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主成分分析和多属性综合指数法对不同比例当归与红花配伍促血作用的比较分析

[Comparative analysis of the promoting blood effects of the combination of different proportions of danggui and honghua by the principal component analysis and multi-attribute comprehensive index methods].

作者信息

Li Shu-Jiao, Li Wei-Xia, Tang Yu-Ping, Shen Juan, Shang Er-Xin, Guo Jian-Ming, Duan Jin-Ao

出版信息

Yao Xue Xue Bao. 2014 Sep;49(9):1304-9.

PMID:25518330
Abstract

The combination of Danggui and Honghua (GH) is a popular herb pair commonly used in clinic for the treatment of blood stasis syndrome in China. To evaluate the activating blood circulation and dissipating blood stasis effects of the combination of different proportions of Danggui and Honghua on acute blood stasis rats, and optimize the proportion of GH to have the best activating blood circulation and dissipating blood stasis effect. Acute blood stasis rat model was induced by subcutaneous injection of adrenaline and ice water bath. The blood stasis rats were administrated intragastrically with GH (1 : 0, 4 : 1, 2 : 1, 3 : 2, 1 : 1, 2 : 3, 1: 2, 1 : 4 and 0 : 1) extracts. The whole blood viscosity (WBV), plasma viscosity (PV), and high shear whole blood relative index (HSWBRI), low shear whole blood relative index (LSWBRI), and erythrocyte aggregation index (EAI) were tested to observe the effects of GH on hemorheology of blood stasis rats. And the maximum aggregation induced by adenosine diphosphate (ADP) was tested to observe the effect of GH on platelet aggregation index of blood stasis rats. In addition, the prothrombin time (PT), thrombin time (TT), activated partial thromboplastin time (APTT) and plasma fibrinogen (FIB) were tested to observe the effects of GH on blood coagulation function of blood stasis rats. Then principal component analysis and multi-attribute comprehensive index methods were both used to comprehensively evaluate the total activating blood circulation and dissipating blood stasis effects of GH. The results showed that the hemorheological indexes and coagulation parameters of model group both had significant differences with normal group. Compared with model group, GH (1 : 0, 4 : 1, 2: 1, 3 : 2, 1 : 1, 2 : 3, 1 : 2, 1 : 4 and 0 : 1) could improve all the blood hemorheology indexes and regulate part indexes of blood coagulation function and platelet aggregation in acute blood stasis rats. Based on principal component analysis and multi-attribute comprehensive index methods, GH 1 : 1 and GH 3 : 2 both had the best effect of blood circulation and dissipating blood stasis, and the effect of GH 1 : 1 was slightly better than GH 3 : 2. These results suggest that GH could obviously ameliorate the abnormality of hemorheology and blood coagulation function in acute blood stasis rats. The optimized proportion of GH was consistent with regulations of medicine usage that GH 1 : 1 had the highest frequency used in traditional Chinese formulae. It could provide scientific basis for more effective application of the compatibility between Danggui and Honghua in modern clinic medicine.

摘要

当归和红花组合(GH)是中国临床上常用于治疗血瘀证的常用药对。为评价不同比例当归与红花组合对急性血瘀大鼠的活血化瘀作用,并优化GH比例以获得最佳活血化瘀效果。通过皮下注射肾上腺素和冰水浴诱导建立急性血瘀大鼠模型。将血瘀大鼠灌胃给予GH(1:0、4:1、2:1、3:2、1:1、2:3、1:2、1:4和0:1)提取物。检测全血粘度(WBV)、血浆粘度(PV)、高切全血相对指数(HSWBRI)、低切全血相对指数(LSWBRI)和红细胞聚集指数(EAI),观察GH对血瘀大鼠血液流变学的影响。并检测二磷酸腺苷(ADP)诱导的最大聚集率,观察GH对血瘀大鼠血小板聚集指数的影响。此外,检测凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)和血浆纤维蛋白原(FIB),观察GH对血瘀大鼠凝血功能的影响。然后采用主成分分析和多属性综合指标法综合评价GH的总活血化瘀效果。结果显示,模型组血液流变学指标和凝血参数与正常组均有显著差异。与模型组相比,GH(1:0、4:1、2:1、3:2、1:1、2:3、1:2、1:4和0:1)能改善急性血瘀大鼠的各项血液流变学指标,调节部分凝血功能和血小板聚集指标。基于主成分分析和多属性综合指标法,GH 1:1和GH 3:2的活血化瘀效果最佳,且GH 1:1的效果略优于GH 3:2。这些结果表明,GH能明显改善急性血瘀大鼠血液流变学和凝血功能的异常。GH的优化比例与用药规律一致,即GH 1:1在中药方剂中使用频率最高。可为当归与红花配伍在现代临床医学中的更有效应用提供科学依据。

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