目的:研究组分配伍四逆汤对甲状腺功能减退症并发肾损伤的影响。方法:灌胃0.1%丙基硫氧嘧啶(PTU)溶液法造模,用组分配伍四逆汤高、中、低剂量和优甲乐(阳性对照)对模型动物进行治疗,实验结束后,取血,分离血清,用放免法测定血清T3、T4,用紫外分光光度计法测血清尿素氮(BUN)含量,用酶联免疫吸附法测胱抑素C(CYS-C)含量,解剖取肾脏称量质量并计算其系数,固定肾脏并作HE染色,观察其病理变化。结果:与正常对照组比较,模型组肾脏系数显著降低(P〈0.05),血清T3、T4水平显著降低(P〈0.05或P〈0.01),BUN及CYS-C含量显著升高(P〈0.05);与模型组比较,组分配伍四逆汤高、中剂量组及阳性药组血清T3、T4水平显著升高(P〈0.05),BUN及CYS-C含量显著降低(P〈0.05)。HE染色结果显示模型组大鼠肾小球萎缩、肾小管上皮细胞变性,各给药组大鼠肾病理变化均较模型组有所减轻。结论:组分配伍四逆汤对甲状腺功能减退症并发肾损伤有一定的治疗作用。
Objective :To investigate the protective effect of component compatibility Sini Decoction on hypothyroidism induced re- nal damage in rats. Methods :The hypothyroidism model were established by 0. 1% propyhhiouracil (PTU) solution 10 mL/kg for consec- utive 15 days. Rats were randomly divided into model group, component compatibility Sini Decoction groups [ CSD 9. 6,4. 8 and 2. 4 g/ (kg · d) ] and positive control group[ Euthyrox 9 μg/( kg · d) ]. Radioimmunoassay was used to determine the serum T3 and T4 levels; serum BUN content was detected by UV speetrophotometer and ELISA method were used to measure the CYS-C content. The kidney was weighed, and the pathological changes of the renal were detected by HE stain. Results : Compared with blank control group, kidney weight coefficient, serum T3 and T4 levels in model group were decreased, while serum BUN and CYS-C contents were increased ( P 〈 0. 05 or P 〈 0. 01 ). Compared with model group, serum T3 and T4 contents were increased and serum BUN and CYS-C contents were de- creased (P 〈 0. 05 ) in Sini Decoction groups [ CSD 9. 6 and 4. 8 g/( kg · d) ] and positive control group. The HE stain results showed that component compatibility Sini Decoction and Euthyrox could relieve glomerular atrophy and renal tubular epithelial cell injury in rats. Conclusion:Component compatibility Sini Decoction has a curative effect on hypothyroidism induced renal damage in rats.