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纸质出版日期:2015
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卢禹婷, 易艳, 李春英, 等. 双黄连注射液的类过敏反应特点及影响因素分析[J]. 中国实验方剂学杂志, 2015,21(9):97-101.
LU Yu-ting, YI Yan, LI Chun-ying, et al. Characteristics of Pseudoallergic Reactions of Shuanghuanglian Injection and Analysis of Its Influencing Factors[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(9): 97-101.
卢禹婷, 易艳, 李春英, 等. 双黄连注射液的类过敏反应特点及影响因素分析[J]. 中国实验方剂学杂志, 2015,21(9):97-101. DOI: 10.13422/j.cnki.syfjx.2015090097.
LU Yu-ting, YI Yan, LI Chun-ying, et al. Characteristics of Pseudoallergic Reactions of Shuanghuanglian Injection and Analysis of Its Influencing Factors[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(9): 97-101. DOI: 10.13422/j.cnki.syfjx.2015090097.
目的: 分析双黄连注射液(SHLI)的类过敏反应(pseudoallergic reaction
PARs)特点及不同注射速度对PARs的影响. 方法: 将ICR小鼠随机分成阴性组(生理盐水)、阳性组(组胺10 mg·kg-1)和SHLI低(150 mg·kg-1)、中(300 mg·kg-1)、高(600 mg·kg-1)剂量组
1次性静脉注射含有0.4%伊文思蓝(EB)的受试物
给药30 min后记录各组动物耳廓血管通透性增高反应的阳性率
进行耳廓蓝染程度评分
并定量测定耳廓伊文思蓝渗出量.ICR小鼠随机分成阴性组和SHLI组(600 mg·kg-1)
各组小鼠经尾静脉注射不含EB的受试物
给药30 min后取血
利用ELISA试剂盒测定血清中组胺、血管内皮生长因子(VEGF)、肿瘤坏死因子-α(TNF-α)含量.取耳、肺组织进行病理检查. 结果: SHLI致小鼠类过敏反应具有剂量相关性.静脉注射SHLI后可引起血液组胺和VEGF明显增高
TNF-α未见显著性差异.病理结果显示耳、肺组织发生组织水肿
嗜中性粒细胞浸润等炎症反应.SHLI快速静脉注射(5 s)时产生的类过敏反应最强
而注射速度为60 s和120 s时
产生的类过敏反应程度相近
二者均明显低于5 s注射组. 结论: 双黄连注射液可引起小鼠血管通透性增高
导致其发生类过敏反应
反应机制可能与组胺和VEGF释放有关.双黄连注射液的类过敏反应与剂量、注射速度有关
剂量越大发生类过敏的可能性越大
程度越重;注射速度过快可能增高不良反应程度.临床静脉使用时要SHLI时应严格控制剂量和注射速度
以减少其不良反应的发生.
Objective: To analyse characteristics of pseudoallergic reactions (PARs) of Shuanghuanglian injection (SHLI) and investigate impact of injection speed on PARs. Method: ICR mice were divided into negative group (saline)
positive group (histamine of 10 mg·kg-1) and low (150 mg·kg-1)
medium (300 mg·kg-1)
high (600 mg·kg-1) doses of SHLI.Mice received test articles containing 0.4% Evans blue(EB) by tail intravenous injection
after 30 minutes of administration
area of blue staining and incidence of hypermeability on auricle were recorded
EB exudation of ears was quantitative measurement.ICR mice were randomly divided into negative group and SHLI group of 600 mg·kg-1
mice in different groups were given test articles without EB by tail intravenous injection.After 30 minutes
concentrations of histamine
vascular endothelial growth factor (VEGF)
tumor necrosis factor-α(TNF-α) in plasma were measured by ELISA kit
lung and both ears were taken for histopathology evaluation. Result: Both reaction incidence and degree of vascular hyperpermeability were higher with increasing of SHLI dosage.Concentrations of histamine and VEGF were increased significantly after intravenous administration of SHLI
while the concentration of TNF-α was no significant difference.Histopathology evaluation showed edema
neutrophil infiltration in auricle and lung of SHLI groups.And injection speed of SHLI had influence on extent of PARs.When the same dose of SHLI were administrated by intravenous injection
injection at the lower speed (60
120 s) could cause lighter PARs by comparing with injection speed of 5 s. Conclusion: SHLI may induce vascular hyperpemeability so as to cause PARs in mice.PARs induced by SHLI may be associated with release of histamine and VEGF.SHLI-induced PARs shows a relationship with dose and injection speed.The higher dose and higher injection speed can increase incidence and degreed of PARs.Control of dose and injection speed is important to reducing PARs of SHLI.
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