桂枝汤对改善高脂血症心肌缺血大鼠微循环的作用
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河北省中医药管理局项目(2008103)


Research of Guizhi Tang on Improving Microcirculation in Hyperlipidemia Rats
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    摘要:

    目的基于“损其心者,调其营卫”理论,深入探讨桂枝汤在改善高脂血症心肌缺血大鼠微循环方面的作用。方法采用高脂饲料、丙硫氧嘧啶及大剂量维生素D3多因素联合诱导高脂血症和动脉粥样硬化早期改变,建立大鼠模型。在此基础上,大剂量腹腔注射垂体后叶素,造成心肌缺血(胸痹)模型。对6周、12周、18周三个时间点血清标本严格按试剂盒说明书操作,测定总胆固醇、甘油三酯、高密度脂蛋白胆固醇的含量,并根据公式计算出低密度脂蛋白胆固醇含量。采用锥板法检测各组大鼠全血黏度(低、中、高切)、血浆黏度、红细胞压积、红细胞聚集指数、红细胞变形指数等血液流变学指标。结果桂枝汤使心肌缺血大鼠血脂代谢各项指标明显改善,降低总胆固醇、甘油三酯、低密度脂蛋白胆固醇,升高高密度脂蛋白胆固醇。桂枝汤可以显著降低全血黏度、全血还原黏度、血浆黏度和相对黏度,改善红细胞血流变性。结论桂枝汤对改善微循环作用显著,可增加心肌供血,减轻心肌缺血损伤,进而达到治疗缺血性心血管病的作用。

    Abstract:

    Aim To study the modern biological intention of theory "For those people whose heart is hurt we should mediate the nutrient and the defensive" and the function of Guizhi Tang on improving microcirculation in rat experimental hyperlipemia and myocardial ischemia. Methods The early changes of hyperlipid and atherosclerosis are caused by utilizing multiple factors including feeding hyperlipid,propylthiouracil and high doses of vitamine D3(VD3).Based on the above,the myocardial ischemia model was established by injecting high doses of pituitrin.Measuring the total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDLC) and low density lipoprotein cholesterol(LDLC) in the 6th,12nd and 18th week respectively.Determine blood viscosity(low,middle and high shear rate),plasma viscosity,hematocrit,erythrocyte aggregation index and the index of erythrocyte deformability. Results Guizhi Tang significantly improves the indexes of blood lipid metabolism,increases TC,TG and LDLC,and decreases HDLC.Guizhi Tang can notably decrease blood vicosity,blood deoxidize viscosity,plasma viscosity and relative viscosity,improve hemorheology of red blood cell. Conclusions Guizhi Tang has the marked function of inproving microcirculation.Guizhi Tang can improve myocardial blood supply,decrease the ocurrance and development of main heart and vascular disease.

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焦宏,杜会博,陈彦静,鞠大宏,马建伟,薛贵平.桂枝汤对改善高脂血症心肌缺血大鼠微循环的作用[J].中国动脉硬化杂志,2011,19(12):984~988.

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  • 收稿日期:2011-04-19
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