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[To explore the preventive and therapeutic effects of Xuebijing injection on acute lung injury induced by cardiopulmonary bypass in rats by regulating the expression of microRNA-17-5p and its mechanism].[通过调节微小RNA-17-5p的表达探讨血必净注射液对大鼠体外循环诱导急性肺损伤的防治作用及其机制]
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Ulinastatin: A Potential Alternative to Glucocorticoid in the Treatment of Severe Decompression Sickness.乌司他丁:治疗重度减压病时糖皮质激素的潜在替代药物
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Xuebijing injection attenuates pulmonary injury by reducing oxidative stress and proinflammatory damage in rats with heat stroke.血必净注射液通过减轻热射病大鼠的氧化应激和促炎损伤来减轻肺损伤。
Exp Ther Med. 2017 Jun;13(6):3408-3416. doi: 10.3892/etm.2017.4444. Epub 2017 May 8.

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Decompression illness: a comprehensive overview.减压病:全面概述。
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Xuebijing improves inflammation and pyroptosis of acute lung injury by up-regulating miR-181d-5p-mediated SPP1 inactivation.血必净通过上调 miR-181d-5p 介导的 SPP1 失活改善急性肺损伤的炎症和焦亡。
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本文引用的文献

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Ulinastatin: A Potential Alternative to Glucocorticoid in the Treatment of Severe Decompression Sickness.乌司他丁:治疗重度减压病时糖皮质激素的潜在替代药物
Front Physiol. 2020 Mar 26;11:273. doi: 10.3389/fphys.2020.00273. eCollection 2020.
2
A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version).新型冠状病毒(2019-nCoV)感染的肺炎快速诊治指南(标准版)。
Mil Med Res. 2020 Feb 6;7(1):4. doi: 10.1186/s40779-020-0233-6.
3
XueBiJing Injection Versus Placebo for Critically Ill Patients With Severe Community-Acquired Pneumonia: A Randomized Controlled Trial.血必净注射液对比安慰剂治疗重症社区获得性肺炎患者的随机对照试验。
Crit Care Med. 2019 Sep;47(9):e735-e743. doi: 10.1097/CCM.0000000000003842.
4
A real-world study on adverse drug reactions to Xuebijing injection: hospital intensive monitoring based on 93 hospitals (31,913 cases).一项关于血必净注射液药物不良反应的真实世界研究:基于93家医院(31913例病例)的医院强化监测。
Ann Transl Med. 2019 Mar;7(6):117. doi: 10.21037/atm.2018.09.26.
5
Microparticle-induced vascular injury in mice following decompression is inhibited by hyperbaric oxygen: effects on microparticles and interleukin-1β.高压氧抑制减压后小鼠微粒诱导的血管损伤:对微粒和白细胞介素-1β的影响。
J Appl Physiol (1985). 2019 Apr 1;126(4):1006-1014. doi: 10.1152/japplphysiol.01109.2018. Epub 2019 Feb 14.
6
UHPLC-Q-TOF MS-Based Metabolic Analysis for the Therapeutic Efficacy of "Xuebijing Injection" against Sepsis-Induced Acute Lung Injury.基于超高效液相色谱-四极杆飞行时间质谱的代谢组学分析:“血必净注射液”对脓毒症诱导的急性肺损伤的治疗效果
Evid Based Complement Alternat Med. 2018 Sep 23;2018:8514619. doi: 10.1155/2018/8514619. eCollection 2018.
7
Xuebijing injection induces anti-inflammatory-like effects and downregulates the expression of TLR4 and NF-κB in lung injury caused by dichlorvos poisoning.血必净注射液对敌百虫中毒致肺损伤的保护作用及其对 TLR4 和 NF-κB 表达的影响
Biomed Pharmacother. 2018 Oct;106:1404-1411. doi: 10.1016/j.biopha.2018.07.111. Epub 2018 Jul 24.
8
Efficacy and safety of Xuebijing injection (a Chinese patent) for sepsis: A meta-analysis of randomized controlled trials.血必净注射液治疗脓毒症的有效性和安全性:一项随机对照试验的荟萃分析。
J Ethnopharmacol. 2018 Oct 5;224:512-521. doi: 10.1016/j.jep.2018.05.043. Epub 2018 Jun 1.
9
Spirometry and oxidative stress after rebreather diving in warm water.温水复呼吸器潜水后的肺功能测定与氧化应激
Undersea Hyperb Med. 2018 Mar-Apr;45(2):191-198.
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Pharmacokinetics-Based Identification of Potential Therapeutic Phthalides from XueBiJing, a Chinese Herbal Injection Used in Sepsis Management.基于药代动力学的血必净注射液治疗脓毒症潜在有效成分的研究
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血必净减轻减压诱导的肺损伤。

