中国中医科学院广安门医院急诊科,北京 100053
王颖辉,男,45岁,硕士,副主任医师。研究方向:中西医结合防治危重病。
刘畅,E-mail:changgamh@126.com
收稿:2024-08-20,
纸质出版:2025-12-25
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王颖辉,齐文升,季然,等.消胀贴神阙穴贴敷对脓毒症大鼠炎症反应、凝血功能及肠道黏膜损伤的影响[J].北京中医药,2025,44(12):1549-1552.
WANG Yinghui,QI Wensheng,JI Ran,et al.Effects of Xiaozhang Paste on Shenque on inflammatory reaction, coagulation function, and intestinal mucosal injury in septic rats[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(12):1549-1552.
王颖辉,齐文升,季然,等.消胀贴神阙穴贴敷对脓毒症大鼠炎症反应、凝血功能及肠道黏膜损伤的影响[J].北京中医药,2025,44(12):1549-1552. DOI: 10.16025/j.1674-1307.2025.12.008.
WANG Yinghui,QI Wensheng,JI Ran,et al.Effects of Xiaozhang Paste on Shenque on inflammatory reaction, coagulation function, and intestinal mucosal injury in septic rats[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(12):1549-1552. DOI: 10.16025/j.1674-1307.2025.12.008.
目的
2
观察消胀贴神阙穴贴敷对脓毒症大鼠炎症反应、凝血功能及肠道黏膜损伤的影响。
方法
2
将60只大鼠采用随机数字表法分为空白对照组、模型组、中药低剂量组、中药中剂量组和中药高剂量组,每组12只。除空白对照组外,其他各组制备脓毒症大鼠模型。所有大鼠腹部备皮,中药组分别予高、中、低剂量消胀贴贴敷神阙穴,模型组、空白对照组分别用淀粉调糊贴敷神阙穴,每24 h更换1次,连续贴敷72 h。对比各组大鼠一般情况,炎症介质肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)及白细胞介素6(IL-6)水平,活化部分凝血活酶时间(APTT),以及肠组织病理变化。
结果
2
中药组大鼠死亡率低于模型组,中药剂量越高,大鼠死亡率越低。与对照组比较,模型组TNF-α、IL-1β、IL-6水平高(
P
<
0.01),APTT长(
P
<
0.01),大鼠肠组织病理变化评分高(
P
<
0.01);与模型组比较,各中药组TNF-α、IL-1β、IL-6水平低(
P
<
0.01),APTT缩短(
P
<
0.05),大鼠肠组织病理变化评分低(
P
<
0.05)。
结论
2
消胀贴神阙穴贴敷可减轻脓毒症大鼠炎症反应,改善凝血功能,减轻肠道黏膜病理损伤。
Objective
2
To observe the effects of
Xiaozhang Paste
on
Shenque
on inflammatory response, coagulation function, and intestinal mucosal injury in septic rats.
Methods
2
Sixty rats were randomly divided into five groups (
n
=12 each) using a random number table, including blank control group, model group, low-dose
Xiaozhang Paste
group, medium-dose
Xiaozhang Paste
group, and high-dose
Xiaozhang Paste
group. Sepsis was induced in all groups except the blank control group. All rats were shaved on the abdomen, and
Xiaozhang Paste
was applied to the
Shenque
acupoint at low, medium, and high doses in the corresponding groups. The model and blank control groups received a starch paste applied to the
Shenque
acupoint. Paste was replaced every 24 hours for a total of 72 hours. General condition, serum levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), interleukin-6 (IL-6), activated partial thromboplastin time (APTT), and pathological changes in intestinal tissue were compared among groups.
Results
2
The mortality of rats in the
Xiaozhang Paste
groups was lower than that in the model group, with higher doses corresponding to lower mortality. Compared with the blank control group, the model group showed significantly higher TNF-α, IL-1β, IL-6 levels (
P
<
0.01), prolonged APTT
(
P
<
0.01), and higher intestinal pathological scores (
P
<
0.01). Compared with the model group, all
Xiaozhang Paste
groups had significantly lower TNF-α, IL-1β, IL-6 levels (
P
<
0.01), shorter APTT (
P
<
0.05), and lower intestinal pathological scores (
P
<
0.05).
Conclusion
2
Xiaozhang Paste
on
Shenque
can reduce inflammatory responses, improve coagulation function, and alleviate intestinal mucosal injury in septic rats.
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