中药对大鼠极限性肝叶切除早期残肝功损害的影响
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:探讨丹参和川芎嗪针剂对大鼠极限性肝叶切除后早期残肝损害的效应。
     方法:建立大鼠90%极限性肝叶切除模型,分别观察丹参和川芎嗪对大鼠手术后死亡率,残肝HE染色肝细胞中央静脉及汇管区的改变以及术后血生化的改变。
     结果:丹参和川芎嗪针剂均能不同程度的减轻早期残肝细胞肿胀及汇管区的炎性反应,但均不能改善实验动物的死亡率。
     结论:丹参和川芎嗪针剂可能通过改善残肝的微循环以减轻极限性肝叶切除后残肝的损害,但并不能促进残肝细胞的再生,从而延长动物的存活。
Objective: To observe the effects of the traditional Chinese medincine (labiatae and tetramethylpyrazine ) on the residual liver function and the survival time of the rats with excessive hepatectomy.
    Methods: After successfully setting up the model of 90% excessive hepatectomy in rats , the mortalities after the rat's operation, the pathologic changes of the residual liver central vein and portal area with the treatment of labiatae and tetramethylpyrazine and biochemical change of blood were observed.
    Results: The degrees of injury of the residual liver with the treatment of labiatae and tetramethylpyrazine were decreased , without decreasing the morality of the experiment animol.
    Conclusion: The injury of the early residual liver cell after the injection of labiatae and tetramethylpyrazine can be lightened. These medicines can not promote the residual liver cell's regeneration and prolong the survive time after excessive hepatectomy.
引文
1、Anna Mac E.Dieho and Rudra Rai Liver Regeneration .Schiff's Disease of the Liver.Eighth Edition. 1999,39-52
    2、于卓,毛一雷.肝切除术后过度炎症反应的临床现状和进展[J].国外医学动态与新进展,2004,2:124-125
    3、Yves Panis, MD, PhD, David M. McMullan, MD, and Jean C. Emond, MD Progressive necrosis after hepatectomy and the pathophysiology of liver failure after massive resection. Surgery 1997,2:142-149
    4、梅存金,叶放.虫草多糖脂质体联合丹参抗肝纤维化的疗效评价[J].中成药,2000,22(2):146-147.
    5、薛惠明.丹参抗CCL4及DMN诱导的大鼠肝纤维化的研究[J].中西医结合肝病杂志,1999,9(4):16-18.
    6、赵浩亮,武小勇.氧自由基在肝脏保存再灌注损伤中的作用及丹参的保护作用[J].中华实验外科杂志,2000,17(3):237-238.
    7、苗雄鹰,庄赞根.丹参对肝脏缺血再灌注后病理变化影响的实验研究[J].中国现代医学杂志,2000,10(3):9-12.
    8、赖凌燕.丹参对实验性酒精肝损伤保护作用的初步研究[J].广西医科大学学报,1999,16(4):480-481.
    9、张志伟,吴在德.丹参对大鼠缺血后残肝有效血流量的影响[J].中华实验外科杂志,1999,16(6):517-518.
    10、杨桂林,陆玮伦,郑荣琴.丹参对肝硬化门静脉高压血流动力学影响的临床研究[J].中华肝脏病杂志,2001,9(2):125.
    11、刘锦蓉,张文安,叶松柏.川芎嗪对小鼠脾淋巴细胞增殖反应的影响[J].华西医大学报,1995,26(2):177.
    12、赵忠保,冯经义,陈素青,等.丹参、川芎嗪和复方丹参对大鼠血液淋巴细胞免疫功能的影响[J].四川中医,1993,(11):13.
    13、李友元,何福清,彭孝立,等.川芎嗪对CCl4肝损伤的保护作用[J].湖南医科大学学报,1995,20(6):579.
    14、施瑞华,陈国兴,吕秀珍,等.自由基清除剂SOD和CAT在肝纤维化中的预防和 保护作用[J].中华消化杂志,1993,13(2):84~86.
    15、陈在忠,王红.川芎嗪抗肝纤维化作用的实验研究[J]中西医结合肝病杂志,1997,7(3):156
    16、刘健虎,严家春,马勇.慢性肝炎肝组织为血管病变与肝纤维化及肝硬化的关系[J].中华消化杂志,1998,18(5):74.
    17、常立功,岳屹立,周洪伟,等.川芎嗪活血化瘀与微血管血流动力学变化[J].中国医科大学学报,1992,21(2):117.
    18、高玉莲,于小东,吕晶,等.川芎嗪对老龄小鼠超氧化物岐化酶活性和过氧化脂质含量的影响[J].佳木斯医学院学报,1994,17(6):4.
    19、贾继东,王宝恩.细胞外间质与肝纤维化[J].基础医学与临床,1992,12(6):333.
    20、郭传勇,李定国,田字彬,等.丹参及川芎嗪对人成纤维细胞D N A和胶原合成的影响[J].上海第二医科大学学报,1996,16(3):217.
    21、严仪昭,陈祥银,吴康健,等.川芎嗪和764 3对成纤维细胞Ⅰ、Ⅲ型前的原m R N A表达的影响[J].中国医学科学院学报,1996,18(2):126~128.
    22、严仪昭,陈祥银,吴康健,等.川芎嗪和764 3对成纤维细胞Ⅰ、Ⅲ型前的原m R N A表达的影响[J].中国医学科学院学报,1996,18(2):126~128.
    23、Fan ST, et al Methods and related drawbacks in the estimation of surgical risks in cirrhotic patients undergoing hepatectomy Hepato-Gastroenterology 2002,49:17-20
    24、Gaub J, Iversen J Rat liver regeneration after 90% partial hepatectomy. Hepatology 1984,4:902-904
    25、Fukuch T, et al Effects of portal-systemic shunt following 90% partial hepatectomy in rats Journal of surgical research 2000,89:126-131
    26、Koyama S,et al The subcutaneous splenic transposition prevents liver injury induced by excessive portal pressure after massive hepatectomy Hepato-Gastroenteroly 2003,50:37-42
    27、Tsutsumi R,et al Selective suppression of initial cytokine response facilitates liver regeneration after extensive hepatectomy in rats Hepato-Gastroenteroly 2004,51:701-704
    28、毛一雷 于卓 卢欣等 极限肝切除后延长大鼠生存时间的研究 中华普通外科杂 志2004,19(5):301-303
    29、王万铁等 川芎嗪抗肝缺血-再灌注损伤作用机制的实验研究 中国中西医结合急救杂志2002,9(4):216-218
    30、VicP, Saint-AubertB,AstreC,etal.Complete liver regeneration in one-stage 90% hepatectomized rats treat-ed with testosterone.Hepatology, 1982;2: 247
    31、DemetriouAA,FelcherA,MoscioniAD,etal.Hepatocyte transplantation:Apotential treatment for liver disease.DigDisSci, 1991; 36: 1320
    32、KatoK,MatsudaM,KusanoM,etal.The immuno stimulant OK-432enhances liver regeneration after90% hepatectomy in rats.Hepatology,1994;19: 1241
    33、KimYI,KawanoK,Iwao Y, etal. Influence sofci-closporin pretherapy on 90% hepatectomized rats.EurSurgRes, 1992;24: 226
    34、张志伟 吴在德 丹参对大鼠肝缺血后残肝再生促进作用的初步观察 同济医科大学学报1995,24(4):272-274

© 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