益精方治疗腺嘌呤法不育症大鼠少、弱精症的实验研究
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:探讨“益精方”治疗腺嘌呤法不育症大鼠少、弱精症的药效学。
     方法:本实验采用SPF级Wister成年雄性大鼠60只,将大鼠按体重分区再随机分为5组,即正常对照组(12只)、模型组(12只)、低剂量治疗组(12只)、中剂量治疗组(12只),高剂量治疗组(12只)。除对照组外,其余各组均以腺嘌呤按50mg/100g/d剂量灌胃,连续灌胃10天,雄性大鼠不育症模型复制成功。模型制作结束后高、中、低剂量各治疗组分别以“益精方”不同剂量灌胃治疗,灌胃剂量分别为高剂量治疗组3.4g/100g/d、中剂量治疗组1.7g/100g/d、低剂量治疗组0.85g/100g/d。正常对照组和模型对照组每日均以生理盐水灌胃,灌胃容量为1ml/100g(体重),连续灌胃48天。实验过程中观察大鼠一般状态(如毛色、活动、体态等),测日饮水量及进食量。实验结束后将大鼠全部处死,股动脉取血、分离血清、摘取睾丸、性腺及附属性腺称重,提取附睾精液。测量各组大鼠的血清性腺激素(T)及黄体生成素(LH)水平、附睾精子密度和活力,以及睾丸组织学观察。
     结果:
     1.与空白对照组比较,模型组精液密度、精子活率和活力及睾酮水平显著下降。
     2.与模型组相比,各剂量治疗组精液密度、精子活率和活力及睾酮水平显著明显增加,而各治疗组之间无明显性差别。
     3.腺嘌呤法不育症大鼠经“益精方”治疗后,使受损的睾丸及附属性腺得到一定程度的恢复。
     结论:
     1.“益精方”通过调节睾酮(T)分泌,增加睾丸及附属性腺质量,使生精环境得到改善。能够增加精液密度并提高精子的活率及活力,对少弱精症的治疗有很好的疗效。
     2.“益精方”不同剂量对腺嘌呤法不育症大鼠少弱精症的改善无明显的量效关系,其中低剂量治疗组疗效较为理想。
     3.“益精方”治疗腺嘌呤法不育症大鼠少弱精症的机理及作用靶点有待进一步研究。
Objective To study the curative effects of Chinese herb yijingfang on oligospermia and asthenospermia of infertility rats leaded by adenine and analyze corresponding relationship of the dose and the curative effect.
     Methods Sixty SPF Wistar mature male rats were divided into five groups by their weights: the normal control group(twelve),the model control group(twelve),the treatment group by lower dose(twelve),the treatment group by middle dose(twelve),the treatment group by higher dose (twelve).Except for the normal control group, all the other four groups were perfused with adenine(50mg/100g/d)once a day for ten days, so we established male infertility models of rats. Then the treatment group by higher ,middle and lower dose were perfused with yijingfang once a day for fourty-eight days, the higher dose is 3.4g/100g/d, the middle dose is 1.7g/100g/d,the lower dose is 0.85g/100g/d. The normal control group and the model control group perfused with 0.9% NaCl solution of equivalent volume once a day for fourty-eight days. The Gavage capacity IS 1 ml/100g (weight).
     Both of the volume is 2ml/100g(weight). In the course of experiment, observe the normal conditions of the rats(such as the colour of the fur ,the activity ,the posture and so on) ,measure the volume of water and food the rats had everday. Then all the rats were killed, serum were separated from blood of femoral artery, testis, gonad, and subsidiary gonad were weighted, semen were imbibed from epididymis, Pathological histological examination was performed on the testis. Then we measure the level of gonadal hormone and luteinizing hormone in plasma and the semen density and active ability of epididymis, observe the histological change of testis before and after treatment.
     Results
     ①Compared to the normal control group, the model control group had significantly lower spermatozoal density, vitality , active rate and the level of testosterone.
     ②Compared to model control group, the higher ,middle and lower dose groups had significantly higher spermatozoal density, vitality, active rate, showed the obvious differences ,but there are no obvious differences among the three treatment groups.
     ③With the treatment of Yijingfang ,the damaged testis and the subsidiary gonad got some extent recovery.
     Conclusion"Yijingfang", by regulating testosterone (T) secretion and increase the quality of testicular and subsidiary gonads,improve the spermatogenic environment. It can increase the density of sperm and increase the rate of live sperm and vitality,have a good effect on the treatment of the oligospermia and asthenospermia .
     2.There is no obvious dose-effect relationship between different doses of”Yijingfang”and the improvement of infertility rats leaded by adenine.The lower dose treatment group has more desirable effect.
