1. 湖南中医药大学基础医学院
2. 湖南中医药大学第一附属医院
纸质出版:2011
移动端阅览
[1]赵国荣,艾碧琛,贺又舜,肖碧跃,曾序求,谢静,刘娟,郜文辉,李鑫辉.内毒素血症兔症状、体征动态变化与卫气营血传变的相关性[J].中医杂志,2011,52(15):1305-1307.
ZHAO Guorong1, AI Bichen1, HE Youshun1, et al. Correlation between the Dynamic Changes of Endotoxemia Rabbits’ Symptoms and Signs and Progress of Wei-qi-ying-xue Syndromes[J]. Journal of Traditional Chinese Medicine2011, 52(15): 1305-1307.
[1]赵国荣,艾碧琛,贺又舜,肖碧跃,曾序求,谢静,刘娟,郜文辉,李鑫辉.内毒素血症兔症状、体征动态变化与卫气营血传变的相关性[J].中医杂志,2011,52(15):1305-1307. DOI: 10.13288/j.11-2166/r.2011.15.008.
ZHAO Guorong1, AI Bichen1, HE Youshun1, et al. Correlation between the Dynamic Changes of Endotoxemia Rabbits’ Symptoms and Signs and Progress of Wei-qi-ying-xue Syndromes[J]. Journal of Traditional Chinese Medicine2011, 52(15): 1305-1307. DOI: 10.13288/j.11-2166/r.2011.15.008.
目的观察内毒素血症兔的症状、体征动态变化
探讨内毒素血症与卫气营血宏观辨证及其传变之间的相关性。方法将22只新西兰大耳白兔随机分成空白组8只和模型组14只
采用静脉注射大肠杆菌内毒素(LPS)的方法建立内毒素血症模型
空白组注入等量无菌生理盐水
观察攻毒前及攻毒后36h内两组兔症状、体征和体温、心率的动态变化。结果根据模型组兔不同的症状和体征
将攻毒后的实验过程分成1阶段(攻毒后~2.0h)
2阶段(2.1~6.0h)
3阶段(6.1~36.0h)。空白组兔各阶段症状、体征及体温、心率均无明显变化。模型兔1阶段出现耸毛、发抖、喷嚏、流涕等症状
心率较空白组增快(P<0.05)
发热净增值(△T)较空白组升高(P<0.01);模型兔2阶段出现小便黄、呼吸明显增快增粗、耳廓发热、充血明显以及眼结膜充血
心率及△T值比前一阶段及空白组继续升高(P<0.01);模型兔3阶段出现精神萎靡、活动度和灵敏度下降、便血、耳廓发凉、眼结膜充血明显
部分兔口周青紫、耳廓青紫或有瘀点瘀斑、眼球突出、鼻衄、嗜睡、全身瘫软无力、角弓反张、抽搐和死亡
△T值较2阶段降低(P<0.01)
但仍高于空白组(P<0.01)
心率有下降趋势
但仍较空白组快(P<0.01)。结论内毒素血症兔症状、体征出现有规律的阶段性表现
与叶天士认为温病按其发展可分为卫、气、营、血4个阶段有一定的相关性。
Objective To observe the dynamic changes of symptoms and signs in endotoxemia rabbits’ for exploring the correlation between endotoxemia and differentiation in a macroscopic view and progress of wei-qi-ying-xue syndromes.Methods Twenty-two New Zealand rabbits were randomized into a blank group with 8 rabbits in it and a model group with 14 rabbits in it.The endotoxemia models were established with colibacillus endotoxin lipopolysaccharide(LPS)injecting intravenously.The blank group was injected with normal saline in the equal amount.The dynamic changes of symptoms and signs
body temperature
and heart rate of the two groups before and 36 h after anti-toxin treatment were observed.Results According to the different symptoms and signs of the model group
the experimental process after anti-toxin treatment was divided into stage Ⅰ(anti-toxin treatment 0~2.0 h)
stage Ⅱ(2.1~6.0 h)and stage Ⅲ(6.1~36.0 h).There were no significant changes in the symptoms and signs
body temperature
and heart rate of the blank group in all stages.In the stage Ⅰ
the model rabbits had standing hair
shivering
sneezing
and running nose
and the heart rate got faster than that of the blank group(P<0.05)
and the body temperature was higher(△T) than that of the blank group(P<0.01).In the stage Ⅱ
the model rabbits had yellow urine
significantly increased rough breathing
feverish and congested auricle
congested conjunctiva
and more faster heart rate
and △T was continuously getting higher than that of the stage Ⅰ and the blank group(P<0.01).In the stage Ⅲ
the model rabbits had the lowered spirit
decreased activity and sensitivity
bloody stools
cooled auricle
and more obvious congested conjunctiva
and some of them had perioral cyanosis
auricular cyanosis or ecchymosis
protrusion of eyeball
nasal bleeding
drowsiness
weak limbs
opisthotonus
convulsion
and death
and △T was getting lower than that of the stage Ⅱ(P<0.01)
but still higher than that of the blank group(P<0.01)
the heart rate tended to get lower
but still faster than that of the blank group(P<0.01).Conclusion The endotoxemia rabbits’symptoms and signs have regular stage manifestations
being significantly correlated with the wei-qi-ying-xue stages during the development of febrile disease put forward by Ye Tianshi.
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