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防己黄芪汤改善良性前列腺增生大鼠下尿路功能障碍。

Fangjihuangqi tang improved lower urinary tract dysfunction in benign prostatic hyperplasia rats model.

机构信息

Integrative Medicine College, Anhui University of Traditional Chinese Medicine, Hefei 230038, China.

出版信息

J Tradit Chin Med. 2013 Jun;33(3):349-54. doi: 10.1016/s0254-6272(13)60177-6.

DOI:10.1016/s0254-6272(13)60177-6
PMID:24024331
Abstract

OBJECTIVE

To investigated the effect and mechanism of Fangjihuangqi Tang (FHT) on lower urinary tract dysfunction induced by benign prostatic hyperplasia (BPH) in rats.

METHODS

Male rats were randomly divided into seven groups: normal, model, finasteride (0.5 mg/ kg), terazosin (0.5 mg/kg), and FHT (10, 5, 2.5 g/kg). Rats were administered testosterone (0.5 mg sc) for 6 weeks after orchiectomy, excluding the normal group. All rats were intragastrically administered assigned drugs for 4 weeks from the third week. Urodynamics were assessed in rats under anesthesia. Serum dihydrotestosterone (DHT) and prostatic acid phosphatase (PAP) were measured. The prostate index (PI), bladder index (BI), and pathological detection were evaluated.

RESULTS

In the model group, the PI, BI, serum DHT, serum PAP, threshold pressure (TP), micturition pressure (MP), and residual urine volume (RV) were significantly higher. Moreover, inter-micturition duration (IMD) was significantly lower and the prostatic and bladder showed obvious pathological changes. The IMD was significantly higher, while BI, TP, MP, and RV were significantly lower and bladder pathological changes were alleviated in the FHT (10, 5 g/kg), finasteride, and terazosin groups. The PI, DHT, and PAP were significantly lower in the finasteride group, but they did not change significantly in the FHT (10, 5, 2.5 g/kg) and terazosin groups.

CONCLUSION

FHT could relieve symptoms of lower urinary tract dysfunction in BPH rats but with no apparent effect on reducing the volume of the enlarged prostate itself.

摘要

目的

探讨复方芪黄汤对前列腺增生症(BPH)大鼠下尿路功能障碍的作用及机制。

方法

雄性大鼠随机分为 7 组:正常组、模型组、非那雄胺(0.5mg/kg)组、特拉唑嗪(0.5mg/kg)组和复方芪黄汤(10、5、2.5g/kg)组。除正常组外,大鼠在去势后第 3 周经皮下注射睾丸酮(0.5mg)造模 6 周。从第 3 周开始,所有大鼠连续 4 周灌胃给予相应药物。在麻醉状态下评估大鼠尿动力学。检测血清二氢睾酮(DHT)和前列腺酸性磷酸酶(PAP)。评价前列腺指数(PI)、膀胱指数(BI)和病理检测。

结果

模型组 PI、BI、血清 DHT、血清 PAP、起始压(TP)、排尿压(MP)和残余尿量(RV)显著升高,而间段排尿时间(IMD)显著降低,前列腺和膀胱显示明显的病理变化。复方芪黄汤(10、5g/kg)、非那雄胺和特拉唑嗪组的 IMD 显著升高,而 BI、TP、MP 和 RV 显著降低,膀胱病理变化得到缓解。与模型组相比,非那雄胺组 PI、DHT 和 PAP 显著降低,但复方芪黄汤(10、5、2.5g/kg)和特拉唑嗪组无明显变化。

结论

复方芪黄汤可缓解 BPH 大鼠下尿路功能障碍症状,但对减小前列腺体积本身无明显作用。

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