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1.中国中医科学院 中药研究所,北京100700
2.中国中医科学院 广安门医院,北京100053
沈鸿,副研究员,从事中药药理及新药研发,Tel:010-84024841,E-mail:hshen@ icmm.ac.cn
谢利民,主任医师,从事关节疾病中西医治疗,Tel:010-88001011,E-mail:drxlm@126.com
收稿日期:2019-12-17,
网络出版日期:2020-06-19,
纸质出版日期:2020-09-20
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沈鸿,刘婷,汪芳等.活血软膏对兔膝关节损伤所致骨关节炎的影响[J].中国实验方剂学杂志,2020,26(18):77-83.
SHEN Hong,LIU Ting,WANG Fang,et al.Effect of Huoxue Ointment on Osteoarthritis Caused by Knee Joint Injury in Rabbits[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(18):77-83.
沈鸿,刘婷,汪芳等.活血软膏对兔膝关节损伤所致骨关节炎的影响[J].中国实验方剂学杂志,2020,26(18):77-83. DOI: 10.13422/j.cnki.syfjx.20201765.
SHEN Hong,LIU Ting,WANG Fang,et al.Effect of Huoxue Ointment on Osteoarthritis Caused by Knee Joint Injury in Rabbits[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(18):77-83. DOI: 10.13422/j.cnki.syfjx.20201765.
目的
2
观察活血软膏对兔膝关节损伤所致骨关节炎的治疗作用和抗炎镇痛作用。
方法
2
采用大耳白兔60只,雌雄各半,按体质量随机选取10只兔,设为正常组,余下兔在右后腿膝关节的股骨内踝关节面造成关节软骨损伤并剪断前交叉韧带,建立兔膝骨关节炎动物模型。正常组则切开皮肤后立即缝合。手术2周后,按体质量区组随机将兔分为模型组,阳性药物扶他林组(1 cm·kg
-1
·d
-1
)组,活血软膏高、中、低剂量组(6,3,1.5 g·kg
-1
·d
-1
),每组10只。测定兔关节腔液及外周血中细胞因子白细胞介素-1
β
(IL-1
β
),肿瘤坏死因子-
α
(TNF-
α
)及自由基一氧化氮(NO)含量,并对兔关节软骨进行病理组织学检查,研究活血软膏对兔膝关节炎的治疗作用。采用醋酸致小鼠腹腔毛细血管通透性增高模型和角叉菜胶所致大鼠足肿胀的动物模型,测定小鼠腹腔液吸光度和大鼠足肿胀值,研究活血软膏的抗炎作用。采用热水法致小鼠疼痛甩尾和角叉菜胶致大鼠足压痛的动物模型,记录小鼠甩尾时间和大鼠足压痛的时间,研究活血软膏的镇痛作用。选取SPF级ICR小鼠120只,SD大鼠60只,雌雄各半,按体质量区组随机将小鼠分为模型组,扶他林组(3 cm·kg
-1
·d
-1
),活血软膏高、中、低剂量组(16,8,4 g·kg
-1
·d
-1
),每组12只,大鼠随机分为模型组,扶他林组(2 cm·kg
-1
·d
-1
),活血散高、中、低剂量组(8,4,2 g·kg
-1
·d
-1
),每组10只。
结果
2
与模型组比较,活血软膏所试剂量,可不同程度地降低兔血清和关节液中的IL-1
β
,TNF-
α
,NO的水平,且高剂量组作用明显(
P
<
0.05);病理学检查,活血软膏所试剂量,膝关节软骨组织和滑膜组织病变明显轻于模型组(
P
<
0.05);活血软膏大中剂量组腹腔液浓度值、足肿胀值明显降低(
P
<
0.05),小鼠甩尾镇痛作用,活血软膏大剂量组痛阈率明显高于模型组(
P
<
0.05),镇痛作用可持续4 h,活血软膏高、中剂量组的大鼠足压痛值明显升高(
P
<
0.05)。
结论
2
活血软膏对兔膝关节损伤所致骨关节炎,具有明显的关节修复和抗炎镇痛作用。
Objective
2
To investigate the efficacy and anti-inflammatory and analgesic effect of Huoxue ointment on osteoarthritis of the knee caused by knee joint injury in rabbits.
Method
2
A total of 60 big ear white rabbits were selected
with half male and half female. Ten rabbits were randomly selected by weight and set as normal control group. For the remaining rabbits
the injury of articular cartilage and anterior cruciate ligament were caused in the femoral ankle joint surface of the right hind knee joint
so as to establish an animal model of knee osteoarthritis in rabbits. For the normal control group
the skin was cut open and immediately sutured. Two weeks after the operation
rabbits were randomly divided into model control group according to body weight,positive voltaren group (1 cm·kg
-1
·d
-1
)
and high-dose (6 g·kg
-1
·d
-1
)
medium-dose (3 g·kg
-1
·d
-1
) and low-dose(1.5 g·kg
-1
·d
-1
) Huoxue ointment groups
with 10 animals in each group. Interleukinin-1
β
(IL-1
β
) in rabbit articular cavity fluid and peripheral blood were measured
contents of tumor necrosis factor-
α
(TNF-
α
) and free radical nitric oxide(NO)
rabbit articular cartilage was examined by histopathology
in order to study the efficacy of Huoxue ointment on rabbit knee arthritis. The model of increased permeability of capillaries in abdominal cavity of mice induced by acetic acid and the model of foot swelling of rats induced by carrageenan were used to determine the absorbance of mice peritoneal fluid and the rat foot swelling value
and study the anti-inflammatory effect of huoxue ointment. A total of 120 SPF ICR mice and 60 SD rats were selected
with half male and half female. The mice were randomly divided according to body weight into model control groups
positive Voltaren group (3 cm·kg
-1
·d
-1
)
and high-dose (16 g·kg
-1
·d
-1
)
medium-dose (8 g·kg
-1
·d
-1
)
low-dose (4 g·kg
-1
·d
-1
) Huoxue ointment groups,with 12 animals in each group. The rats were randomly divided into the model control group
positive voltaren group (2 cm·kg
-1
·d
-1
)
and high-dose (8 g·kg
-1
·d
-1
)
medium-dose (4 g·kg
-1
·d
-1
)
low-dose (2 g·kg
-1
·d
-1
) Huoxue ointment groups,with 10 animals in each group.
Result
2
The tested dose of Huoxue ointment,the levels of IL-1
β
TNF-
α
and NO in rabbit serum and joint fluid were decreased to varying degrees
and the effect was significant in the high-dose group (
P
<
0.05). According to the pathological examination
the tested dose of Huoxue ointment
knee cartilage and synovial tissue lesions were significantly lower than those of the model control group (
P
<
0.05),the value of peritoneal fluid concentration and the foot swelling in medium and high-dose Huoxue ointment groups were significantly lower than those in the model control group (
P
<
0.05). The analgesic effect of tail shaking in mice
and the pain threshold rate of the high-dose Huoxue ointment group were significantly higher than those of the model control group (
P
<
0.05), the analgesic effect lasted for 4 hours
the foot tenderness of rats in the large and medium-dose Huoxue ointment groups was significantly higher than that in the model control group (
P
<
0.05).
Conclusion
2
Huoxue ointment has obvious joint repair and anti-inflammatory and analgesic effects on osteoarthritis of knee caused by knee joint injury in rabbits.
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