGP group, 100 mg/kg TGP group and 200 mg/kg TGP group. The levels of CHOP, GRP78, GRP94 in the rats of each group were detected and compared. The indexes of myocardial I/R, the infarct area rate and the apoptosis rate of myocardial cells of each group were compared and analyzed. Results: The levels of CHOP, GRP78 and GRP94 in the I/R group and TGP group were significantly higher than those in the sham operation group, and those were significantly lower in the I/R group than each group of TGP (all P<0.05). The levels of CHOP, GRP78 and GRP94 in 100 mg/kg group and 200 mg/kg TGP group were significantly lower than those in 50 mg/kg TGP group, and those were significantly lower in the 200 mg/kg TGP group than in the 100 mg/kg TGP group (all P<0.05). In the I/R group and each group of TGP, the T-wave changes in 30 min after ischemia, T-wave changes in 120 min after reperfusion and LVEDP level were higher than those in the sham operated group, while the levels of LVSP, +dp/dtmax and -dp/dtmax were significantly lower than those in the sham operated group (all P<0.05). Compared with the I/R group, the T-wave changes in 30 min after ischemia, T-wave changes in 120 min after reperfusion and LVEDP level decreased in a dose-dependent manner, while the levels of LVSP, +dp/dtmax and -dp/dtmax increased in a dose-dependent manner (all P<0.05). The infarct size and myocardial apoptosis rate in I/R group and each group ofTGP were significantly higher than those in sham operated group(all P<0.05). Compared with the I/R group, the infarct size and myocardial apoptosis rate of the TGP group decreased in a dose-dependent manner (all P<0.05). Conclusion: TGP can significantly reduce the expression of endoplasmic reticulum stress factors CHOP, GRP78 and GRP94 in MIRI rats, and can adjust the indexes or the level of related markers of myocardial ischemia and reperfusion,and also can effectively reduce the infarct area rate and myocardial cell apoptosis rate. [ABSTRACT FROM AUTHOR]