1.汕头市中医医院/广州中医药大学附属汕头医院,广东省汕头市龙湖区韶山路3号,515040
2.南方医科大学第一临床医学院
stchenchao@hotmail.com
收稿:2023-05-11,
修回:2023-07-10,
纸质出版:2023-09-17
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饶啸天,黄林槿,郑培森等.肠制大黄对便秘模型小鼠排便功能及结肠组织病理变化的影响[J].中医杂志,2023,64(18):1916-1921.
RAO Xiaotian,HUANG Linjin,ZHENG Peisen,et al.Effect of Porcine Large Intestine-processed Dahuang (Radix et Rhizoma Rhei) on Defecation and Colon Pathological Changes in Constipation Model Mice[J].Journal of Traditional Chinese Medicine,2023,64(18):1916-1921.
饶啸天,黄林槿,郑培森等.肠制大黄对便秘模型小鼠排便功能及结肠组织病理变化的影响[J].中医杂志,2023,64(18):1916-1921. DOI: 10.13288/j.11-2166/r.2023.18.015.
RAO Xiaotian,HUANG Linjin,ZHENG Peisen,et al.Effect of Porcine Large Intestine-processed Dahuang (Radix et Rhizoma Rhei) on Defecation and Colon Pathological Changes in Constipation Model Mice[J].Journal of Traditional Chinese Medicine,2023,64(18):1916-1921. DOI: 10.13288/j.11-2166/r.2023.18.015.
目的
2
观察采用猪大肠炮制大黄(简称肠制大黄)对便秘模型小鼠排便功能的影响及可能作用机制。
方法
2
将50只昆明小鼠随机分成空白组10只和造模组40只,造模组小鼠连续4天给予洛哌丁胺混悬液8 mg/(kg·d)灌胃建立便秘小鼠模型。造模成功的24只小鼠再随机分为模型组、肠制大黄组、乳果糖组、生大黄组各6只,随机选取6只空白组小鼠作为对照。第5天开始模型组、肠制大黄组、生大黄组、乳果糖组仍予洛哌丁胺混悬液8 mg/(kg·d)灌胃4天,每日灌胃2 h后肠制大黄组再给予肠制大黄混悬液0.6 g/(kg·d)灌胃,生大黄组予生大黄混悬液0.6 g/(kg·d)灌胃,乳果糖组予乳果糖混悬液6 g/(kg·d)灌胃,空白组和模型组小鼠予0.2 ml/10 g蒸馏水灌胃,各组均连续干预4天。观察各组小鼠一般情况,最后一次灌胃后检测体质量;记录6 h内粪便粒数、粪便湿重,计算粪便含水比例;采用小肠推进运动实验计算小肠肠道推进率;进行HE染色观察结肠组织病理变化。
结果
2
生大黄组小鼠体质量较其余各组均明显减轻(
P
<0.05或
P
<0.01)。与空白组比较,模型组小鼠粪便粒数、粪便湿重、肠道推进率均降低(
P
<0.05或
P
<0.01)。与模型组比较,肠制大黄组、乳果糖组、生大黄组粪便粒数、粪便湿重均升高,生大黄组粪便含水比例升高(
P
<0.05或
P
<0.01)。与肠制大黄组比较,生大黄组粪便粒数、粪便湿重降低,粪便含水比例升高(
P
<0.05或
P
<0.01),乳果糖组粪便含水比例亦升高(
P
<0.05)。肠制大黄组小鼠肠道推进率高于模型组、乳果糖组、生大黄组(
P
<0.05或
P
<0.01)。结肠组织病理结果显示,空白组小鼠的结肠隐窝及杯状细胞形态正常清晰,结肠肌层较厚;模型组小鼠的结肠隐窝出现损伤,杯状细胞不同程度减少,结肠肌层变薄;乳果糖组和生大黄组小鼠部分隐窝形态破坏,杯状细胞均有不同程度的损伤;而肠制大黄组的小鼠结肠组织结构仍相对清晰,结肠隐窝及杯状细胞相对正常,结肠肌层增厚。
结论
2
猪大肠炮制大黄后能够提高便秘模型小鼠的排便功能,减轻生大黄峻下的作用,其机制可能与保护结肠组织病理损伤有关。
Objective
2
To investigate the effect of porcine large intestine-processed Dahuang (
Radix et Rhizoma Rhei
) on defecation in constipation model mice and the possible mechanism.
Methods
2
Fifty Kunming mice were randomized to blank group (n=10) and model group (n=40). Loperamide suspension at the dose of 8 mg/(kg·d) was given by gavage for four consecutive days to establish a model of constipation. The 24 successfully modeled mice were randomly divided into model group, processed Dahuang group, lactulose group, raw Dahuang group, with six mice in each group. Moreover, six randomly selected mice were chosen as control group. Since the fifth day, 8 mg/(kg·d) of loperamide suspension by gavage was given to the model group, processed Dahuang group, raw Dahuang group, and lactulose group; two hours later, the processed and raw Dahuang groups were administered with 0.6 g/(kg·d) of processed and raw Dahuang
suspension, respectively, while the lactulose group was given 0.6 g/(kg·d) of latulose suspension, and the blank group and the model group were given 0.2 ml/10 g of distilled water by gavage, all for four days. The general condition, body weight after the last gavage, number of fecal particles within six hours, fecal wet weight, fecal water content ratio, intestinal propulsion rate and colonic histology changes by HE staining of each group were detected.
Results
2
The body weight of the mice in the raw Dahuang group was significantly lighter than that in the other groups (
P
<0.05 or
P
<0.01). The number of fecal particles, fecal wet weight and intestinal propulsion rate of mice significantly decreased in the model group than in the blank group (
P
<0.05 or
P
<0.01). Compared to those in the model group, the number of fecal particles and fecal wet weight in the processed Dahuang group, lactulose group and raw Dahuang group significantly increased, and the fecal water content ratio in the raw Dahuang
group increased as well (
P
<0.05 or
P
<0.01). Compared to those in the processed Dahuang group, the number of fecal particles and fecal wet weight in the raw Dahuang group decreased, while the fecal water content ratio increased (
P
<0.05 or
P
<0.01), and the fecal water content ratio in the lactulose group increased significantly (
P
<0.05). The intestinal propulsion rate in the processed Dahuang group was higher than that in the model group, lactulose group and raw Dahuang group (
P
<0.05 or
P
<0.01). Histopathological analysis showed that the colonic crypts and goblet cells in the blank group were normal and clear, and the colonic muscular layer was thicker. The colonic crypts of the mice in the model group were damaged, with reduced goblet cells to varying degrees and changed colonic muscularis. In the lactulose group and raw Dahuang group, part of the crypts were broken, and the goblet cells were damaged to varying degrees, while in the processed Dahuang group, still the colonic tissue structure of the mice was relatively clear, and the colonic crypts and goblet cells were relatively normal, with thickened muscular layer of the colon.
Conclusion
2
Porcine large intestine-processed Dahuang could improve defecation in constipation model mice, and reduce the drastic purgation function of raw Dahuang
,
for which the mechanism may be related to the protection of colon histopathological damage.
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