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疏肝利胆方对豚鼠胆固醇结石形成的抑制作用

[Inhibiting effects of recipe for dispersing stagnated liver qi to promote bile flow on cholesterol gallstone formation in guinea pigs].

作者信息

Fang Bang-Jiang, Zhu Pei-Ting, Zhang Jing-Zhe, Pei Xin-Jun, Yang Ying-Xin, Liang Xiao-Qiang

机构信息

Institute of Chinese Traditional Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032.

出版信息

Zhong Xi Yi Jie He Xue Bao. 2006 Jan;4(1):56-9. doi: 10.3736/jcim20060115.

Abstract

OBJECTIVE

To explore the mechanism of the inhibiting effects of recipe for dispersing stagnated liver qi to promote bile flow (Danshijing Tablets) on cholesterol gallstone formation and provide experimental evidence for its clinical application.

METHODS

Eighty guinea pigs were randomly divided into 4 groups, which were normal control group, untreated group, ursodeoxycholic acid (UDCA)-treated group and Danshijing Tablets-treated group. The gallstones in guinea pigs were induced by high-cholesterol diet. UDCA and Danshijing Tablets were given orally to guinea pigs in the corresponding group respectively for seven weeks. Then the physical signs of the guinea pigs, the rates of gallstone formation and the histomorphological changes of the gallbladder were examined.

RESULTS

The behavior of guinea pigs in the Danshijing Tablets-treated group was obviously improved and the rate of gallstone formation was significantly decreased as compared with those in both untreated and UDCA-treated groups (P<0.05). The inflammation reaction of mucous membrane in gallbladder was evidently reduced in the Danshijing Tablets-treated group and its morphological appearance turned to be approximately normal.

CONCLUSION

Recipe for dispersing stagnated liver qi to promote bile flow may decrease gallstone formation. Its mechanism may be related to reducing pathologic changes in gallbladder tissues, which will reduce the damages of cholesterol to the smooth muscle in gallbladder and enhance the contractility of gallbladder.

摘要

目的

探讨疏肝利胆方(胆石净片)抑制胆固醇结石形成的作用机制,为其临床应用提供实验依据。

方法

将80只豚鼠随机分为4组,即正常对照组、未治疗组、熊去氧胆酸(UDCA)治疗组和胆石净片治疗组。采用高胆固醇饮食诱导豚鼠形成胆结石。分别给予相应组豚鼠口服UDCA和胆石净片,连续7周。然后观察豚鼠的体征、胆结石形成率及胆囊的组织形态学变化。

结果

与未治疗组和UDCA治疗组相比,胆石净片治疗组豚鼠的行为明显改善,胆结石形成率显著降低(P<0.05)。胆石净片治疗组胆囊黏膜的炎症反应明显减轻,形态外观接近正常。

结论

疏肝利胆方可能降低胆结石的形成。其机制可能与减轻胆囊组织的病理改变有关,从而减少胆固醇对胆囊平滑肌的损伤,增强胆囊的收缩力。

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