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中国博士后科学基金(200801166)

作品数:8 被引量:100H指数:6
相关作者:倪青黄春荣赵安斌李恩庆王阶更多>>
相关机构:中国中医科学院广安门医院暨南大学黑龙江中医药大学附属第二医院更多>>
发文基金:中国博士后科学基金北京市科委重大项目北京科技计划项目更多>>
相关领域:医药卫生更多>>

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生脉散对2型糖尿病性心肌病大鼠心肌的保护作用被引量:27
2010年
目的:探讨生脉散对糖尿病性心肌病(DCM)大鼠的保护作用。方法:SD大鼠42只,采用高脂高热量饮食诱导出胰岛素抵抗,加单次中等剂量(50mg/kg)腹腔注射链脲佐菌素建立DCM动物模型,12周后采用心电图评价心肌受损情况,取血检测血糖、胆固醇、甘油三酯,Masson染色检测左室心肌胶原含量,Tunel凋亡试剂盒检测心肌细胞凋亡程度,电镜观察心肌亚细胞结构破坏程度,同时采用免疫组织化学染色检测TSP-1、TGF-β1、Chymase和TRB-3蛋白的表达水平,采用Westernblotting技术检测TSP-1、A-TGFβ1和L-TGF-β1蛋白的表达水平变化。实时荧光定量PCR检测TSP-1和TRB-3mRNA表达水平的变化。结果:与模型组相比,生脉散组大鼠血糖、胆固醇、甘油三酯明显降低,心肌组织破坏程度较轻,胶原纤维含量显著减少,电镜观察心肌细胞亚细胞结构破坏程度较轻,免疫组化心肌TSP-1、TGF-β1以及TRB-3的表达水平、Western心肌tsp-1、A-TGFβ1和L-TGF-β1蛋白表达水平、PCR、TSP-1mRNA和TRB-3mRNA表达水平降低。结论:生脉散可通过多条途径抑制糖尿病心肌病大鼠的心肌纤维化,显著延缓糖尿病心肌病的发生进程。
倪青王阶赵安斌于斌王敏黄春荣李恩庆
关键词:生脉散糖尿病心肌病胶原纤维TSP-1CHYMASE
Study on the Protective Effect of Shengmai San(生脉散) on the Myocardium in the Type 2 Diabetic Cardiomyopathy Model Rat被引量:5
2011年
Objective:To study the effect of Shengmai San(生脉散Pulse-activating Powder) in protecting myocardium in the rat of the type 2 diabetic cardiomyopathy(DCM) model.Methods:The DCM rat model was established by combination of insulin resistance induced by a high-fat diet with intraperitoneal injection of high dose streptozotocin(50 mg/kg).And these rat models were randomly divided into three groups:a normal group(n=12,one of them died),a model group(n=15) and a Shengmai San group(treatment group,n=15).The damage of the myocardium was assessed by electrocardiogram at the twelfth week after modeling,and the blood glucose,cholesterol and triglyceride levels were determined;the content of the left cardiac ventricle myocardial collagen was quantified by Masson staining test;the level of myocardial cell apoptosis was detected with TUNEL apoptosis detection kit;the damage extent of the myocardial sub-cellular structures was observed by electron microscopy;the expression levels of cardiac TSP-1(Thrombospondin-1),TGF-β1(Transforming Growth Ffactor-β) and TRB-3(Tribbles homolog 3) proteins were detected by immunohistochemical method;the expression levels of cardiac TSP-1,A-TGF-β1 and L-TGF-β1 proteins were detected by Western blotting;and the expression levels of TSP-1 and TRB-3 mRNAs were detected by real-time