自拟通便汤对小鼠肠道传输功能影响的实验研究
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摘要
目的:参考了大量的文献资料,并结合导师多年的临床经验,提出了润肠通便法来治疗便秘,通过应用自拟通便方组方,对正常小鼠进行实验研究,以探讨润肠通便法的科学性、安全性及实用性,并进一步验证和探讨自拟通便方对功能性便秘的治疗作用,为自拟通便方的临床应用提供依据,为临床治疗慢性功能性便秘提供方法。
     方法:选择正常小鼠为观察对象,给予灌胃自拟通便方,同时以便秘通口服液为阳性药对照和蒸馏水为空白对照,观察小鼠灌胃后首次排黑便时间、粪便总粒数、黑便粒数及小鼠肠道推进率,三组之间相比较,观察自拟通便方对小鼠排便功能的影响。
     结果:实验组与空白组相比较,小鼠首次排黑便时间明显缩短(p<0.01),粪便总粒数增加(p<0.01),黑便粒数也增加(p<0.05),阳性对照组与实验组比较,实验组小鼠首次排便时间缩短(p<0.05),黑便粒数也增加(p<0.05),粪便总粒数未见明显异常(p>0.05),说明自拟通便汤能增加肠蠕动,对正常小鼠有较强的促进排便作用。实验组与空白组相比较,小鼠肠道推进率明显升高(p<0.01),说明自拟通便汤能促进肠道蠕动,对正常小鼠肠道运动有明显促进作用,对照组与空白组相比较,小鼠肠道推进率升高(p<0.05),则说明便秘通口服液也能促进肠道蠕动,对正常小鼠肠道运动有促进作用,实验组与对照组比较,小鼠肠道推进率也升高(p<0.05),说明自拟通便汤对正常小鼠肠道运动的促进作用比便秘通口服液明显。
     结论:自拟通便汤临床应用多年,其疗效非常显著。我们为了验证和进一步肯定其通便作用,本文通过实验进一步观察了自拟通便汤对动物小鼠排便功能的影响,同时观察了其对正常小鼠肠道推进功能的影响。根据小鼠用药后排便的影响,来观察用药后小鼠的肠道传导功能。本研究应用自拟通便方来观察其对正常小鼠的排便作用,实验结论表明:该方能使小鼠的排便时间缩短,并且进一步能够增加小鼠的粪便总粒数和小鼠的排黑便粒数。说明自拟通便汤对正常小鼠能增加肠道蠕动,有较强的促进排便作用。其后,进行了自拟通便汤对正常小鼠肠道推进功能影响的研究,研究结果表明该方能促进肠道蠕动,对正常小鼠肠道运动有明显促进作用,同时,研究还表明自拟通便汤对正常小鼠肠道运动的促进作用比便秘通口服液明显。经过大量的实验及临床观察,可见肠道蠕动功能减退是导致功能性便秘发生的主要机制。因此,这更加能说明了自拟通便汤有良好的促进肠道蠕动及促进排便的作用。
     大量的临床实践及动物实验研究表明,自拟通便汤治疗功能性便秘疗效确切。通过本课题的研究,观察和验证自拟通便汤有增强小鼠肠蠕动功能,促进小鼠排便的作用,为进一步研究“润肠通便法”治疗功能性便秘的疗效及验证其安全性及有效性奠定了基础。
Purpose: Combination of literature research and teacher experience in the clinical treatment of constipation, laxative as the main rule to law, the use of self laxative side group side, the experimental study of normal mice to investigate the laxative and the Self-pass method Have side effects of treatment of functional constipation, the party for the treatment of chronic functional constipation to provide a scientific basis.
     Method: Select normal mice to observe the object, given orally self laxative side, both through oral constipation as positive control and distilled water as control, was observed in mice fed the first row of melena after time, fecal total grains, Melena grains and intestinal propulsion rate, compared among the three groups were observed on mice self defecation purge function.
