通络助孕方对炎性不孕大鼠输卵管作用的实验研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的:探索制作慢性炎症所致不孕大鼠模型,探讨中药通络助孕方对慢性炎性不孕大鼠输卵管病理形态学、细胞因子IL-2、IL-6和受孕率的影响及其疗效机理。
     方法:用“混合菌接种法”制作大鼠慢性输卵管炎性不孕动物模型,以不同剂量的通络助孕方和对照药妇炎康对模型大鼠治疗后,观察光镜和电镜下输卵管病理形态学改变情况,用ELISA法检测血清和输卵管组织中IL-2、IL-6含量,并观察大鼠受孕情况。
     结果:模型大鼠输卵管组织呈慢性炎症表现,并且导致不孕发生。通络助孕方和对照药能不同程度恢复模型大鼠输卵管病理形态学改变,降低血清和局部输卵管组织中IL-2、IL-6水平,提高受孕率。
     结论:“混合菌接种法”可以成功制作大鼠炎性不孕症模型;炎性不孕不一定完全由输卵管阻塞引起,细胞因子IL-2、IL-6的失衡与慢性炎性不孕症的发生发展有关;通络助孕方能改善炎性不孕大鼠输卵管结构和功能,对血清及输卵管组织中IL-2、IL-6含量有调节作用,从而对大鼠炎性不孕具有很好的治疗作用。
Purpose: To explore and make big rats modeI of sterility
    caused by chronic salpingitis, observe the effect of
    Tongluozhuyunfang (TLF in brief ) on the patho1ogy and
    morphallaxis of oviduct, interleukin IL-2 \ IL-6 in serum and
    oviduct, and trace the rats pregnant rate for exploring its curative
    mechani sm.
    Methods: Mixed bacterium was used for making salpingitis
    caused sterility rats model, treated by different doses of TLF
    contrasted with Fuyankang (FYK ), the pathology and morpha1laxis
    of oviduct with Light and Transmission electron microscope was
    observed, the content of IL-2. IL-6 in serum and oviduct was
    checked by ELISA method, pregnant results also was traced.
    Results: The fallopian tube of model rats was fOund with chronic
    salpingitis, and result in sterility. TLF and FYK can resume the
    pathology and morphallaxis of oviduct in varying degrees, reduce
    IL-2. IL-6 both in serum and oviduct, and so raise the pregnant
    rate.
    Conclusion: Big rats model of sterility caused by chronic
    salpingitis using mixed bacterium can be successfully made; the
    sterility is not caused by tubal obstruct completely, unbalance of
    IL-2. IL-6 has relationship with this kind of sterility; TLF can
    improve the tube structure and function, accommodate IL-2. IL-6
    both in serum and oviduct, and so has better therapy on the
    sterility.
引文
1.史宇广,单书健主编.当代名医临证精华.中医古籍出版社出版,1992年第1版:159
    2. Araujo DM, Cotman CW. Trophic effects of interleukin-4,-7and -8 on hippocampal neuronal cultures: potential involvement of glial-derived factors. Brain Reseach, 1993,600(1):49
    3. Haugen PK, Letournean PC. Interleukin-2 enhances chick and rat sympathetic, but not sensory,neurite outgrowth. J Neurosci Res, 1990,25(4):443
    4. Merrill JE. Interleukin-2 effects in the central nervous system. Ann N Y Acad Sci 1990, 594(1):188
    5. Bindoni M, Perciavalle V, Beuta F, et al. Interleukin-2 modifies the bioelectric activeity of some neurosecretory nuclei in the rat hypothalamus. Brain Research 1988,462(1):10
    6.林勇,刘庆莹,朱长庚,等.白细胞介素-2对大鼠海马脑电图和胶质细胞的影响免疫组织化学和显微图像分析等方法的研究.解剖学报.1998(1):14-15
    7. WHO. The epidemiology of infertility. Technical report series No582,Report of a WHO scientific group, Geneva: 1990.5
    8. Guttnacher AF. Factors affecting normal expectancy in conception.JAMA, 1956,161:855
    9. Whitelaw MJ. Statistical evaluation of female fertility. Fertil Steril,1966, 4:429
    10.马宝璋主编.中医妇科学.上海科学技术出版社.普通高等教育中医药类规划教材.第1版.1997年6月:206
    11.乐杰主编.妇产科学.高等医药院校教材.第四版.人民卫生出版社.1996年:371
    12. Khanna J et al. Challenges in reproductive health research. World Health Organisation. Biennial Report1992-1993. Geneva: WHO. 1994: 161
    
