活血化瘀方对ADP诱导的家兔血小板聚集和凝血酶时间的影响及量效关系研究Dose-effect relationship of traditional Chinese medicine formula for promoting blood circulation to remove stasis on ADP-induced platelet aggregation and rabbit plasma thrombin time
张彦华;唐于平;郭建明;丁安伟;段金廒;
ZHANG Yanhua,TANG Yuping*,GUO Jianming,DING Anwei*,DUAN Jinao (Jiangsu Key Laboratory for Traditional Chinese Medicine Formulae Research,Nanjing University of Chinese Medicine,Nanjing 210046,China)
摘要(Abstract):
目的:探讨5个活血化瘀方(血府逐瘀汤、少腹逐瘀汤、膈下逐瘀汤、身痛逐瘀汤、通窍活血汤)对家兔血小板聚集及凝血酶时间的作用及其量效关系。方法:采用比浊法测定ADP诱导家兔血小板聚集率和凝血酶时间(TT)法测定家兔血浆凝血时间。结果:活血化瘀方能显著抑制ADP诱导的家兔血小板聚集、延长凝血时间,5个方剂醇沉上清液部位抗血小板聚集效果比其全方和醇沉沉淀部位效果好(P<0.01),其中少腹逐瘀汤和膈下逐瘀汤醇沉上清液部位抗血小板聚集效果比其他方剂好,而在延长家兔血浆凝血时间方面全方效果最好(P<0.01),醇沉上清液部位效果最差。结论:5个活血化瘀方对ADP诱导血小板聚集和凝血酶时间均有显著影响,且不同部位样品侧重的药效强弱不同。通过本实验研究为进一步的方剂活血化瘀整体评价奠定了基础,为中医临床治疗心脑血管疾病提供了科学依据。
Objective: To investigate the effect of five traditional Chinese medicine formula for promoting blood circulation to remove stasis(Xuefuzhuyu Tang,Shaofuzhuyu Tang,Gexiazhuyu Tang,ShentongZhuyu Tang,Tongqiaohuoxue Tang) on platelet aggregation and clotting time in a dose-response relationship.Method: The platelet aggregation was tested with Born's method and thrombin time(TT) method was established to determine the clotting time.Result: The formula for promoting blood circulation to remove stasis showed significant inhibitory effects on the platelet aggregation and prolonged clotting time,the supernate of 80% alcohol solution showed the most potent inhibitory activity among the three kinds of samples from one formula(P<0.01),especially the supernate of Shaofuzhuyu Tang and Gexiazhuyu Tang were better than other formula on platelet aggregation.About the anticoagulant,the whole formula showed the evidently prolonging the clotting time than other two fractions(P<0.01) and the precipitation were the worst.Conclusion: The formula for promoting blood circulation to remove stasis showed significant effect on platelet aggregation and clotting time,and different samples of the formula had different efficacy.The study established a foundation for further bio-activity evaluation of these formulae and provided evidence for the treatment of cardiovascular and cerebrovascular diseases.
关键词(KeyWords):
活血化瘀方;血小板聚集;ADP;凝血酶时间
Formulae for promoting blood circulation to remove stasis;platelet aggregation;ADP;TT
基金项目(Foundation): 江苏高校自然科学重大基础研究项目(06KJA36022,07KJA36024)
作者(Authors):
张彦华;唐于平;郭建明;丁安伟;段金廒;
ZHANG Yanhua,TANG Yuping*,GUO Jianming,DING Anwei*,DUAN Jinao (Jiangsu Key Laboratory for Traditional Chinese Medicine Formulae Research,Nanjing University of Chinese Medicine,Nanjing 210046,China)
参考文献(References):
- [1]唐于平,段金廒,范欣生,等.芳香酸类成分在活血化瘀方中的作用分析[J].世界科学技术———中医药现代化,2008,10(4):38.
- [2]李莎莎,肖雪,王跃生,等.血瘀证与活血化瘀研究进展[J].河南中医学院学报,2009,24(1):102.
- [3]张海林,聂克.活血化瘀药对恶性肿瘤影响研究进展[J].山东中医药大学学报,2009,33(2):169.
- [4]华永庆,段金廒,宿树兰,等.用于不同证型痛经的四物汤类方生物效应评价(Ⅰ)[J].中国药科大学学报,2008,39(1):72.
- [5]李立辉,李光.恶性肿瘤患者血小板聚集功能的测定[J].实用医技杂志,2008,15(27):3693.
- [6]何梅凤,吴伟,邓新国.川芎嗪在眼科应用的研究进展[J].中草药,2007,38(8):附4.
- [7]李宏艳.慢性肾小球肾炎患者血液流变学与血小板凝集率的检测分析[J].实用医技杂志,2006,13(8):1283.
- [8]刘江.肝炎后肝硬化和重型肝炎凝血与血小板功能变化的临床意义[J].浙江临床医学,2003,5(10):768.
- [9]邹望远,郭曲练,蔡进,等.乌司他丁对骨科病人血小板聚集及凝血功能的影响[J].中南大学学报:医学版,2004,29(5):569.
- [10]贺凯,高建莉,赵光树.延胡索化学成分、药理作用及质量控制研究进展[J].中草药,2007,38(12):1909.
- [11]刑建峰,王美纳,马小亚,等.dl-四氢巴马汀对实验性脑血栓形成及体外血小板聚集的抑制作用[J].中国药理学通报,1997,13(3):258.
- [12]Fatma U Afifi,Talal Aburjai.Antiplatelet activity ofVarthemiaiphionoides[J].Fitoterapia,2004(75):629.
- [13]樊宏伟,肖大伟,余黎,等.金银花及其有机酸类化合物的体外抗血小板聚集作用[J].中国医院药学杂志,2006,26(2):145.
- [14]杨建宇,何波,杨扬,等.天麻醒脑胶囊的溶栓作用及对凝血系统的影响[J].中国中药杂志,2009,34(6):756.
- [15]石威,沈霖,秦铀,等.从益气活血方拆方对健康人血小板聚集功能的影响探讨方剂组成[J].中国中药杂志,2007,32(21):2294.
- [16]金慧萍.凝血参数与临床意义[J].中外健康文摘,2007,4(9):1157.
- [17]Peerschke E T B,Zucker M B,Grant R A,et al.Correlationbetween fibrinogen binding to human platelets and platelet ag-gregability[J].Blood,1981,55:841.
- 活血化瘀方
- 血小板聚集
- ADP
- 凝血酶时间
Formulae for promoting blood circulation to remove stasis - platelet aggregation
- ADP
- TT
- 张彦华
- 唐于平
- 郭建明
- 丁安伟
- 段金廒
ZHANG Yanhua- TANG Yuping*
- GUO Jianming
- DING Anwei*
- DUAN Jinao (Jiangsu Key Laboratory for Traditional Chinese Medicine Formulae Research
- Nanjing University of Chinese Medicine
- Nanjing 210046
- China)
- 张彦华
- 唐于平
- 郭建明
- 丁安伟
- 段金廒
ZHANG Yanhua- TANG Yuping*
- GUO Jianming
- DING Anwei*
- DUAN Jinao (Jiangsu Key Laboratory for Traditional Chinese Medicine Formulae Research
- Nanjing University of Chinese Medicine
- Nanjing 210046
- China)