To study the effect and the mechanism of Zuogui Pill on the deficiency of kidney essence and liver blood.Methods:Established the model of deficiency of kidney essence and liver blood of rat(the model of MSG regenerati...To study the effect and the mechanism of Zuogui Pill on the deficiency of kidney essence and liver blood.Methods:Established the model of deficiency of kidney essence and liver blood of rat(the model of MSG regeneration rat).Observing the deficiency kidney essence and liver blood and ARN or regeneration liver of expression transforming growth factor type 1 beta(TGF β 1).Results:The liver regeneration of the model of MSG regeneration rat,postoperated on 11th day,the degree of liver regeneration was 0 58±0 03,the rate of liver weight/body weight was 3 27±0 12,MI was 0 11±0 02,RBC was 3 83±0 09×10 12 /L,Hb was 119 0±8 3g/L.The group of treatment by Zuogui Pill(dosage 5g/kg daily),postoperated on 11th day,the degree of liver regeneration was 0 84±0 04,the rate of liver weight/body weight was 3 85±0 14,MI was 0 11±0 02,RBC was 5 12±0 06×10 12 /L,Hb was 172 7±3 9g/L.The above datum were significantly different among the groups.The observation results showed MSG induced injury to ARN of the rat treated with monosodium glutamate.Comparing to the model of MSG regeneration rat group,it showed that Zuogui Pill could obviously inhibited the ARN injury in the rat treated with monosodium glutamate.The maladjustment in liver regeneration of the model of MSG regeneration rat,in the end,the liver regeneration was significantly inhibited.The effect of promoting liver regeneration in the model of MSG regeneration rat treated by gastrogavage Zuogui Pill.All data are reported as means±SE.When this analysis revealed a significant difference(p<0 05 or p<0 01).TGF β 1 has an obviously higher expression in liver and ARN during liver regeneration of the model of MSG regeneration rat.The effect of regulation of TGF β 1 expression in liver and ARN of the model of MSG regeneration rat treated by gastrogavage Zuogui Pill.The effect inhibited the deficiency of kidney essence and liver blood of the model MSG regeneration rat treated by gastrogavage Zuogui Pill.Conclusion:The deficiency of kidney essence and liver blood of the mo展开更多
AIM:To characterize the impact of the Pringle ma-neuver (PM) and ischemic preconditioning (IP) on total blood supply to the liver following hepatectomies. METHODS: Sixty one consecutive patients who un-derwent hepatic...AIM:To characterize the impact of the Pringle ma-neuver (PM) and ischemic preconditioning (IP) on total blood supply to the liver following hepatectomies. METHODS: Sixty one consecutive patients who un-derwent hepatic resection under in flow occlusion were randomized either to receive PM alone (n = 31) or IP (10 min of ischemia followed by 10 min of reperfusion) prior to PM (n = 30). Quantification of liver perfusion was measured by Doppler probes at the hepatic artery and portal vein at various time points after reperfusion of remnant livers. RESULTS: Occlusion times of 33 ± 12 min (mean ± SD) and 34 ± 14 min and the extent of resected liver tissue (2.7 segments) were similar in both groups. In controls (PM), on reperfusion of liver remnants for 15 min, portal perfusion markedly decreased by 29% while there was a slight increase of 8% in the arterial blood flow. In contrast, following IP + PM the portal vein flow remained unchanged during reperfusion and a significantly increased arterial blood flow (+56% vs baseline) was observed. In accordance with a better postischemic blood supply of the liver, hepatocellular injury, as measured by alanine aminotransferase (ALT) levels on day 1 was considerably lower in group B compared to group A (247 ± 210 U/I vs 550 ± 650 U/I, P < 0.05). Additionally, ALT levels were significantly correlated to the hepatic artery in flow.CONCLUSION: IP prevents postischemic flow reduction of the portal vein and simultaneously increases arterial perfusion, suggesting that improved hepatic macrocirculation is a protective mechanism following hepatectomy.展开更多
文摘To study the effect and the mechanism of Zuogui Pill on the deficiency of kidney essence and liver blood.Methods:Established the model of deficiency of kidney essence and liver blood of rat(the model of MSG regeneration rat).Observing the deficiency kidney essence and liver blood and ARN or regeneration liver of expression transforming growth factor type 1 beta(TGF β 1).Results:The liver regeneration of the model of MSG regeneration rat,postoperated on 11th day,the degree of liver regeneration was 0 58±0 03,the rate of liver weight/body weight was 3 27±0 12,MI was 0 11±0 02,RBC was 3 83±0 09×10 12 /L,Hb was 119 0±8 3g/L.The group of treatment by Zuogui Pill(dosage 5g/kg daily),postoperated on 11th day,the degree of liver regeneration was 0 84±0 04,the rate of liver weight/body weight was 3 85±0 14,MI was 0 11±0 02,RBC was 5 12±0 06×10 12 /L,Hb was 172 7±3 9g/L.The above datum were significantly different among the groups.The observation results showed MSG induced injury to ARN of the rat treated with monosodium glutamate.Comparing to the model of MSG regeneration rat group,it showed that Zuogui Pill could obviously inhibited the ARN injury in the rat treated with monosodium glutamate.The maladjustment in liver regeneration of the model of MSG regeneration rat,in the end,the liver regeneration was significantly inhibited.The effect of promoting liver regeneration in the model of MSG regeneration rat treated by gastrogavage Zuogui Pill.All data are reported as means±SE.When this analysis revealed a significant difference(p<0 05 or p<0 01).TGF β 1 has an obviously higher expression in liver and ARN during liver regeneration of the model of MSG regeneration rat.The effect of regulation of TGF β 1 expression in liver and ARN of the model of MSG regeneration rat treated by gastrogavage Zuogui Pill.The effect inhibited the deficiency of kidney essence and liver blood of the model MSG regeneration rat treated by gastrogavage Zuogui Pill.Conclusion:The deficiency of kidney essence and liver blood of the mo
基金Supported by The Deutsche Forschungsgemeinschaft, No. DFG SCHA 857/1-1
文摘AIM:To characterize the impact of the Pringle ma-neuver (PM) and ischemic preconditioning (IP) on total blood supply to the liver following hepatectomies. METHODS: Sixty one consecutive patients who un-derwent hepatic resection under in flow occlusion were randomized either to receive PM alone (n = 31) or IP (10 min of ischemia followed by 10 min of reperfusion) prior to PM (n = 30). Quantification of liver perfusion was measured by Doppler probes at the hepatic artery and portal vein at various time points after reperfusion of remnant livers. RESULTS: Occlusion times of 33 ± 12 min (mean ± SD) and 34 ± 14 min and the extent of resected liver tissue (2.7 segments) were similar in both groups. In controls (PM), on reperfusion of liver remnants for 15 min, portal perfusion markedly decreased by 29% while there was a slight increase of 8% in the arterial blood flow. In contrast, following IP + PM the portal vein flow remained unchanged during reperfusion and a significantly increased arterial blood flow (+56% vs baseline) was observed. In accordance with a better postischemic blood supply of the liver, hepatocellular injury, as measured by alanine aminotransferase (ALT) levels on day 1 was considerably lower in group B compared to group A (247 ± 210 U/I vs 550 ± 650 U/I, P < 0.05). Additionally, ALT levels were significantly correlated to the hepatic artery in flow.CONCLUSION: IP prevents postischemic flow reduction of the portal vein and simultaneously increases arterial perfusion, suggesting that improved hepatic macrocirculation is a protective mechanism following hepatectomy.
