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[温肾健脾法干预腹泻型肠易激综合征大鼠:疗效评估]

[Shen warming Pi strengthening method intervened IBS-D rats: an efficacy assessment].

作者信息

Su Xiao-Lan, Tang Yan-Ping, Zhang Jing, Bai Yi-Bing, Shi Hai-Xia, Liu Yan-Jun, Chang Yu-Juan

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2014 Feb;34(2):197-202.

Abstract

OBJECTIVE

IBS-D rat model was established to assess the effect of Shen warming Pi strengthening method (SWPSM) for intervening diarrhea-predominant irritable bowel syndrome (IBS-D) by observing rats' general state, stool properties, AWR ranking, and histopathological changes.

METHODS

Totally 72 rats were randomly divided into 6 groups, i.e. the normal group, the model group, the high, middle, low dose SWPSM groups, and the control group, 12 in each group. The IBS-D rat model was successfully established referring to AL-Chaer ED's modeling method. After modeling high, middle, and low dose SWPS Recipe boil-free granules were given by gastrogavage to rats in corresponding treatment groups. Sishen Pill boil-free granule was given by gastrogavage to those in the control group. Equal volume of normal saline was given by gastrogavage to rats in the model group. The medication lasted for 2 weeks. Rats' general state, stool properties, abdominal withdrawal reflex (AWR) ranking, and histopathological changes were observed.

RESULTS

After treatment, the general state of all rats got im- provement to various degrees. The improvement in the high and middle dose SWPS Recipe groups were superior to that in the low dose SWPS Recipe group and the control group (P < 0.05). There was no statistical difference in the growth rate between after and before treatment in each group (P > 0.05). Compared with the model group and the low dose SWPS Recipe group, the defecation amount within 4 h was less in the high and middle dose SWPS Recipe groups and the control group (P < 0.05). The Bristol ranking score, average ranking of loose stool, ratio of dry stool and wet stool were lower in the high and middle dose SWPS Recipe groups than in the control group and the low dose SWPS Recipe group (P < 0.05). The AWR ranking score was lower in the high and middle dose SWPS Recipe groups than in the control group when the volume of balloon dilation was 1.5 mL. There was no organic change of histological or morphological observation.

CONCLUSIONS

High sensitive IBS-D model was proved to be reliable. SWPSM could reduce the quantity of stools, lower Bristol ranking score, average ranking of loose stools as well as ratios of dry stool and wet stool, contributing to reducing the high sensitivity of rats' visceral organs to some extent.

摘要

目的

建立腹泻型肠易激综合征(IBS-D)大鼠模型,通过观察大鼠一般状态、粪便性质、腹壁撤退反射(AWR)评分及组织病理学变化,评估温中健脾法对腹泻型肠易激综合征(IBS-D)的干预作用。

方法

将72只大鼠随机分为6组,即正常组、模型组、温中健脾法高、中、低剂量组及对照组,每组12只。参照AL-Chaer ED的造模方法成功建立IBS-D大鼠模型。造模后,对相应治疗组大鼠灌胃给予温中健脾方免煎颗粒高、中、低剂量,对对照组大鼠灌胃给予四神丸免煎颗粒,对模型组大鼠灌胃给予等体积生理盐水。给药持续2周。观察大鼠一般状态、粪便性质、腹壁撤退反射(AWR)评分及组织病理学变化。

结果

治疗后,所有大鼠的一般状态均有不同程度改善。温中健脾方高、中剂量组的改善情况优于低剂量组和对照组(P<0.05)。各组治疗前后生长速率比较,差异无统计学意义(P>0.05)。与模型组和温中健脾方低剂量组比较,温中健脾方高、中剂量组及对照组4 h内排便量减少(P<0.05)。温中健脾方高、中剂量组的布里斯托评分、稀便平均评分、干便与湿便比值低于对照组和温中健脾方低剂量组(P<0.05)。气囊扩张体积为1.5 mL时,温中健脾方高、中剂量组的AWR评分低于对照组。组织学及形态学观察未见器质性改变。

结论

高敏IBS-D模型可靠。温中健脾法可减少大鼠粪便量,降低布里斯托评分、稀便平均评分及干便与湿便比值,在一定程度上有助于降低大鼠内脏器官的高敏感性。

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