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当归芍药散与铁制剂对缺铁性贫血大鼠实验室指标及症状影响的比较研究

A comparative study of laboratory parameters and symptoms effected by Toki-shakuyaku-san and an iron preparation in rats with iron-deficiency anemia.

作者信息

Akase Tomoko, Onodera Satoshi, Matsushita Ryo, Akase Tomohide, Tashiro Shin-ichi

机构信息

Department of Clinical and Biomedical Sciences, Showa Pharmaceutical University, Machida, Tokyo, Japan.

出版信息

Biol Pharm Bull. 2004 Jun;27(6):871-8. doi: 10.1248/bpb.27.871.

Abstract

In order to more closely examine the effect of Toki-shakuyaku-san and an iron preparation in vivo in an animal experiment, we prepared anemic rats, divided them into 4 groups, i.e., an untreated group, a Toki-shakuyaku-san group, an iron-preparation group and a Toki-shakuyaku-san+iron-preparation group, and assessed the results of laboratory parameters, hematology, and general symptoms of anemia. The results showed trends toward improvement in indices of anemia, i.e., erythrocyte (RBC) count, hemoglobin (Hb), hematocrit (Ht) and serum iron (Fe), and improvement of anemic symptoms in the 3 treated groups. Examination of erythrocyte morphology showed that erythrocyte destruction had occurred only slightly in the 3 treated groups. The organ weight measurements showed an increase in the weight of the heart and spleen in the untreated group, but tended to be closer to normal in the 3 treated groups. The number and wet weight of the feces in the untreated group were markedly lower than normal, but increased in the Toki-shakuyaku-san group. In the iron-preparation group, the hemorrhage of stomach and pigmentation of the tail which seem to be a side effect of iron were observed, but was not seen in the Toki-shakuyaku-san group. The results animal experiment more closely examined the results of clinical study, and we concluded that by using Toki-shakuyaku-san and the iron preparation in combination, it is possible to lessen the adverse reactions such as gastrointestinal symptoms, and that more ameliorative effect on the anemic state can be expected.

摘要

为了在动物实验中更深入地研究当归芍药散和铁制剂在体内的作用,我们制备了贫血大鼠,并将其分为4组,即未治疗组、当归芍药散组、铁制剂组和当归芍药散+铁制剂组,然后评估实验室参数、血液学指标以及贫血的一般症状等结果。结果显示,3个治疗组的贫血指标,即红细胞(RBC)计数、血红蛋白(Hb)、血细胞比容(Ht)和血清铁(Fe)均有改善趋势,贫血症状也有所改善。红细胞形态检查表明,3个治疗组仅出现轻微的红细胞破坏。器官重量测量显示,未治疗组心脏和脾脏重量增加,而3个治疗组则趋于接近正常。未治疗组粪便数量和湿重明显低于正常水平,但当归芍药散组有所增加。在铁制剂组中,观察到胃部出血和尾巴色素沉着,这似乎是铁的副作用,但在当归芍药散组中未观察到。动物实验结果更深入地检验了临床研究结果,我们得出结论,联合使用当归芍药散和铁制剂可以减轻胃肠道症状等不良反应,并且有望对贫血状态产生更显著的改善作用。

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