     Result: The experimental group compared with the control group, the first row of black mice was significantly shorter then (p <0.01), total grain number increased fecal (p <0.01), black grains will also increase (p <0.05), positive control group and the experimental group, the experimental group were shortened first defecation (p <0.05), black grains have also increased (p <0.05), total grain number feces showed no abnormal (p> 0.05), that self-pass Tom will be able to increase the peristalsis, normal mice have a stronger role in promoting bowel movement. The experimental group compared with the control group, significantly higher rates of intestinal advance (p <0.01), that self purge soup can promote intestinal peristalsis, the normal mice significantly promoted intestinal movement, the control group and compared with the control group, forward rate increased intestinal (p <0.05), is illustrated through oral constipation can also promote intestinal peristalsis, the normal mice can promote bowel movement, the experimental group and control group, Intestinal propulsion rate also increased (p <0.05), that intends to purge from normal mice Tang role in promoting bowel movements Constipation oral than obvious.
     Conclusion: Clinical application of self purge soup for years, its effect is significant. In order to affirm its laxative effect, we further observed in animals from mice to be laxative soup bowel function and promote intestinal function. In this study, attending functions and under the observation of its effect on normal defecation in mice, experimental results show that normal mice can only shorten it time to first black to increase the total grain number and melena stool grains. Self purge soup that normal mice can increase the intestinal peristalsis, there is a strong role in promoting bowel movement. Since then, Tom was self purge promote normal function of intestinal research, the findings show that can only promote intestinal peristalsis, the normal intestinal movement in mice significantly promoted the same time, research also shows that from normal mice to be laxative soup promote bowel movement than Constipation oral obvious. The small intestine dysfunction, slow, slow intestinal motility of chronic functional constipation is the main pathological mechanism. This shows good self purge Tang Youliang the role of promoting bowel movement.
     Large number of clinical practice and animal studies have shown that self treating functional constipation laxative is effective. Through this project the research, observation and verification of self Mice catharsis soup enhanced bowel function and promote the role of defecation in mice for further study of "law laxative" effect of the treatment of functional constipation and validation of their safety and effectiveness of the foundation.
引文
[1] Le-Marehand.Constipation and colon cancer[J].Epidemiology, 1998, 11(9): 371-372