    
    13. The American Fertility Society. Classifications of adnexal adhesions, distal tubal occlusicion, tubal occlusion secondary to tubal ligation, tubal pregnancies, multerian anomalies and intrauterine adhesions. Fertil Steril,1998; 49:6
    14.罗丽兰主编.不孕与不育.人民卫生出版社.第1版.1999,11:393
    15.周建政,杨燕生,邢玉莲.输卵管性因素不孕症的腹腔镜分析.山西医药杂志.2000,29(2):109-111
    16.张帝开,杨冬梓,余妙真,等.211 例输卵管性不孕症临床与病理分析.中国实用妇科与产科杂志.2000,16(7):429-430
    17. Darcy MD, McClennan BL, Picus D, et al: Transcervical salpingoplasty:current techniques and results. Urol Radiol 1991,13(1):74
    18.庄广伦.辅助生育技术的新进展.中华妇产科杂志.2001,36(4):252-254
    19. Hoxmann GE, Scott RT, Rosenwaks Z. Comman technical errors in hysterosalpingography. Int J Fertil, 1997,6(4):379
    20. Flood JT, Grow DR: Transcervical tubal cannulation a review. Obstet Gynecol Surv 1993, 48 (11): 768
    21. Mencaglia L: Endoscopic surgery and diagnosis in infertility management and assisted reproductive techniques.Gynecological Endoscopy. 2000, 9(1):9
    22.刘静君.通任种子汤为主治疗输卵管阻塞60例临床观察.长春中医学院学报.1999,15(3):31
    23.王志荣.以活血化瘀中药毛冬青为主组方治疗输卵管阻塞143例临床观察.广西中医药.1997,19(2):282
    24.李祥云,胡晓梅,李路.峻竣煎治疗输卵管炎变阻塞性不孕104例疗效观察.中国中医药科技.1998.03.20;5(2):112-113
    25.章勤.中西医结合治疗输卵管炎性不孕50例.新中医.1999.01.05;31(1):42-43
    26.凌春波.中西医结合治疗输卵管阻塞性不孕症42例.黑龙江中医药.1996(2):16
    
    
    27.李翠萍,盆炎栓加通水治疗输卵管阻塞性不孕症52例.新中医.1999,31(5):47
    28.高慧.中药保留灌肠配合理疗治疗输卵管阻塞性不孕症临床观察.中国中西医结合杂志.2000.02.20;20(2):148-149
    29.汪平,韦小燕,姜羡华,等.经导管灌注中药治疗输卵管阻塞15例.中国中西医结合杂志.1997.11.20;17(11):659
    30.谢爱春,邱尾金.中药外熨法加通液术治疗慢性输卵管炎不孕68例.中医外治杂志.1999,8(1):5
    31.杨丹,雷贞武.输卵管性不孕的病因.实用妇产科杂志,1996,12(6):32
    32.程木华,张子康,莫娥清,等.直接法核素子宫输卵管显像诊断不孕症.中华核医学杂志.1999,19(3):145
    33.李敏清,黄婉,黄燕清.67例不孕症患者宫颈与输卵管、盆腔液支原体、衣原体和细菌感染检测.广东医学.2001,22(4):318-319
    34.郎景和,吴葆祯.要重视不孕症的诊断和治疗.中华妇产科杂志,1989,24:194
    35.韩丽萍,李一冬,刘芳.子宫输卵管造影致肺栓塞40例临床分析.实用妇产科杂志.2001,17(4):240-241
    36.Shalev J.不育症检查中改良子宫输卵管造影术.Fertil Steril.2000,74:372-375
    37.鄂有国,黄裕宏,浦正杰,等.自制导向管经宫颈对输卵管梗阻行再通术治疗不孕症疗效观察.实用放射学杂志.1999,15(2):103-104
    38. Millward SF,Claman P, Leaoler A.Technical report:fallopian tube recanalization—a Simplified technique.Clin Radiol,1994,49(7):496
    39.赵斌,连云,胡安常,等.选择性输卵管造影与导管扩通术治疗输卵管阻塞100例体会.中华放射学杂志.1995,28:711
    40.黄冬梅,杨海林.输卵管再通术与导管留置治疗输卵管阻塞的初步研究.实用放射学杂志.1998,14(11):671-672
    41.谢洪哲,张秀俊.输卵管通液术、通液测压术用于检查输卵管通畅度的评价.新医学.1996;27(1):20
    
