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大黄素和黄芩苷对重症急性胰腺炎大鼠的影响。

Effects of emodin and baicalein on rats with severe acute pancreatitis.

作者信息

Zhang Xi-Ping, Li Zhong-Fang, Liu Xiao-Gong, Wu Yong-Tao, Wang Jun-Xian, Wang Kang-Min, Zhou Yi-Feng

机构信息

Department of General Surgery, First People's Hospital of Hangzhou, Hangzhou 310006, Zhejiang Province, China.

出版信息

World J Gastroenterol. 2005 Apr 14;11(14):2095-100. doi: 10.3748/wjg.v11.i14.2095.

Abstract

AIM

To investigate the therapeutic effects of emodin in combination with baicalein on severe acute pancreatitis (SAP) rats and to explore the mechanism of SAP.

METHODS

A total of 112 SAP rats induced by retrograde injection of 5% sodium taurocholate into the biliary-pancreatic duct, randomly assigned to a untreated group and three treated groups emodin group, combined emodin and baicalein group, and sandostatin group. Meanwhile, another 28 other rats were selected as sham operation (SO) group. There were 28 rats in each group, 8 rats were in 3 and 6 h groups respectively, and 12 rats in 12 h group. At each time-points, survival rates, ascites volumes, pathological lesion scores of pancreas tissues, serum amylase, tumor necrosis factor-alpha and IL-6 levels were determined as the indexes of therapeutic effects.

RESULTS

The survival rate at 12 h was significantly higher in three treated groups than in untreated group. The ascites volume at 12 h was remarkably less in combined and sandostatin groups than in emodin group, but there was no difference between combined group and sandostatin group (P>0.05). Serum amylase levels at all time-points were significantly lower in three treated groups than in untreated group. However, they had no difference among treated groups (P>0.05). Serum TNF-alpha were lower in three treated groups than in untreated group at all time points. Among the three treated groups, at 6 h, the TNF-alpha levels of combination and sandostatin groups were lower than those of emodin group. These was no difference between combined and sandostantin. Serum IL-6 concentration at 3 h were lower in combined and sandostatin groups than in untreated group, but at 6 and 12 h they were lower in all treated groups than in untreated group and the combined and sandostatin groups and in emodin group, no difference was found between combined and sandostatin groups at all time-points (P>0.05). The pathological scores of pancreas at all time points were significantly lower in three treated groups than in the untreated group, and at 6, 12 h, the scores of combined and sandostatin groups were lower than in emodin group. There was no difference between combined and sandostatin groups (P>0.05).

CONCLUSION

Combination of emodin with baicalein has significant therapeutic effects on SAP rats.

摘要

目的

探讨大黄素联合黄芩苷对重症急性胰腺炎(SAP)大鼠的治疗作用,并探讨SAP的发病机制。

方法

将112只通过逆行胰胆管注射5%牛磺胆酸钠诱导的SAP大鼠,随机分为未治疗组和三个治疗组,即大黄素组、大黄素联合黄芩苷组和生长抑素组。同时,选取另外28只大鼠作为假手术(SO)组。每组28只大鼠,分别在3 h、6 h组各8只,12 h组12只。在各个时间点,测定生存率、腹水量、胰腺组织病理损伤评分、血清淀粉酶、肿瘤坏死因子-α和白细胞介素-6水平作为治疗效果指标。

结果

三个治疗组12 h时的生存率显著高于未治疗组。联合组和生长抑素组12 h时的腹水量明显少于大黄素组,但联合组与生长抑素组之间无差异(P>0.05)。三个治疗组在所有时间点的血清淀粉酶水平均显著低于未治疗组。然而,各治疗组之间无差异(P>0.05)。三个治疗组在所有时间点的血清肿瘤坏死因子-α均低于未治疗组。在三个治疗组中,6 h时联合组和生长抑素组的肿瘤坏死因子-α水平低于大黄素组。联合组与生长抑素组之间无差异。联合组和生长抑素组3 h时的血清白细胞介素-6浓度低于未治疗组,但6 h和12 h时所有治疗组均低于未治疗组,联合组和生长抑素组与大黄素组相比,各时间点联合组与生长抑素组之间均无差异(P>0.05)。三个治疗组在所有时间点的胰腺病理评分均显著低于未治疗组,6 h、12 h时联合组和生长抑素组的评分低于大黄素组。联合组与生长抑素组之间无差异(P>0.05)。

结论

大黄素联合黄芩苷对SAP大鼠有显著治疗作用。

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