1. 1. 北京中医药大学东直门医院肾病内分泌Ⅱ区
2. 北京中医药大学东直门医院
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[1]黄举凯,杨晓晖.佛香散对糖尿病胃轻瘫大鼠胃动力指标的影响及机制探讨[J].北京中医药,2020,39(11):1157-1160+1225.
HUANG Ju-kai, YANG Xiao-hui. Effect of Foxiang Powder on gastric motility index of diabetic gastroparesis rats and its mechanism discussion[J]. Beijing Journal of Traditional Chinese Medicine, 2020,39(11):1157-1160.
[1]黄举凯,杨晓晖.佛香散对糖尿病胃轻瘫大鼠胃动力指标的影响及机制探讨[J].北京中医药,2020,39(11):1157-1160+1225. DOI: 10.16025/j.1674-1307.2020.11.010.
HUANG Ju-kai, YANG Xiao-hui. Effect of Foxiang Powder on gastric motility index of diabetic gastroparesis rats and its mechanism discussion[J]. Beijing Journal of Traditional Chinese Medicine, 2020,39(11):1157-1160. DOI: 10.16025/j.1674-1307.2020.11.010.
目的基于动物模型验证佛香散治疗糖尿病胃轻瘫的疗效并探讨可能的作用机制,为治疗糖尿病胃轻瘫提供思路。方法选择50只造模成功的糖尿病胃轻瘫SD大鼠随机分为模型组、西药组及中药高、中、低剂量组,每组10只,中药高、中、低剂量组分别按照浓度为27.5、13.75、6.875 g/(kg·d)佛香散药液灌胃,西药组灌服3.5 mg/(kg·d)多潘立酮溶液,正常组和模型组给予等体积生理盐水灌胃,共8周。比较各组血糖、胃动素、小肠推进率及胃组织病理结构差异。结果正常组血糖显著低于西药组、模型组和中药高、中、低剂量组(P<0.05)。与模型组相比,中药中剂量组和西药组小肠推进率升高(P<0.05);西药组和中药各剂量组胃动素水平明显升高,且中药中剂量组胃动素水平升高最为明显。光镜下观察可见,与模型组胃组织病理结构比较,中药中剂量组胃肌间神经丛神经元数量增多,环形肌和纵行肌增厚,细胞间隙增宽,胞浆无空泡形成,无毛细血管扩张。结论佛香散可促进糖尿病胃轻瘫大鼠胃排空,可能与其提高血清胃动素水平,改善血糖代谢紊乱,并减轻糖尿病胃轻瘫对胃窦的病理损伤,逆转链脲佐菌素致糖尿病大鼠胃组织层的细胞病理损伤有关。
Objective To verify the efficacy and mechanism of Foxiang Powder in the treatment of diabetic gastroparesis based on animal model, and to provide new ideas for the treatment of diabetic gastroparesis.Methods After successful modeling, 50 diabetic gastro paresis SD rats were randomly divided into model group, western medicine group, and high, medium and low dose Chinese medicine groups with 10 rats each.The high, medium and low dose Chinese medicine groups were given Foxiang Powder liquid by gavage with the concentration of 27.5, 13.75, 6.875 g/(kg·d) respectively, and the western medicine group was given domperidone solution with 3.5 mg/(kg·d), the normal group and the model group were given an equal volume of normal saline by gavage all for 8 weeks.The differences in blood glucose, motilin, small intestine propulsion rate and stomach tissue pathological structure were compared among the groups.Results The blood glucose of the normal group was significantly lower than that of the western medicine group, the model group and all the Chinese medicine groups(P<0.05); compared with the model group, the small intestine propulsion rate of the Chinese medicine medium dose group and the western medicine group were increased(P<0.05); the level of motilin in the western medicine group and the medium dose group of Chinese medicine were increased significantly, and the increase of the motilin level was the most in the medium-dose group.Compared with the pathological structure of stomach tissue in the model group, it was observed under a light microscope that the number of neurons in the mesenteric plexus was increased, the circular muscles and longitudinal muscles were thickened, intercellular distance was broadened, the cytoplasm did not form vacuoles, and there was no telangiectasia in the medium dose group.Conclusion The fact that Foxiang Powder could promote gastric emptying in diabetic gastroparesis rats may be related to the increasing of serum motilin levels, improving of blood glucose metabolism disorders, reducing of the pathological damage to the gastric antrum in DGP rats, and reversing of the cytopathology of gastric tissue layer induced by streptozotocin in diabetic rats.
佛香散糖尿病胃轻瘫胃动素大鼠
Foxiang Powderdiabetic gastroparesismotilinrat
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