    
    42. Gurgan T,Kisnisci HA,Yarali H,et al.Radionuclide hystersalpingography. A simple and potentially useful method of evaluating tube pathenecy. J Rep Med,1991,36:789-792
    43.唐安戊,伍永康,梁小林,等.间接法放射性核素输卵管显像在不孕症诊断中的应用.中华核医学杂志.1994,14:81-82
    44. Ozggur K, Erkilic M, Yildiz A, et al. Radionuclide hysterosalpingography with radiolabled spermatozoa. Fertil Steril,1997,667:751-753
    45.葛晓春.腹腔镜在不孕症盆腔疾病诊疗中的应用.生殖与避孕.1994,14(1):65-69
    46.王登玲.诊断性腹腔镜在女性不孕症中的应用(附80例临床分析).实用妇产科杂志.2001,17(5):275
    47.周建萍,汤巧玲.电视腹腔镜在诊治输卵管性不孕症中的应用.湖南医学.1999,16(3):24-25
    48.林晓华,陈怡,胡爱月.宫腔镜在不孕症中的应用.中国计划生育学杂志.1999,(8):365-367
    49.陆海音,宋向菁,刘德英,等.宫腔镜与HSG诊治输卵管梗阻性不孕105例的比较.生殖与避孕.1999,19(4):245-247
    50.刘培淑,胡国力,许燕雪,等.显微宫腔镜在输卵管性不育中的临床应用研究.生殖与避孕.1998,16(4):309
    51.李素春,林婵珠,冯缵冲,等.宫腔镜下输卵管插管造影和疏通术.中华妇产科杂志.1993,28(7):411
    52. Kerin JF,Daykhovsky L, Segalowitz J, et al: Falloposcopy: A microendoscopic technique for visual exploration of the human fallopian tube from the uterotubal ostium to the fimbria using transvaginal approach. Fertil Steril 1990, 54 (3) :390
    53. Kerin JF, Surrey ES, Daykhovaky L, et al: Development and application of a falloposcope for transvaginal endoscopy of the fallopian tube. J Laparoendosc Surg 1991,1 (1):74
    
    
    54. Peters AJ, Coulam CB: Hysterosalpingography with color Doppler ultrasonography. Am J Obstet Gynecol 1991, 164 (6): 1530
    55. Allahbadia GN: Colour coded duplex sonography for the assessment of fallopian tube patency. Ann Acad Med Singapore1994, 23 (1): 98
    56.施瑾.腹部B超监导下宫腔镜输卵管插管通液术治疗输卵管性不孕症——102例临床分析.生殖与避孕.2000,20,(6):371-372
    57. Saridogan E, Bolaji Ⅱ, Boto T & Djahanbakhch O: Experience with combined use of laparoscopy and hysteroscopy for the investigation of infertility.Gynecological Endoscopy.1997,6:119
    58.张玲.阴道超声在诊断输卵管通畅性中的作用(附586例分析).中国医学理论与实践.2001,(1):73
    59.黄春,张宏,易壮志.从远期效果看超声晶氧学造影术诊断与治疗输卵管阻塞的价值.第一军医大学学报.1999,19(4):388
    60. Sohn C, Wallwiener D, Kaufmann M, et al: Diagnosis of tubal function using intraluminal ultrasound-initial results. Geburtshilfe Frauenheilkd 1992, 52 (11):663
    61.唐蓉,苏应宽.超声诊断输卵管通畅性.国外医学妇产科学分册.1998,25(3):157-161
    62.匡继林.中西医结合治疗输卵管性不孕症40例.湖南中医杂志.2000.01.12;16(1):34
    63.熊初利,曾日古,熊初英.疏肝活血法治疗炎症性输卵管阻塞性不孕症疗效观察.湖南中医学院学报.1997.06,25;17(2):27-28
    64.袁悦明.宫腔灌注配合痛经宝治疗输卵管阻塞 41 例.山东中医杂志.1997.03.15;16(3):115
    65.朱网珍.慢性输卵管炎所致不孕症的综合治疗.现代中西医结合杂志.2000.08.12;9(15):1438-1439
    66.王俊华,柴喜荣,王秋凤.中西医结合治疗输卵管阻塞性不孕396例疗效观察.中原医刊.2001.28(6):58
    67. Tuffrey M, etc. The effect of a single oral dose of azithromycin on chlamydial infertility and oviduct ultrastructure in mice.J Antimicrob Chemother 1994 Dec;34 (6)0:989-99
    
