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重庆医科大学附属第一医院呼吸与危重症学科
纸质出版日期:2017,
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张慧, 张露, 李军, 等. 鱼腥地龙汤辅助戒烟和对慢阻肺的保护作用[J]. 重庆医科大学学报, 2017,42(12):1604-1609.
Zhang Hui, Zhang Lu, Li Jun, et al. Effect of Yuxing Dilong decoction on smoking cession and chronic obstructive pulmonary diseases[J]. Journal of Chongqing Medical University, 2017,42(12):1604-1609.
张慧, 张露, 李军, 等. 鱼腥地龙汤辅助戒烟和对慢阻肺的保护作用[J]. 重庆医科大学学报, 2017,42(12):1604-1609. DOI: 10.13406/j.cnki.cyxb.001454.
Zhang Hui, Zhang Lu, Li Jun, et al. Effect of Yuxing Dilong decoction on smoking cession and chronic obstructive pulmonary diseases[J]. Journal of Chongqing Medical University, 2017,42(12):1604-1609. DOI: 10.13406/j.cnki.cyxb.001454.
目的:观察鱼腥地龙汤辅助戒烟和对慢性阻塞性肺疾病(chronic obstructive pulmonary disease
COPD)的保护作用。方法:将40只KM雄性小鼠随机分为5组:正常对照组
尼古丁依赖模型组
药物治疗低、中、高剂量组
每组8只。小鼠连续14 d每天尼古丁[5 mg/(kg·d)]皮下注射构建尼古丁依赖模型。同时给予低、中、高剂量组鱼腥地龙汤[6.11 g/(kg·d)、12.22 g/(kg·d)、24.44 g/(kg·d)]连续2周。采用敞箱实验和强迫游泳实验评价其戒断症状
使用高效液相色谱测定其纹状体多巴胺(dopamine
DA)水平;将40只SD雄性大鼠随机分为5组:正常对照组
COPD模型组
药物治疗低、中、高剂量组
每组8只。大鼠连续3周每周1次腹腔内注射烟草提取物1 mL构建COPD模型。同时给予低、中、高剂量组鱼腥地龙汤[4.23 g(kg·d)、8.46 g/(kg·d)、16.92 g/(kg·d)]连续3周。采用苏木素-伊红染色(HE)观察各组大鼠的肺组织病理形态学改变
采用酶联免疫法检测肺部白细胞介素8(interleukin-8
IL-8)、肿瘤坏死因子-α(tumor necrosis factor-α
TNF-α)水平。结果:(1)在尼古丁成瘾模型中
与模型组相比
药物治疗组(中、高剂量)可明显增加小鼠穿越方块数(P=0.005
P=0.003)
药物治疗组(低、中、高剂量)可降低身体竖起次数(P=0.04
P=0.03
P=0.001)
药物治疗组(高剂量组)游泳不动时间低于模型组(P=0.034)
且中、高剂量药物治疗组的DA浓度明显高于模型组(P=0.05
P=0.004)。(2)在COPD模型中
苏木素-伊红染色示模型组肺泡破坏明显
且有多种炎性细胞浸润;与模型组相比
低、中、高剂量药物可以明显降低平均线性截距(mean linear intercept
MLI)(P=0.003
P=0.000
P=0.000);中、高剂量药物可以明显降低肺泡破坏指数(destructive index
DI)(P=0.000
P=0.000);与模型组相比
低、中、高剂量药物可以降低大鼠肺组织中IL-8含量(P=0.002
P=0.001
P=0.000)和大鼠肺组织中TNF-α含量(P=0.022
P=0.005
P=0.000)。结论:鱼腥地龙汤可能通过提高纹状体多巴胺的浓度减轻尼古丁戒断症状
同时可能通过降低肺部炎症因子水平改善肺组织病理形态变化
这为戒烟的治疗提供新的实验依据。
Objective:To observe the effect of Yuxing Dilong decoction on smoking cession and chronic obstructive pulmonary diseases(COPD).Methods:Forty male Kunming mice were equally and randomly divided into four groups:normal control group
nicotine dependence model group
drug therapy group of low
middle
high dose.The experimental nicotine dependence rat model was made by subcutaneous injection of nicotin.At the same time
the low
middle and high dose groups were treated Yuxing Dilong decoction[(6.11 g/(kg·d)
12.22 g/(kg·d)
24.44 g/(kg·d)] for two weeks.The nicotine withdrawal symptoms and the level of dopamine(DA)in the striatum in each group were observed.Forty male Sprague Dawley rats were equally and randomly divided into four groups :normal control group
COPD model group
drug therapy group of low
middle
high dose.The experimental COPD rat model was made by intraperitoneal injection of cigarette smoke extract.At the same time
the low
middle and high dose groups were treated with Yuxing Dilong decoction[4.23 g/(kg·d)
8.46 g/(kg·d)
16.92 g/(kg·d)] for three weeks.The pathological changes and the levels of interleukin-8(IL-8)and tumor necrosis factor alpha(TNF-α)of lung tissue in rats were detected.Results:(1)In the nicotine addiction model
compared with the model group
the middle
high dose Yuxing Dilong decoction can significantly increase the number of crossing squares(P=0.005
P=0.003)
and the low
middle and high dose Yuxing Dilong decoction can significantly reduce the times of body erection(P=0.04
P=0.03
P=0.001)
the high dose Yuxing Dilong decoction can significantly reduce the swimming immobility(P=0.034);the middle
high dose Yuxing Dilong decoction can significantly reduce the level of DA(P=0.05
P=0.004).(2)In the COPD model
the alveolus in the COPD rats was damaged obviously and the infiltration of inflammatory cells was observed.Compared with the model group
low
middle and high dose Yuxing Dilong decoction can reduce the mean linear intercept(MLI)(P=0.003
P=0.000
P=0.000);Middle and high dose Yuxing Dilong decoction can reduce the destructive index(DI)(P=0.000
P=0.000).Enzyme-linked immunosorbent assay analysis showed that compared with the model group
the low
middle and high doses Yuxing Dilong decoction can reduce the levels of IL-8 in lung tissue(P=0.002
P=0.001
P=0.000)and the level of TNF-α in lung tissue(P=0.022
P=0.005
P=0.000).Conclusion:Yuxing Dilong decoction may alleviate the nicotine withdrawal symptoms by increasing the concentration of dopamine in the striatum
and improve the pathological changes of the lung tissue by reducing the level of inflammatory cytokinesnot
which is hoped to provide new experimental data for the treatment of smoking cessation.
鱼腥地龙汤戒烟慢性阻塞性肺疾病白介素-8肿瘤坏死因子-α
Yuxing Dilong decoctionsmoking cessionchronic obstructive pulmonary diseasesinterleukin-8tumor necrosis factor-α
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