    [2] James Who~on.Civilisation and the colon:constipation as the“disease of diseases”[J],BMJ,2000,32(1):1586-1589
    [3]王强,王元和.肛肠外科学理论与变践[M].北京:人民军医出版社,2001.203-204
    [4]熊理守,陈曼湖,陈惠新,等.广东省社区人群慢性便秘的流行病学研究[J].中华消化杂志,2004,24(8):488-491
    [5]刘世信,赵丽中,段淑珍,等.天津市区人群便秘患病率流行病学研究[J],中网实用外科学杂志,1994,14(9):533-535
    [6]梁宏宇,李慧,刘晓俊,等.补巾益气汤治疗气虚型功能性便秘的临床研究[J].中华实用中西医杂志,2005,18(6):845-846
    [7]陆维娜,曹晓岚.陆永昌治疗老年便秘的经验[J].北京中医杂志,1994,24(2):46
    [8]于金源.孙长岗.尹国富.从肝论治慢性功能性便秘[J].山东中医杂志,2002,21(2):85-86
    [9]乇彦辉.湿秘诊治探要[J].江苏中医,2000.21(7):4-5
    [10]胡小勤,陈利国.谈便秘与血瘀的关系[J].贵阳中医学院学报,2004,26(1):34-35
    [11]包广勤,黄礼,辨证分型治疗老年性便秘173例[J].黑龙江中医药,2000,36(5):22
    [12]王天龙.浅论便秘施治[J].陕西中医,1999,20(4):172
    [13]潘希雄,邱明史,沈雪梅,等首乌润肠口服液治疗老年性便秘临床和实验研究[J]山东中医杂志,1997.16(6):248
    [14]王道华,李广勋.种农口服液治疗功能性便秘的临床观察[J]河南医科大学学报.1996.31(3):103
    [15]李敏,梁进权,钟艳萍通便通腔囊治疗便秘1O0例临床观察[J]中药新药与临床药理.1996,7(3):13
    [16]姜春英,王立柱,祝颂.等灵菇合剂治疗功能性便秘的临床研究[J]山东中医杂志,1992.33(8)l:36
    [17]张思佳.常越萍.王宁,等参椹丸治疗老年性便秘的临床观察[J].中医杂志,1992,33(8):36
    [18]张学亮,王花玲.化痰通腑、舒肝利气法治疗便秘[J].现代中西医结合杂志,2006,15(17):2390
    [19]陈文锋.益气养阴法治疗老年习惯性便秘47例[J].新中医,2006,38(12):69-70
    [20]原晓风,王春红.行气润肠清热法治疗小儿大便秘结54例[J].中国社区医师,2005,7(5):46-47
    [21]刘学兰,李莉.乌蓉汤治疗功能性便秘的临床观察[J].四川中医,2004,22(12):41-42
    [22]黄国栋,黄媛华,黄遭富,等.美珍颗粒剂治疗直肠前突的临床研究[J]中国肛肠病杂志,2004,24(1):9-10
    [23]李智勇.李春雨,田振国,等.养荣润肠舒台剂治疗慢性功能性便秘的疗效观察[J].中国肛肠病杂志,200525(1):36-37
    [24]林海清,宋钦兰,郑启德。等.灵菇合剂治疗功能性便秘的实验研究[J].中国肛肠病杂志,2005,25(1):38-39
    [25]魏龙骧.医寨四则[J].新中医.1978,12(4):9
    [26]刘重.便秘三十四例疗效观察[J].福建中医药。1981。26(1):36
    [27]李红.不同剂量车前于对老年人功能性便秘的治疗作用[J].中国中医药信息杂志,2001,8(11):20
    [28]陈泽霖.名医特色经验精华[M].上海:上海中医学院出版社.1987.31-32
    [29]李树标.草决明治疗习惯性便秘86例[J].浙江中西医结合杂志,2004,14(3):174
    [30]魏绪华.单用炒莱菔子治疗氯氮平致便秘68例[J].四川中医,2002,20(8):41
    [31]董俊峰.蔓荆子治疗习惯性便秘[J].中医杂志,2000,41(12):713
    [32]丁克,尹淑慧.窦学俊.便秘诊治之我见[J].山东中医杂志,2002,21(2);67-69
    [33]唐学贵.加昧枳术免煎剂治疗老年性便秘9O例[J].中医研究,2005,18(2):20-21
    [34]张维.深刺天枢穴治疗结肠慢转运型便秘l5例疗效观察[J].新中医,2004.36(12):36
    [35]祝兆刚,李洪波.陈丽,等.针灸治疗习惯性便秘[J].针灸临床杂志,2002,18(2):23
    [36]刘焕芬.深刺长强穴治疗习惯性便秘150例[J].中国针灸,1994,(1):231
    [37]刘国光.李学贤.柴少详.针刺治疗习惯性便秘104例[J].中国针灸,1994,(1):33
    [38]沈海明.针刺治疗习惯性便秘85例[J].四川中医,2002,20(8):76
    [39]杨骏.针刺三阴交治疗习惯性便秘[J].中国针灸,1996,(8):59
    [40]姜旭强.李晓清.温针灸治疗老年习惯性便秘体会[J].新疆中医药,2001,19(4):38
    [41]刘克奇,许莺燕.穴位贴敷治疗习惯性便秘48例[J].中医外治杂志,1997,(3):47
    [42]崔秀婷.卢燕许.吴宝琴.腹部贴穴治疗习惯性便秘56例[J].中医外治杂志,2000.9(4):54
    [43]张敏尚.针灸推拿治疗老年人便秘32例[J].中国针灸,2004,24(11):795
    [44]张波,段云庆,施南昆,等.中药保留灌肠加灸治疗便秘型肠易激综合征疗效观察[J].云南中医学院学报,2006,29(4):24-25
    [45]李萍,朱银萍,杨楼,等.高位灌肠法对结肠慢传输性便秘疗效影响[J].中国社区医学,2001,7(4):84
    [46]陈美琴,肖维艳.食疗加脐部按摩治疗习惯性便秘[J].护理学报,2006,13(8):43
    [47]关键便秘的研究现状[J].中国肛肠病杂志1996,16(5):24-35
    [48]吴云益药治疗老年性便秘[J].中国肛肠病杂志1999,19(1):25-27
    [49]张百舜,鲁学书,张润珍,李玲慧.肉苁蓉的通便作用[J].中药材1992,15(7):33-35.
    [50]刘世信.便秘诊断治疗新进展[J].中国肛肠病杂志1995,(l):45-46.
    [51]王梨、蔡永敏、张国泰、任玉让.中药药理与临床应用[J].华夏出版社1999,258-259

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