    
    68. Pearlman MD, etc.Antiendotoxin antibody is protective against tubal damage in an Escherichia coli rabbit salpingitis model.Am J Obstet Gynecol 1994 Dec;171(6):1588-93
    69. Patton DL, etc. Demonstration of delayed hypersensitivity in Chlamydia trachomatis salpingitis in monkeys: a pathogenic mechanism of tubal damage.J Infect Dis 1994 Mar;169(3):680-3
    70.陈镆铘,等.苯酚胶浆剂注入输卵管绝育的病理过程及其成败原因的探讨.中华妇产科杂志,1979,14(2):84
    71.陈学忠,等.活血化瘀方防治子宫内膜粘连的实验研究.中西医结合杂志,1986,6(12):740
    72.李玲,等.通管汤对家兔输卵管炎的抗炎作用.中西医结合杂志,1987,7(5):293
    73.李祥云,胡晓梅,李路,等.“峻竣煎”对输卵管炎变阻塞动物模型影响的实验研究.上海中医药杂志,1997(10):41-43
    74.马宝璋,王树林,方凤奇,等.炎克宁冲剂对大鼠慢性盆腔炎局部免疫功能的调节作用.中国中医药科技.2000,7(1):24-25
    75.吴高媛,等.CO_2激光加中药对大鼠子宫内膜炎的实验观察.上海中医药杂志,1992,(1):47
    76.施新猷主编.现代医学实验动物学.第一版.人民军医出版社,2000.9:86-88
    77.徐世杰,吕爱平,张春英,等.切除卵巢所致肾虚对Ⅱ型胶原诱导的关节炎小鼠IL-2和IL-6含量的影响.解剖学报.2001,2:33-34
    78.王本祥主编.现代中药药理学.天津科学技术出版社.1999年6月第1版:128
    79.吴梧桐.当归及其成分阿魏酸对小鼠脾淋巴细胞的作用.中国药科大学学报.1989;20(4):219
    80.山田阳城.生药中的生物活性多糖(5).国外医学中医中药分册.1991,13(2):6
    81.梁君山.白芍总甙对大鼠佐剂关节炎及其免疫功能的影响.中国药理学通报.1990,4(4):258
    
    
    82.王本祥主编.现代中药药理学.天津科学技术出版社.1999年6月第1版:1313-1319
    83.侯士良主编.中药八百种详解.河南科学技术出版社.1999年4月第1版:244-245
    84.张宝恒.乌拉尔甘草的抗炎作用.中草药.1991,22(10):542
    85.吕国安,姚冬青,马凤贤.甘草在不孕症中的作用探讨.ACMP.Oct.,2002,Vol.29,NO.5:34
    86.林其德.生殖免疫学进展.中华妇产科杂志.1998,33:4-6
    87. Naz RK. Role of cell-mediated immunity in infertility. In: Naz RK, ed. Immunology of reproduction.Florida: CRC, 1993.61-80
    88.袁育红,胡品津.细胞因子与炎症性肠病.中国胃肠外科杂志1999年第2卷第4期 No.4Vol.2 1999
    89. Mcalindon ME, Mahida YR. Pro-inflammatory cytokines in inflammatory bowel disease. Aliment Pharmacol Ther 1996; 10:72-74
    90.李东至,黄婉.趋化因子与女性生殖活动.国外医学妇幼保健分册,2001,12(1):7-10
    91.胡晶晶,李宏帆,程小款,等.白细胞介素2受体α亚基参与Jurkat细胞凋亡的调节.基础医学与临床.2001,21(4):333-335
    92. Robb RJ. Interleukin 2: the molecule and its function. Immunol Today, 1984,5:203-206
    93.曹雪涛.白细胞介素2的基础与临床.北京:科学技术出版社,1990
    94.李红云,姚咏明,施志国.金葡菌脓毒症中信号转导系统研究进展.国外医学·生理、病理科学与临床分册,2001,21(2):83-86
    95.胡珊,史常旭.子宫内膜异位症不孕患者腹腔液IL-2活性及外周血T细胞亚群变化.第三军医大学学报。1999,21(10):14-16
    96.黄邱朝,黄宇烽,庄恭南,等.子宫内膜异位症的免疫学研究.中国实验免疫学杂志.1993,5:23
    97. Bruce A L, Arthur J C, Stephen J C, et al. Intergins as markers of uterine receptivity in women with primary unexplained infertility.Fertl Steril,1995,63(3):535
    