Xuebijing attenuates decompression-induced lung injuries.

作者信息

Meng Wen-Tao, Qing Long, Zhou Quan, Xu Wei-Gang

机构信息

Department of Diving and Hyperbaric Medicine, Naval Special Medicine Center, Naval Medical University, Shanghai, China.

Discipline of Military and Special Medicine, The 92493 Military Hospital of PLA, Huludao, China.

出版信息

Diving Hyperb Med. 2020 Dec 20;50(4):343-349. doi: 10.28920/dhm50.4.343-349.

DOI:10.28920/dhm50.4.343-349
PMID:33325014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8026227/
Abstract

INTRODUCTION

The lung is among the primary organs involved in decompression sickness (DCS). Xuebijing (XBJ), a traditional Chinese medicine, has been widely used in the treatment of various acute lung diseases. This study aimed to explore potential benefit of XBJ on lung injuries induced by DCS in a rabbit model.

METHODS

Twenty-four male New Zealand white rabbits underwent a simulated air dive to 50 meters' sea water for 60 min with 2.5 min decompression, and received an intravenous injection of XBJ (5 ml·kg) or an equal volume of saline immediately following decompression. DCS signs were monitored for 24 h, and blood was sampled before simulated diving and at 6 h and 12 h following decompression for determination of inflammatory indices. Lung tissues were sampled after euthanasia for histology analysis and lung water content, as well as tumour necrosis factor-α level. Another six rabbits were used as control.

RESULTS

XBJ significantly ameliorated lung injuries (lung wet/dry ratio and total protein content in bronchoalveolar lavage fluid), and notably inhibited systemic (serum level of interleukin-1β) and local (tumour necrosis factor-α in bronchoalveolar lavage fluid) inflammation responses.

CONCLUSIONS

The results strongly suggest the benefits of XBJ on ameliorating DCS lung injuries, which is possibly via inhibiting systemic and local inflammation. XBJ may be a potential candidate for the treatment of decompression-induced lung injuries.

摘要

引言

肺是减压病(DCS)累及的主要器官之一。血必净(XBJ)是一种中药,已广泛用于治疗各种急性肺部疾病。本研究旨在探讨血必净对兔模型中减压病所致肺损伤的潜在益处。

方法

24只雄性新西兰白兔进行模拟空气潜水至50米海水深度60分钟,减压2.5分钟,减压后立即静脉注射血必净(5 ml·kg)或等体积生理盐水。监测减压病症状24小时,在模拟潜水前以及减压后6小时和12小时采集血液,测定炎症指标。安乐死后采集肺组织进行组织学分析、测定肺含水量以及肿瘤坏死因子-α水平。另外6只兔子作为对照。

结果

血必净显著改善了肺损伤(肺湿/干比和支气管肺泡灌洗液中的总蛋白含量),并显著抑制了全身(血清白细胞介素-1β水平)和局部(支气管肺泡灌洗液中的肿瘤坏死因子-α)炎症反应。

结论

结果有力地表明血必净对改善减压病肺损伤有益,这可能是通过抑制全身和局部炎症实现的。血必净可能是治疗减压所致肺损伤的潜在候选药物。