quantitative PCR.Results:Compared with the control group,the blood glucose,cholesterol,triglycerides levels in both the model groups and the Shengmai San group were significantly decreased;the myocardial tissue was less damaged and the collagen content was reduced in the Shengmai San group;the myocardial sub-cellular structure was injured to a lesser extent;the expression levels of myocardial TSP-1,TGF-β1,TRB-3,and TSP-1,A-TGF-β1,L-TGF-β1 and chymase were decreased,and the expression levels of TSP-1 mRNA and TRB-3 mRNA were decreased in both the model groups and the Shengmai San group(the latter was better),.Conclusion:Shengmai San can inhibit myocardial fibrosis in the rat of diabetic cardiomyopathy,and signi
倪青王阶李恩庆赵安斌于斌王敏黄春荣
关键词:生脉散电子显微镜观察
丹参饮对2型糖尿病性心肌病大鼠心肌的保护作用被引量:18
2010年
目的:探讨丹参饮对糖尿病性心肌病(DCM)大鼠的保护作用。方法:SD大鼠42只高脂高热量饮食诱导胰岛素抵抗,加单次中等剂量(50mg/kg)腹腔注射链脲佐菌素建立DCM动物模型,12周后采用心电图评价心肌受损,取血检测生化指标,Masson染色检测左室心肌胶原含量,Tunel凋亡试剂盒检测心肌细胞凋亡程度,电镜观察心肌亚细胞结构破坏程度,同时采用免疫组织化学染色检测TSP-1、TGF-β1、Chymase和TRB-3蛋白的表达水平,采用Western blotting技术检测TSP-1、A-TGFβ1和L-TGF-β1蛋白的表达水平变化。实时荧光定量PCR检测TSP-1和TRB-3 mRNA表达水平的变化。结果:与模型组相比,丹参饮组大鼠血糖、胆固醇、甘油三酯明显降低,心肌组织破坏程度较轻,胶原纤维含量显著减少,电镜观察心肌细胞亚细胞结构破坏程度较轻,免疫组化检测心肌TSP-1、TGF-β1以及TRB-3的表达水平、Western检测心肌tsp-1、A-TGFβ1和L-TGF-β1蛋白表达水平均降低,PCR检测TSP-1 mRNA和TRB-3 mRNA表达水平降低。结论:丹参饮可通过多条途径抑制糖尿病心肌病大鼠的心肌纤维化,显著延缓高血糖大鼠糖尿病心肌病的发生进程。
倪青王阶赵安斌于斌王敏黄春荣李恩庆
关键词:丹参饮糖尿病心肌病胶原纤维TSP-1CHYMASE
1274例2型糖尿病合并冠心病证治规律数据挖掘被引量:26
2010年
糖尿病合并冠心病是糖尿病性心脏病中的一种,是糖尿病引起死亡的主要原因。本病属中医学“消渴”、“胸痹”范畴。历代对消渴的认识及流行病学调查表明,该病的发生与心、脾、肾的亏损,饮食不节,过食伤脾,七情郁结,劳欲过度,寒邪侵袭禀赋不足等因素有关。但对目前糖尿病合并冠心病的症状和证型的共性规律知之甚少。
倪青于丽红陈世波
关键词:2型糖尿病冠心病中医证候数据挖掘生脉散丹参饮
倪青主任治疗高尿酸血症与痛风被引量:12
2014年
倪青主任医师认为,高尿酸血症与痛风发病以脾肾两虚相兼为本,湿热毒瘀互结是发病的重要病理因素,辨治应重视滋肾健脾以治本,清热利湿、活血解毒以治标,病证结合,分期用药。根据多年临床经验,自拟滋肾健脾利湿方治疗高尿酸血症与痛风,临床疗效显著。
刘苇苇倪青
关键词:高尿酸血症痛风中医治法脾肾两虚
芪蛭降糖胶囊治疗2型糖尿病合并冠心病心绞痛128例临床观察被引量:13
2010年
目的评价芪蛭降糖胶囊对糖尿病冠心病心绞痛的疗效。方法将173例确诊为糖尿病冠心病心绞痛患者随机分为治疗组(128例)和对照组(45例),治疗组给予西医常规治疗加芪蛭降糖胶囊,对照组给予西医常规治疗,共观察8周。比较2组症状、血糖、动态心电图变化及不良反应情况。结果治疗组总有效率为92.19%(118/128),优于对照组的88.89%(40/45),2组比较,P<0.01。与对照组比较,治疗组血糖和症状积分有显著改善,差异有统计学意义(P<0.05);2组治疗后动态心电图ST-T缺血改变阵次和持续时间均得到显著改善(P<0.05),治疗组优于对照组(P<0.05)。结论芪蛭降糖胶囊治疗糖尿病合并冠心病心绞痛疗效显著,无不良反应。
倪青闫秀峰林兰
关键词:糖尿病冠心病心绞痛中医疗法
Study on the Protective Effect of the Mixture of Shengmai Powder and Danshen Decoction(生脉散丹参饮合剂)on the Myocardium of Diabetic Cardiomyopathy in the Rat Model被引量:10
2011年
