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纸质出版日期:2015
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季兆洁, 韩岚, 彭代银, 等. 桃红四物汤对早期闭合性骨折祛瘀生新作用的初步探讨[J]. 中国实验方剂学杂志, 2015,21(3):125-129.
JI Zhao-jie, HAN Lan, PENG Dai-yin, et al. Stasis-removing and Regeneration-promoting Effect Study of Taohong Siwu Tang on Closed Fractures[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(3): 125-129.
季兆洁, 韩岚, 彭代银, 等. 桃红四物汤对早期闭合性骨折祛瘀生新作用的初步探讨[J]. 中国实验方剂学杂志, 2015,21(3):125-129. DOI: 10.13422/j.cnki.syfjx.2015030125.
JI Zhao-jie, HAN Lan, PENG Dai-yin, et al. Stasis-removing and Regeneration-promoting Effect Study of Taohong Siwu Tang on Closed Fractures[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(3): 125-129. DOI: 10.13422/j.cnki.syfjx.2015030125.
目的: 研究桃红四物汤对闭合性骨折早期的治疗作用。方法: SD大鼠60只
分为6组
分别为正常组、模型组、桃红四物汤高、中、低剂量组(18
9
4.5 g·kg-1)、麝香接骨胶囊组(0.6 g·kg-1)
借由专用的骨折器造成胫骨闭合性骨折
建立大鼠胫骨闭合性骨折模型
给药后观察对骨折大鼠血液黏度的影响
采用放射免疫法测定血浆中血栓素B2(TXB2)
6-酮前列腺素F1α(6-Keto-PGF1α)的含量以及TXB2/6-Keto-PGF1α
采用酶联免疫法(ELISA)测定血清中血管内皮生长因子(VEGF)的含量
取骨组织病理切片观察骨痂微血管生成及骨折愈合情况。结果: 与正常组比较
模型组明显骨折面缺损
大鼠血液黏度明显升高
血浆中TXB2水平
TXB2/6-Keto-PGF1α明显升高
均具有统计学差异(P<0.01)
VEGF浓度略微升高;与模型组比较
麝香接骨胶囊组、桃红四物汤高、中、低剂量组可明显的促进骨折区血管新生和骨折愈合
可明显降低骨折大鼠血液黏度
显著降低血浆中TXB2水平
TXB2/6-Keto-PGF1α
VEGF浓度明显增高
均具有统计学差异(P<0.05
P<0.01)
尤其是桃红四物汤高剂量组与麝香接骨胶囊组效果一致(P<0.01)。结论: 桃红四物汤对胫骨闭合性骨折具有很好的祛瘀生新作用
其作用机制可能与桃红四物汤改善血液黏度、减低TXB2/6-Keto-PGE1α
促进VEGF的表达有关。
Objective: To study the treating effect on early closed fractures using Taohong Siwu Tang (TST). Method: Sixty SD rats were randomly divided into six groups:normal group
model group
TST-treated group (18
9
4.5 g·kg-1) and Shenxiang Jiegu group (0.6 g·kg-1). The tibia closed fracture model rats were created using a dedicated fracture pusher. The influence on blood viscosity of TST was observed. The plasma thromboxane (TXB2) and 6-ketone prostaglandin (6-keto-PGE1α) content were detected by RIA
the serum vascular endothelial growth factor (VEGF) content was assayed by ELISA. The situation of callus microvascular and fracture healing were observed using bone biopsy. Result: Compared with the normal group
model group showed severity of fracture defects and the blood viscosity increased significantly (P<0.01). Additionally
both plasma TXB2 and TXB2/6-keto-PGF1α elevated markedly (P<0.01)
and the content of VEGF increased slightly. Compared with the model group
all doses of TST groups could significantly stimulate the regeneration of blood vessel of callus in early phase and promote the healing of fracture. Meanwhile
it could reduce blood viscosity of fracture in rats
decrease the levels of plasm TXB2 and TXB2/6-keto-PGF1α significantly and increase the level of serum VEGF obviously (P<0.05
P<0.01). Especially
the effect of high dose group is close to the effect of positive drug group (P<0.01). Conclusion: TST has good stasis-removing and regeneration-promoting effect on early closing fractures
the mechanism may be related to decreasing the levels of plasm TXB2 and 6-keto-PGE1α
increasing the level of serum VEGF.
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