1. 首都医科大学附属北京中医医院
2. 首都医科大学中医药学院
纸质出版:2018
移动端阅览
[1]谢书睿,朱迎君,孙旭,徐旭英.舒脉胶囊对介入术后下肢动脉再狭窄模型大鼠下肢动脉内膜增生的影响[J].中医杂志,2018,59(06):513-517.
XIE Shurui, ZHU Yingjun, SUN Xu, et al. Impact of Shumai Jiaonang(舒脉胶囊) on Lower Extremity Artery Intimal Hyperplasia in Lower Extremity Artery Postoperative Restenosis Model Rats[J]. Journal of Traditional Chinese Medicine2018, 59(6): 513-517.
[1]谢书睿,朱迎君,孙旭,徐旭英.舒脉胶囊对介入术后下肢动脉再狭窄模型大鼠下肢动脉内膜增生的影响[J].中医杂志,2018,59(06):513-517. DOI: 10.13288/j.11-2166/r.2018.06.016.
XIE Shurui, ZHU Yingjun, SUN Xu, et al. Impact of Shumai Jiaonang(舒脉胶囊) on Lower Extremity Artery Intimal Hyperplasia in Lower Extremity Artery Postoperative Restenosis Model Rats[J]. Journal of Traditional Chinese Medicine2018, 59(6): 513-517. DOI: 10.13288/j.11-2166/r.2018.06.016.
目的观察舒脉胶囊对介入术后下肢动脉再狭窄模型大鼠下肢动脉内膜增生的抑制作用。方法32只SD大鼠随机分为模型组和假手术组各7只
舒脉低、中、高剂量组各6只。除假手术组外
其余各组大鼠利用经皮冠状动脉腔内血管成形术(PTCA)扩张导管经左股动脉损伤左髂总动脉法建立下肢动脉再狭窄模型
假手术组不进行球囊损伤。术后第2天舒脉低、中、高剂量组分别给予0.0324、0.0648、0.1296 g/ml舒脉胶囊悬浊液灌胃
模型组和假手术组给予生理盐水灌胃
每300 g大鼠体重给予1 ml药液
给药8周。术后第4周以彩色多普勒超声检测各组大鼠左髂动脉中内膜厚度、管腔直径;于术后第8周HE及弹力纤维染色法观察血管组织形态学
测量内膜最大厚度、内膜面积和计算内膜中膜面积比。结果术后第4周时模型组及舒脉低、中、高剂量组大鼠左髂动脉内膜增厚、毛糙
模型组及舒脉低、中、高剂量组髂动脉内膜厚度及管腔直径均大于假手术组(P<0.05);第8周髂动脉横断面切片的HE染色及弹力纤维染色显示除假手术组外其余各组内膜明显增厚
新生内膜存在大量平滑肌细胞
新生内膜面积模型组>舒脉低剂量组>舒脉中剂量组>舒脉高剂量组
四组之间差异有统计学意义(P<0.05)
且与假手术组比较差异有统计学意义(P<0.01)。结论舒脉胶囊可抑制下肢动脉再狭窄模型大鼠下肢动脉内膜增生
改善循环
缓解动脉狭窄。
Objective To examine the inhibitory effect of Shumai Jiaonang on lower extremity artery intimal hyperplasia in model rats with lower extremity artery postoperative restenosis( PRS). Methods Thirty-two Sprague Dawley( SD) rats were randomized into a model group
a sham operation group( n = 7 in each group)
the Shumai low
medium and high dose groups( n = 6 in each group). Lower extremity artery restenosis models were made by dilated catheter with percutaneous transluminal coronary angioplasty( PTCA) through left femoral artery to make left common iliac artery injury in rats in each group
except those in the sham operation group. No balloon injury was made in sham operation group. From the 2 nd day of operation
the Shumai low
medium and high dose groups were given 0. 0324
0. 0648 and 0. 1296 g/ml of Shumai Jiaonang turbid liquid by gavage
respectively. The model group and the sham operation group were given normal saline by gavage. The dose was 1 ml of solution per 300 g body weight
and the treatment lasted for 8 weeks. At the 4 th week after operation
the intimal thickness and lumen diameter of left iliac artery of rats in each group were measured by color doppler ultrasound. At the 8 th week after operation
vascular histomorphology was examined by hematoxylin and eosin( HE) stain and elastic fiber staining. The maximum intimal thickness and intimal area were measured. The area ratio of tunica intima and tunica media was calculated. Results At the 4 th week after operation
rats’ left iliac artery thickened and roughened in the model group
as well as the Shumai low
medium and high dose groups. Intimal thickness and lumen diameter of iliac artery in the model group
and the Shumai low
medium and high dose groups were higher than those in the sham operation group( P < 0. 05). At the 8 th week
cross section of iliac artery HE stain and elastic fiber staining showed that rats’ intima was obviously thickened; there were large number of smooth muscle cells in neointima in all the groups except the sham operation group. The neointima area of the rats in the model group was the biggest
followed those in the Shumai low dose group
the Shumai medium dose group
and the Shumai high dose group. There were significant differences in neointima area among the 4 groups( P < 0. 05)
as well as between the sham operation group and each of other groups( P < 0. 01). Conclusion Shumai Jiaonang might inhibit the lower extremity artery intimal hyperplasia in lower extremity artery PRS model rats
improve the circulation and relieve arterial stenosis.
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