    
    98.常乐,王为服,邵公权.子宫内膜异位症致不孕的机理探讨-血清中肿瘤坏死因子、白细胞介素-2、抗心磷脂抗体的检测.生殖与避孕,1996,16(4):268-271
    99.刘春兰,许怀英,刘颖,等.正常妊娠妇女外周血可溶性白细胞介素-2受体及淋巴细胞亚群的变化.中华妇产科杂志.1994,29(9):518
    100. Hill J A,Cohen J, Anderson D J. The effects of lymphokines and monolines of human sperm fertilizing ability in the zonafree hasmter egg penetration test. Am J Obstet Gynecol, 1989,160(8):1154
    101. Tezabwala BU, Johnson PM, Rees PC. Inhibition of pregnancy ability in mice following IL-2 administration.Immunology, 1989, 67:115-119
    102. HaradaT, Yoshioka H, Yoshida S, et al. Incrased interleukin-6 levels in peritoneal fluid of infertile patients with active endometriosis. Am J Obstet Oynecol, 1997,176:593-597
    103. Rier SE, Zarmakoupis PN, Hu X, et al. Dysregulation of interleukin-6 responses in ectopic endometrial stromal cells: correlation with decreased soluble receptor levels in peritoneal fluid of women with endometriosis. J Clin Endocrinol Metab, 1995,80:1431-1437.
    104. Schols AM, Buurman WA, Staal-van den Brekel AJ, et al. Evidence for a relation between metabolic derangements and increased levels of inflammatory mediators in a subgroup of patients with chronic obstructive pulmonary disease.Thorax,1996, 51:819-824.
    105. Ulich TR,Yin S,Guo K, et al. Intratracheal injection of endotoxin and cytokine: interleukin-6 and transforming growth factor beta inhibit acute in0flammation. Am J Pathol,1991, 138:1097-1101
    106.李斌,金福明,杨来春,等.子宫内膜异位症患者血清与腹腔液中肿瘤坏死因子α及白细胞介素6的测定.中华妇产科杂志.2000,35(3):18-20
    107.李海燕.沙眼衣原体感染引起输卵管性不孕的机理.国外医学计划生育分册.2000,19(4):226-228
    
    
    108. Heremans H, van Damme J, Dillen C, et al. Interferon gamma, a mediator of lethal lipopolysaccharide-induced shwartzman-like shock reactions in mice. J Exp Med, 1990, 171: 1853-1869
    109. Aderka D, Le JM, Vilcek J. IL-6 inhibits lipopolysaccharide-induced tumor necrosis factor production in cultured human monocytes, U937 cells, and in mice. J Immunol, 1989,143: 3517-3523.
    110. Kria L, Ohira A, Amenmiya T. Immunohistochemical localization of basic fibroblast growth factor, platelet-derived growth factor,transforming growth factor-β and tumor necrosis factor-α in the pterygium [ J] . Acta Histochem,1996,98:195-201
    111. 李海燕,梁占光.沙眼衣原体感染输卵管性不孕患者输卵管液中肿瘤坏死因子α和白细胞介素6的测定.中华妇产科杂志.2000,35(7) :16-18

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700