     3. the mechanism and action target of Yijingfang treatment in oligospermia and asthenospermia of infertility rats leaded by adenine is still needed for further research.
引文
[1]孔令青.补肾法治疗肾虚型男性不育症的机理研究概况[J].中国中西医结合外科杂志2000;6(3)197-198
    [2]杨建华.《男性不育症的诊断学》.第一版.上海.2002:53-59
    [3]贾金铭,王家辉,李森恺.Adenine制作雄性Wistar大鼠不育症动物模型最佳时相的小样本研究[J].中国中医药学刊.2006;24(2):197-198
    [4]李森恺,王家辉,贾金铭.腺嘌呤制作雄性Wistar大鼠不育症动物模型最佳时相的小样本研究[J].中国中医药学刊.2006;24(4):591-593
    [5]沈皓,蔡德培,陈伯英.补肾中药对下丘脑-垂体促性腺机能的影响[J].中西医结合学报2004;2(1):53-57.
    [6]宋春风等.补肾中药对肾阳虚大鼠垂体-肾上腺超微结构的影响[J].中医药研究2001;17(4):41-42
    [7]陈健安,高崎悦司,铃木辙.六味地黄汤对大鼠下丘脑—垂体—性腺轴组织器官形态和性激素的影响[J].江苏中医.1999;20(3):46-46
    [8]赵土亮.补肾活血法治疗男子不育症探讨[J].四川中医.2002;20(02)17-18
    [9]夏卫平.康宁口服液治疗肾虚不育症的实验研究[J].中国男科学杂志.2000;14(3):190-192
    [10]王玉中.白山雄栓治疗阳痿的临床和实验研究[J].中国医药学报.1991;(2):12-12
    [11]岳广平.补肾生精丸治疗男性不育症87例临床及其疗效评价[J].中国中西医结合杂志.1996;16(8):463-463
    [12]陈庆平.金匮肾气丸、六味地黄丸对小鼠性激素影响的实验[J].中国药房1999;10(6):255-255
    [13]夏蓉西.肾气丸恢复受损睾丸功能的实验研究[J].中成药.1993;15(11):25-25
    [14]张柏丽.肾气丸对大鼠睾丸组织内DNA和RNA含量的影响[J]天津中医.1999;12(4):30-30
    [15]王学美.五子衍宗液对雄性大鼠下丘脑单胺类递质、性激素、和生育能力的影响[J].中国中西医结合杂志.1993;13(6):349-349
    [16]杨晓峰.复方五子地黄口服液治疗男性不育症的临床和实验研究[J].中国中西医结合杂志.1995;15(4):209-209
    [17]周智恒.补肾法促进睾丸生精原理的实验研究[J].上海中医药杂志.1992;(7):24-24
    [18]欧玉清等.男性不育症精液、精浆、精子中微量元素锌、硒含量分析[J].佳木斯医学院学报.1998;21:56-57
    [19]李霞.应用诱导“劳倦过度、房事不节”法建立肾虚模型的研究[J].实用中西医结合杂志.1995;8(8):585-586
    [20]张瑜.合门源补酒对实验性肾阳虚证的影响[J].中国中医药科技.1995;2(2):30-31
    [21]刘风华等.睾丸性不育动物模型的建立[J].中华男科学杂志.2007;13(2):125-129
    [22]李广曦.肾阳虚证动物模型的造模方法及其相关指标回顾[J].中国中医基础医学杂志.2000;6(4):46-54
    [23]郑东平.腺嘌呤诱发“肾阳虚”动物模型的研制[J].中国医药学报.1990;(3):68-73
    [24]倪瑾.优生宝补益肝肾治疗男性不育机理的实验研究[J].中国中医基础医学杂志.1996;2(5):33-34
    [25]赵秀菊.醋酸棉酚对大鼠血清睾酮水平的影响[J].生殖与避孕.1988;8(1):46-46
    [26]夏蓉西.肾气丸恢复受损睾丸功能的实验研究[J].中成药.1993;15(11):25-26
    [27]周智恒.补肾法促进睾丸生精原理的实验研究[J].上海中医药杂志.1992;(7):24-24
    [28]陈国武,郑松,吴裕伦.精液白细胞与精子功能关系的研究[J].男科学杂志.1998;12(2):82-89
    [29] Shelley ML,Lacey MJ,Baartletl MR,et al.Content of significantamounts of acytoxic end-product of lipid peroxidation in humansemen.JReprod1991;92(1):291-298
    [30]黄天伦,夏明珠,任开明.腺嘌呤致雄性不育和慢性肾衰大鼠模型的相关性研究.中国男科杂志.2003;17(3):171-173
    1刘建荣.辨证分型治疗精液质量差138例疗效分析[J].湖南中医药导报.2001;7(7):371-372.
