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丹参与骨碎补注射液防治激素诱发股骨头坏死的实验研究
Hits: 2461   Download times: 1318   Received:March 31, 2003    
作者Author单位UnitE-Mail
刘宏泽 LIU Hongze 包头市第三医院骨科,内蒙古 包头 014040 The Third Hospital of Baotou Neimonggu Baotou , 014040, China  
王文瑞 WANG Wenrui 包头市第三医院骨科,内蒙古 包头 014040 The Third Hospital of Baotou Neimonggu Baotou , 014040, China  
卫小春 WEI Xiaochun 山西医科大学临床二系  
张剑宇 山西医科大学临床二系  
期刊信息:《中国骨伤》2003年16卷,第12期,第726-728页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨丹参和骨碎补对激素性股骨头坏死的防治机理及其交互作用。

方法:选用家兔50只,随机分成五组:模型组、丹参组、骨碎补组、丹参+骨碎补组、对照组。8周后观察五组家兔血液流变学、脂代谢、股骨头组织学等指标的改变。

结果:与对照组相比,模型组股骨头疏松,易于凿切,血液粘度和血脂升高,骨小梁变细、稀疏,空骨陷窝率增高,髓腔脂肪细胞增多;而其余各组上述病变有不同程度的减轻,其中以丹参+骨碎补组病理改变最轻。

结论:丹参、骨碎补均能预防激素所致的高粘滞血症和高脂血症;骨碎补能提高血钙血磷,激活成骨细胞,提高股骨头的骨密度,能预防激素性骨质疏松;两药在预防SANFH方面有协同作用。
[关键词]:股骨头坏死  中药疗法  血液流变学  组织学  比较
 
Experimental research on prevention of steroid-induced avascular necrosis of femoral head with injection of Salvia Miltiorrhiza and Drynaria
Abstract:

Objective:To investigate and compare the protective effects of Salvia Miltiorrhiza and Dry-naria on steroid-induced avascular necrosis of femoral head(SANFH).

Methods:50 adult rabbits were randomly divided into five groups: Model group (Group A, n = 10), Salvia Miltiorrhiza group (Group B, n = 10), Dryraria group (Group C,n = 10),combined use of Salvia miltorrhiza and Drynaria group (Group D, n = 10) and control group(Group E, n = 10). Indexes of slice pathomorphology of bone, hemorheology, serum calcium and phosphor,fatty metabolism and bone mineral density (BMD) were performed eight weeks later.

Results:Compared with Group E,Group A showed significant changes:such as osteoporosis of femoral head which was easier to be cut,the blood and plasma viscosity and lipid raised;the presence of more bone lacuna,thinner tra-beculae and lower bone mineral density (BMD) and more fat cells in the medullary cavity. The pathological changes above mentioned in Group B,C and D were lightened in different degree. The blood and plasma viscosity in Group B and C were decreased. The serum calcium and BMD of femoral head increased in Group C and D.

Conclusion:Either Salvia Miltiorrhiza or Drynaria could prevent hemorheological condition and lipid metabolism;Drynaria is able to raise serum calcium and BMD of femoral head,activate osteoblasts, elevate os-teo-density,and to prevent from osteoporosis; Sal via Miltiorrhiza pocesses a synergetic effect with Drynaria in preventing from SANFH.
KEYWORDS:Femoral head necrosis  Treatment with Chinese herbs  Hemorrheology  Histology, comparative
 
引用本文,请按以下格式著录参考文献:
中文格式:刘宏泽,王文瑞,卫小春,张剑宇.丹参与骨碎补注射液防治激素诱发股骨头坏死的实验研究[J].中国骨伤,2003,16(12):726~728
英文格式:LIU Hongze,WANG Wenrui,WEI Xiaochun.Experimental research on prevention of steroid-induced avascular necrosis of femoral head with injection of Salvia Miltiorrhiza and Drynaria[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(12):726~728
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