目的:观察蒙药清肝-27味丸对不同病变阶段慢性肝损伤小鼠的保肝降酶作用,为临床合理用药提供依据。方法:将小鼠随机分为正常对照组、模型组、乙肝宁颗粒组、清肝-27味丸高、低剂量组。除正常对照组外,其余小鼠均腹腔注射DMN致慢性肝损伤,造模同时清肝-27味丸高、低剂量、乙肝宁颗粒组分别灌胃清肝-27味丸和乙肝宁颗粒每日5g/kg、3g/kg和3g/kg。于第5、7次注射DMN后观察小鼠体重,检测ALT、AST、TP、ALB含量和观察肝组织病理学的变化。结果:第5、7次注射DMN后与正常对照组比较模型组体重明显减轻,肝功能明显异常,有显著性差异(P〈0.05);与模型组比较清肝-27味丸低剂量组体重均明显增加,ALT、AST明显下降,TP明显上升,有显著性差异(P〈0.05)。第5、7次注射DMN后慢性肝炎炎症活动度分级(G)和慢性肝炎程度(G/S)比较模型组处于逐渐加重趋势,主要表现为中、重度病变状态;清肝-27味丸处于轻、中度病变状态。结论:清肝-27味丸对轻、中程度的慢性肝损伤有更好的保肝降酶作用,建议临床上应随着病情变化给予合理的辨证用药。
Aim To observe the Protective and Degrading enzyme effect of Mongolian medicine Qinggan-27 Pill on different pathological stages of Chronic hepatic Injury in mice,to Provide the basis for the clinical use of drugs.Methods:the mice were randomly divided into normal control group.model group.Yiganning particles group.Qinggan-27 Pill high and low dose groups;except the normal control group others mice were caused Chronic hepatic Injury by Intraperitoneal injection, Modeling the same time, The mice in Qing- gan-27 Pill high and low dose gronps.Yiganning particles group are given intragastrie administration Qinggan-27 Pill and Yiganning particles with 5g/kg.3g/kg and 3g/kg each day. After the fifth and seventh injection DMN, to observe the body weight in alice and measure the levels of serum ALT.AST.TP.ALB and pathological changes of liver tissue.Result:After the fifth and seventh injection DMN, compared normal control group with model group, the body weight in mice reduced significantly and liver function markedly abnormal,has significant differene (P 〈 0.05 ). compared model group with Qinggan-27 Pill low dose group, the body weight in mice increased obviously, ALT. AST reduced significantly, TP increased obviously, has significant differenc (P 〈 0.05 ). After the fifth and seventh injection DMN, Grading of inflammatory activity of chronic hepatitis(G)degree of chronic hepatitis( G/S )in model group has gradually increasing trend in the moderate and severe disease status; Qinggan-27 Pill groups in the mild and moderate disease status. Conclusion: Qinggan-27 Pill has the better Protective and degrading enzyme effect for the mild and moderate Chronic hepatic Injury , to propose that changes in clinical condition should be given reasonable diagnosis and prescription.