    2丁立春.辨证分型治疗男性不育36例[J].湖南中医杂志.2002;18(4):31-31..
    3王彤.辨证治疗精液不液化男性不育症100例临床观察[J].中国临床医生.2005;3(12):29-30..
    4王耿.辨证治疗慢性前列腺炎所致不育症42例[J].陕西中医.2002; 23 (6):517-518.
    5王恒宽,徐杰.辨证治疗男性不育病[J].首都医药44-44.
    6赵丽华,王卫平.辨证治疗男性不育症56例[J].陕西中医.2004;25(3):231-232.
    7夏春风,何舰.辨证治疗男性不育症68例[J].新中医.2004;36(7):63-64.
    8庄福渊.辨证治疗男性不育症124例[J].经验交流.2006;3(11):110-110.
    9冯保华.辩证治疗男性不育症257例临床观察[J].河南医药信息.2002;10,16:36-37
    10侯立玲,郭伟.男性不育证中医治疗十法[J].吉林中医药.2007;27(5):10-10
    11王宝庆.男性不育症的辨证论治初探[J].安徽中医临床杂志.2003;15(3):186-187
    12冯恒孝.分步辨治男性不育症79例[J].安徽中医药学报.2001;20(4):33-33
    13李金昆等.生精助育汤治疗男性不育症120例临床观察[J].中医杂志. 2000;41(12):728-729
    14赵正平等.加味赞育汤治疗男性不育症临床观察[J].上海中医药杂志.2004;38(9): 24-24.
    15樊士申.黄芪补肾丸治疗男性不育症89例[J].光明中医.2006;21(5):60-61
    16杨洪伟,沈坚华等.补肾清虚热法治疗少精弱精症40例总结[J].湖南中医杂志;19(6):16-17
    17王斌等.育嗣丸治疗肾虚精亏兼湿热男性不育症临床研究[J].北京中医志.2002;21(1):5-7
    18杨南松等.黄精赞育胶囊治疗男性不育症的临床观察[J].江苏药学与临床研究.2003.11(1):31-31.
    19李艳君.地子丸治疗男性少精性不育证63例[J].陕西中医.2003;24(6):524-525
    20鲁海鸥等.补肾生精胶囊治疗少精症51例[J].河北中医.2002;24(1):47-48
    21孙成军,郝汉远.补肾续嗣汤治疗精子质量异常不育症68例[J].陕西中医.1999;20(10):436-436
    22刘艳芳.益肾增精汤治疗精少不育症46例[J].山东中医杂志.2001;20(1):25-26
    23孙洪福,宋景贵.浅谈活血化瘀法治疗精液不液化症[J].山东中医药杂志.2004;23(2):69-70
    24刘广程.活血通脉汤治疗精索静脉曲张所致不育60例[J].河北中医.2005;27(2): 138-138.
    25张文灿.水蛭治疗精液不液化[J].中医杂志.1993;34(5):263-263.
    26王安甫.水蛭化精汤治疗精液不液化228例[J].新中医.1998;30(10):45-46.
    27周永泉.补肾活血法在男性不育症中的应用[J].南京中医药大学学报.2003;19(6) :375-376.
    28尚博文等.益气活血生精法治疗男性不育症的临床研究[J].中国中医基础医学杂志.2002;8(7):528-530.
    29张洲等.疏肝活血汤治疗男性免疫性不育36例[J].陕西中医.2003;24(11):986-987.
    30张国亭.清热活血汤治疗精液不液化56例[J].国医论坛.2003;18(2):32-33.
    31赵土亮.补肾活血法治疗男子不育症探讨[J].四川中医.2002;20(2):17-18.
    32戴锦成,刘瑞芬.《金匮》方治疗男性不育症[J].福建中医学院学报.200;11(2):16-17.
    33庞保珍,赵焕云.补肾疏肝方治疗男性不育症65例[J].国医论坛.2004;19(1):31-31.
    34罗玉清.从肝肾论治男性不育少精症30例临床观察[J].中医药导报.2006 ;12(10):39-40.
    35邹如政.疏肝补肾法治疗精液异常不育症36例[J].江西中医药.1998;29(4):18-19.
    36柳葆光.散郁汤治疗男性不育临床观察[J].山东中医杂志.1999;18(5):203-204.
    37李尧学.从肝论治精液不液化症128例[J].中国科技信息.2005;12 :163-163.
    38黎志远.从肝论治男性不育症[J].江西中医药.2004;31(2):15-16.
    39刘天安,沈玉屏.从肝论治男性不育症举隅[J].河南中医.2001;21(4):63-64.
