Clinical Observation of the Effect of Xuesaitong Soft Capsule (血塞通软胶囊) on Post-hepatitis Fibrosis

Objective: To study the effect of Xuesaitong soft capsule (血塞通软胶囊, XST) on liver fibrosis criteria in patients with post-hepatitis fibrosis. Methods: Sixty-four patients with such fibrosis were randomly divided into the treated group and control group. They were treated with XST and Dahuang Zhechong pill (大黄NFDA1虫丸) for 3 months respectively. Their liver fibrosis criteria were examined before and after treatment. Results: The levels of serum procollagen Ⅲ, hyaluronic acid, collagen Ⅳ, laminin in the two groups were significantly lower ( P <0.01) than those before treatment. The differences between the two groups were insignificant ( P >0.05). Conclusion: XST could recover liver dysfunction and had anti-liver fibrosis function.

水飞蓟宾胶囊对酒精性肝纤维化大鼠的保护作用

目的研究水飞蓟宾胶囊对酒精性肝纤维化模型大鼠的保护作用并探讨其作用机制。方法取15只健康SD雄性大鼠作为正常对照组,85只大鼠采用灌胃乙醇混合液的方法复制酒精肝纤维化模型,将50只造模成功的的大鼠随机分为模型组,水飞蓟宾高、中、低剂量组和阳性药组,灌胃给药4周。末次给药后取血清,采用酶联免疫吸附法(ELISA)测定各组大鼠血清肝纤维化指标透明质酸(HA)、层粘连蛋白(LN)、羟脯氨酸(Hyp)、肝组织中Ⅲ型前胶原(PCⅢ)、Ⅳ型胶原(CⅣ)的含有量;用Western blot检测大鼠肝组织WNT蛋白的表达量;用HE染色观察各组肝组织病理学改变,Masson染色观察各组肝纤维化程度。结果与模型组比较,水飞蓟宾高、中、低剂量组大鼠血清HA、LN、Hyp、PCⅢ、CⅣ明显降低(P<0.01);水飞蓟宾高、中剂量组大鼠肝组织WNT蛋白表达量显著降低(P<0.01,P<0.05),低剂量组降低不明显(P>0.05);水飞蓟宾组肝组织胶原纤维面积明显减少,肝纤维化程度明显改善。结论水飞蓟宾胶囊对酒精性肝纤维化有一定的治疗作用,能显著改善大鼠酒精性肝组织损伤,减轻肝纤维化。

苷泰胶囊对四氯化碳诱导的大鼠肝纤维化的治疗作用

目的:研究苷泰胶囊对四氯化碳(CCl4)诱导的大鼠肝纤维化的治疗作用,并探讨其相应的作用机制。方法:SD大鼠将连续8周ip CCl4成功诱导的肝纤维化大鼠随机分为模型组,阳性药组秋水仙碱(2 mg·kg-1),苷泰胶囊低、高剂量组(230,460 mg·kg-1),每组12只,另设同批次正常大鼠12只为正常组。除正常组和模型组给予等体积生理盐水外,各组均按给定剂量ig给药,每日1次,连续4周。给药结束后处死大鼠,取血取肝。采用比色法测定血清中丙氨酸氨基转移酶(ALT),天门冬氨酸氨基转移酶(AST)的活性水平;采用酶联免疫吸附测定(ELISA)法测定透明质酸(HA),层粘蛋白(LN),Ⅳ型胶原(CⅣ)和Ⅲ型前胶原(procollagenⅢ,PCⅢ)的含量;采用碱水解法处理肝组织后测定其羟脯氨酸(Hy P)的含量;同时采用苏木素-伊红(HE)和马松(Masson)染色法对肝组织染色,并于光学显微镜下观察比较肝脏病理学变化。结果:与正常组比较,模型组大鼠血清中ALT,AST,HA,LN,CⅣ和PCⅢ的水平明显升高,肝组织中Hy P的含量明显升高(P<0.01),病理学结果显示模型组肝脏病理损伤程度较为明显,肝脏中胶原沉积较多;与CCl4模型组比较,苷泰胶囊能显著降低血清中ALT,AST,HA,LN,CⅣ和PCⅢ的水平(P<0.05,P<0.01),同时可使肝组织中Hy P的含量明显下降(P<0.05,P<0.01)。病理学结果显示苷泰胶囊能明显改善肝脏病理损伤程度,减少肝脏中胶原沉积。结论:苷泰胶囊能够有效地减轻CCl4诱导的大鼠肝纤维化程度。