桃核承气汤对慢性肾功能衰竭大鼠微炎症状态的影响
作者:
作者单位:

1. 福建省第二人民医院,福建 福州 350003;2. 福建中医药大学,福建 福州 350122

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R285.5

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* 基金项目: 2013年度福建省中医药科技项目(wzsb201302) 收稿日期: 2016 - 03 - 16 作者简介: 张喜奎(1963-),河南南阳人,教授,主任医师,研究方向:经方辨治疑难病。


Effect of Taohe Chengqi Decoction on Micro-inflammatory State of Chronic Renal Failure Rats
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Affiliation:

1. The Second People’s Hospital of Fujian Province, Fuzhou 350003, China;2. Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China

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    摘要:

    目的通过探索桃核承气汤对慢性肾功能衰竭大鼠的微炎症因子影响,从而阐明桃核承气汤治疗慢性肾衰竭(CRF)微炎症状态的机理。方法60只清洁级雄性SD大鼠,7周龄,体质量180~200g,随机分为正常组、假手术组、模型组、对照组、治疗组各12只。模型组、对照组与治疗组均采用国际5/6肾切除动物模型,行5/6肾切除手术;假手术组仅做双肾被膜剥离;空白组不行手术。术后连续给药56d后,用ELISA法检测CRP、TNF-α、IL-6、ALB含量,并行电镜观察肾脏组织超微结构。结果桃核承气汤组的CRP、TNF-α、IL-6含量,与模型组、对照组相比,均明显降低(P<0.05);桃核承气汤组中ALB含量与模型组、对照组相比,有明显升高(P<0.05)。结论桃核承气汤抑制炎症因子CRP、TNF-α、IL-6的升高,升高与ALB含量,改善CRF肾间质纤维化,这可能是CRF发生的机制之一。

    Abstract:

    Objective Through exploring Taohe Chengqi decoction on chronic renal failure rats micro inflammatory factor influence, so as to clarify the Taohe Chengqi decoction in the treatment of CRF micro-inflammatory state mechanism. Methods 60 male SD rats, 7 weeks old, weighing 180~200g, were randomly assigned to normal group, sham operation group, model group, control group, treatment group, with 12 rats in each group. I n model group, control group and treatment group were treated with the 5/6 hysterectomy in animal models;sham operation group only double kidney is membrane peeling; blank group received no surgery. For 56 days consecutive to drugs after the operation, using ELISA method for detecting content of CRP and TNF-alpha, IL-6, ALB, and electron microscopic observation on the ultrastructure of kidney tissue. Results Taohe Chengqi decoction group reduce the content of micro inflammatory factor CRP, TNF-α, and IL-6, increase the content of ALB, reduce the degree of renal interstitial fibrosis. Conclusion Taohe Chengqi decoction improves micro-inflammatory state in chronic renal failure, delaying the development process of chronic renal failure.

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