    40秦国政.从方药分析探讨岳甫嘉治疗男性不育症经验[J].1995;15(6):345-345.
    41孙祥健.归脾汤加减治疗男性不育症38例[J].湖北中医杂志.2001;23(6):32-33.
    42徐吉祥.加味五子衍宗丸治疗男性不育症153例[J].山东中医杂志.2003;22(3):160-161.
    43杨德放,阴勇.健脾益气法治疗男性不育症68例[J].陕西中医.2003;24(4):330-330.
    44周玉春.用脾肾同补法治疗男性不育15例[J].辽宁中医学院学报.2005;7(5):486-487.
    45胡吉元等.补中益气汤加味方治疗男性不育症60例[J].实用中医药杂志.2003;19(5): 243.
    46田立武等.自拟健脾益肾丸治疗男性不育症60例[J].山东医药.2000;40(23) :60
    47黄海清.清热解毒法治疗男性不育症体会.江西中医药[J],2000;31(2):17
    48孙中明,金东明.中西医结合治疗解脲支原体所致男性不育症53例[J].实用中医药杂志.2001;17(2):19-20
    49沈坚华,杨洪伟.清热法在治疗男性不育中的临床运用[J].河北中医药学报2002;17(1) 13-16
    50刘吉.针灸治疗精液异常型不育症78例疗效观察[J].中国针灸.1998;18(4):213-213.
    51余镇北.针灸治疗男性不育症34例[J].上海针灸杂志.2000;19(6):31-31.
    52朱韪.隔姜灸治疗肾阳虚精子活力低下55例[J].北京中医.2000;19(2):48-49.
    53何金森.电针结合药饼治疗男性不育症的临床研究[J].上海针灸杂志.2000;19(1):10-11.
    54班旭升.针刺配中药冲剂治疗精液异常性不育症260例[J].中国针灸.1998;18(4):213-213.
    55贺心云.针灸为主治疗不育症54例疗效观察[J].1998;18(9):561-561.
    56郭朝立.针药并用治疗71例男性不育症疗效观察[J].天津中医学院学报.1998;17(2):20-21.
    57洪文等.针灸治疗肾阳虚型男性不育症30例疗效观察[J].新中医.2002;34(5): 39-40.
    58伦新,荣莉.俞原配穴法治疗男性免疫性不育症的临床随机研究[J1.中国针灸.2004;24(3): 153-154.
    59陈栋等.针挑加神经点注射治疗不育症患者精子异常126例观察[J].暨南大学学报.2003; 24(4):69-69.
    60陈封.针推疗法治疗男性肝气郁结型不育症.吉林中医药[J],2003, 23(3): 36.
    61 Schoor RA,Elhanbly S,Niederberger CS,et al.The role of testicular biopsy in the modern management of male infertility. JUrol,2002,167:197-200.
    62 Kochakarn W, Leenanupunth C, Muang-man V.Ejaculatory duct obstruction in the infertile male:experience of 7 cases at Ra-mathibodi Hospital. J Med Assoc Thai, 2001,84:1148-1152.
    63 Dohle GR, SmitM. Microsurgical vasovasostomy at the ErasmusMC, 1998-2002: results and predictive factors[J]. Ned TijdschrGeneeskd, 2005, 149(49): 2743-2747.
    64 MengMV, Greene KL, Turek PJ. Surgery or assisted reproduc-tion? A decision analysis of treatmentcosts inmale infertility[J].JUro,l 2005, 174(5): 1926-1931.
    65 Hardy K,Wright C,Rice S,et al.Future developments in as-sisted reproduction in humans.Reproduction2002;123(2):171-183
    66 Heidenreich A, Altmann P, Engelmann UH. Microsurgicalvasovasostomy versus microsurgical epididymal sperm aspira-tion/testicular extration of sperm combined with intracyto-plasmic sperm injection.Eur Urol2000;37(5):609-614
    67 Sasagawa I,Yazawa H,Suzuki Y,et al.Reevaluation of testic-ular biopsies of males with nonobstructive azoospermia in assist-ed reproductive technology.ArchAndrol 2001;46(1):79-83
    69杨晓勇.中西医结合治疗不育症38例.湖南中医杂志[J].2002;18(6):41-41
    70傅兆杰,王永生.中西医结合治疗慢性前列腺炎不育症的临床研究[J].2001;8(2):71-72
    71王祖贤.慢性前列腺炎治疗重在活血化瘀.湖北中医杂志[J].1995;17(115): 49-50
    72陈韬,李坤寅.中药结合手术治疗精索静脉曲张不育症临床观察[Jl.河南中医药学刊[J].2001; 16(4):32.-32

© 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