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纸质出版日期:2015
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王丹, 李文娟, 赵兵, 等. 葛根芩连汤对动脉粥样硬化伴随牙周炎大鼠的影响[J]. 中国实验方剂学杂志, 2015,21(6):145-149.
WANG Dan, LI Wen-juan, ZHAO Bing, et al. Effect of Gegen Qinlian Tang in Periodontitis Combined Atherosclerosis Rat Model[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(6): 145-149.
王丹, 李文娟, 赵兵, 等. 葛根芩连汤对动脉粥样硬化伴随牙周炎大鼠的影响[J]. 中国实验方剂学杂志, 2015,21(6):145-149. DOI: 10.13422/j.cnki.syfjx.2015060145.
WANG Dan, LI Wen-juan, ZHAO Bing, et al. Effect of Gegen Qinlian Tang in Periodontitis Combined Atherosclerosis Rat Model[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(6): 145-149. DOI: 10.13422/j.cnki.syfjx.2015060145.
目的: 讨论葛根芩连汤对动脉粥样硬化伴随牙周炎大鼠模型的治疗效果。方法: 将40只健康雄性Wistar大鼠
分为健康正常组和模型组
正常组10只
模型组30只
正畸结扎丝结扎于左上颌第二恒磨牙牙颈部龈沟内
高脂饮食辅助药物诱导造模
造模成功后分为模型组、甲硝唑治疗组(0.05 g ·kg-1 ·d-1)、阿伐他汀组(0.08 g ·kg-1 ·d-1)、甲硝唑联合阿伐他汀组、葛根芩连汤组(0.42 g ·kg-1 ·d-1)
每组6只
ig给予相应药物
4周后
HE染色光镜下观察治疗前后牙周组织和腹主动脉病理变化
检测治疗前后牙周袋深度及附着丧失检测和血脂总胆固醇(TC)
甘油三脂(TG)
低密度脂蛋白(LDL)
高密度脂蛋白(HDL)水平的改变。结果: 与正常组比较
模型组牙周袋深度及附着丧失和血脂TC
TG
LDL水平明显升高(P<0.05)
HDL明显降低(P<0.05);与模型组比较
甲硝唑组、阿伐他汀组、甲硝唑联合阿伐他汀组、葛根芩连汤组牙周袋深度及附着丧失和血脂TC
TG
LDL水平均较模型组显著降低
差异有统计学意义(P<0.05)
HDL明显升高(P<0.05);甲硝唑联合阿伐他汀组与葛根芩连汤组比较牙周袋深度及附着丧失和血脂TC
TG
LDL
HDL水平无差异。HE染色观察发现牙周炎症破坏明显
结合上皮与牙面分离
上皮向根方增殖
组织深部可见大量炎症细胞浸润
骨小梁稀疏
牙槽骨表面可见骨吸收
牙槽嵴顶高度降低
呈垂直吸收
牙周膜纤维粗细不均或断裂
排列紊乱
各给药组均有不同程度的改善
尤其是甲硝唑联合阿伐他汀组与葛根芩连汤组更为明显。结论: 葛根芩连汤能够改善模型大鼠牙周炎症水平并且能够降低大鼠血脂水平
提示该药对牙周炎伴动脉粥样硬化疾病有良好的治疗效果。
Objective: To discuss the effect of Gegen Qinlian Tang on periodontitis and atherosclerosis rats. Method: The rat model was induced by ligating the second molars of upper left jaw
feeding high fat diet and medications treatment as a complementary method. Thirty successful model rats were divided into the model group
the metronidazole treatment group (0.05 g · kg-1 · d-1)
the atorvastatin group (0.08 g · kg-1 · d-1)
the metronidazole combined with atorvastatin group
and the Gegen Qinlian Tang group (0.42 g · kg-1 · d-1) of 6 rats in each group. Another 10 rats were assigned to the normal group and feeding with the common forage. After 4-week treatment of the corresponding drug
the changes of periodontal tissue and abdominal aortic pathology were observed under light microscope
HE staining
respectively. The periodontal pocket depth and attachment loss detection
changes of blood lipid total cholesterol (TC)
triglyceride (TG)
low density lipoprotein (LDL)
high density lipoprotein (HDL) were detected. Result: Compared with the normal group
periodontal pocket depth and attachment loss
levels of lipid TC
TG
LDL increased significantly (P<0.05)
HDL level decreased significantly (P<0.05) in the model group. Compared with the model group
periodontal pocket depth and attachment loss
and lipid TC
TG
LDL levels decreased significantly (P<0.05)
HDL increased significantly (P<0.05) in all treatment groups. No significant difference was found between metronidazole combined with atorvastatin group and Gegen Qinlian Tang group. HE staining showed the destroyed periodontal inflammation
the separation of junctional epithelium and tooth surface
and the proliferation from epithelial to root. The deep tissue showed a large amount of inflammatory cell infiltration and bone trabecular sparse
alveolar bone surface visible bone resorption
alveolar ridge crest height reduced vertical absorption
periodontal ligament fibroblasts dimensional uneven thickness or fractured
arrangement disorder in the model group. These results had good improvement after treatment
and the results were better in the metronidazole combined with atorvastatin group and Gegen Qinlian Tang group. Conclusion: Gegen Qinlian Tang could improve the periodontal inflammation levels and reduce the blood lipid level of model rats. The results suggest that Gegen Qinlian Tang has a good therapeutic effect on periodontitis associated with atherosclerosis disease.
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