Objective:To study the protective effect of the Mixture of Shengmai Powder and Danshen Decoction(生脉散丹参饮合剂,abbreviated as the Mixture) in the rat model with type 2 diabetic cardiomyopathy (DCM).Methods:Forty-two SD rats with DCM model,established by the combination of insulin resistance by a high-fat diet with the damage of pancreatic islet p cells by intraperitoneal injection of high dose streptozotocin (50 mg/kg) once,were evaluated in the damage of the myocardium by electrocardiogram at the end of 12 weeks of grouping and intervention administration;the extent of damage in the myocardial subcellular structure was observed by electron microscopy;the content of myocardial collagen in the left cardiac ventricle was quantified by Masson staining test;the myocardial cell apoptosis was determined by TUNEL;the changes in the mRNA expression levels of thrombospodin-1(TSP-1) and tribbles homolog 3(TRB-3) by real-time quantitative PCR,the expression levels of myocardial TSP-1,tumor growth factorβ1(TGF-β1),TRB-3,and chymase were detected by immunohistochemistry,and the changes in the expression levels of myocardial TSP-1,active-TGF-β1 (A-TGF-β1) and latent-TGF-β1(L-TGF-β1) protein were tested by Western blotting.Results:Compared with the control group,the myocardial tissue was less damaged,and the extent of damage in the myocardial subcellular structure was less;the collagen fiber content and the cell apoptosis were reduced;the expression levels of TSP-1 mRNA and TRB-3 mRNA,the expression levels of myocardial TSP-1,TGF-β1,TRB-3,and chymase,as well as the average expression levels of the myocardial TSP-1,A-TGFβ1,and L-TGF-β1 protein were decreased in the Mixture group.Conclusion:The Mixture of Shengmai Powder and Danshen Decoction could inhibit the process of myocardial fibrosis in the rat myocardium of DCM through multiple pathways and significantly delay the genesis and progress of DCM in hyperglycemic rats.
倪青王阶李恩庆赵安斌于斌王敏黄春荣
关键词:CHYMASE
糖尿病合并脑梗死病证研究思路与认识被引量:4
2013年
糖尿病合并脑梗死的发生与糖尿病长期的血管病变和血液流变学改变等有关。中医提出,此为消渴病中后期严重并发症,多为本虚标实之证,气阴两虚为本,风、痰、瘀为标,其中尤以气虚血瘀为多见。目前西医干预措施具有局限性,中医证候复杂多样,尚缺乏统一规范的中医证型分类标准,故在病证结合模式下,通过西医病名与中医证型的分析、西医理化指标与中医四诊所获得的信息的综合,充分借鉴西医对疾病的疗效评价体系,突出中医学辨证特色,服从科学的原则,有利于更好掌握糖尿病合并脑梗死的发生发展规律,指导疾病的预后以及疗效评价。
刘苇苇游焌安然孙朦朦倪青
关键词:糖尿病脑梗死病证结合消渴
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