中西药联合应用溶解胆囊结石的实验研究
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南京医科大学第二附属医院创新团队基金(2012001)


Experimental study on the dissolution of gallstone by integrated traditional Chinese and Western medicine
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    摘要:

    目的:探讨中西医联合溶石治疗胆囊结石的疗效。方法:新西兰家兔40只,随机分成A-B-C-D组,每组10只。胆囊造瘘,置入结石,留置造瘘管。分别给予西药-中药-中西药结合或生理盐水。药物由造瘘管注入,每隔1 h注入1次,持续72 h。实验结束后收集残余结石,清洗烘干称重。留取胆囊-肝脏-肾脏,行病理检查。上述动物在实验前后分别从耳缘静脉抽取静脉血检测生化指标。结果:西药和中西药联合均有明显的胆囊结石溶解作用,但西药组对肝肾功能的损害较大,肝胆肾组织炎症反应明显,而中西药联合对肝肾功能的损害较西药组小,肝胆肾组织炎症反应较轻;中药对肝肾功能的损害和肝胆肾组织炎症反应等不良反应最轻,但胆囊结石溶解作用也最小。结论:中西药联合应用既保持了西药的溶石效果,又减轻了单纯西药溶石的不良反应。

    Abstract:

    Objective:To investigate the clinical efficacy of litholysis by integrated traditional Chinese and Western medicine on rabbits with gallstone. Methods:A total of 40 New Zealand white rabbits were randomly divided into A,B,C and D group,with 10 in each group. They were given gallbladder fistula,placement of calculi,and indwelling fistula. Then they were respectively treated with Western medicine,Traditional Chinese,the combination of Traditional Chinese and Western Medicine,normal saline. The drug was injected by fistula,once every hour,72 hours continuously. After the end of the experiment,the residual stones were collected,cleaned and dried and weighed. The gallbladder,liver,kidney were taken pathological examination. Blood biochemical indexes of venous blood were examined. Results:Western medicine and the combination of traditional Chinese and Western medicine all have the obvious function of dissolving gallbladder stones. However,function damage of the liver and kidney and inflammatory response of the liver,gallbladder,kidney tissues of Western medicine group was larger,and that of combination of Western and traditional Chinese medicine was smaller,and that of traditional Chinese medicine was the smallest,but the function of dissolving gallbladder stones it was the weakest. Conclusion:The combination of traditional Chinese and Western medicine can not only keep the dissolution of gallbladder stones,but also reduce the adverse reactions.

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陈 跃,冯连吉,李全朋,石永强,缪 林.中西药联合应用溶解胆囊结石的实验研究[J].南京医科大学学报(自然科学版),2016,(10):1188-1191,1197

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  • 收稿日期:2016-08-03
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  • 在线发布日期: 2016-10-17
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