六灵解毒丸对急性咽炎的治疗作用研究
Study on the Therapeutic Effect of Liuling Jiedu Wan on Acute Pharyngitis
-
摘要: 目的 研究六灵解毒丸对急性咽炎的治疗作用。方法 采用向幼龄大鼠咽部喷雾15%氨水的方法制备大鼠急性咽炎模型。将造模成功的大鼠随机分为5组,即模型组、蓝芩口服液组、六灵解毒丸3个剂量组(4.375、8.75、17.5 mg/kg),每天灌胃给药1次。空白组与模型组大鼠每天用生理盐水灌胃1次。各组均连续灌胃7 d。实验期间观察大鼠体质量、咽喉红肿等体征。给药结束后,用HE染色法观察大鼠咽部病变情况,取血清和咽黏膜下的结缔组织检测炎症因子的表达情况。采用小鼠毛细血管通透性与耳肿胀实验研究六灵解毒丸的抗炎作用。结果 与空白组相比,模型组大鼠时常抓挠口咽部且体质量增长缓慢,咽部明显红肿,组织结构异常,有大量结缔组织增生和炎症细胞浸润。给予大鼠六灵解毒丸后,大鼠体质量增长加快,咽部红肿程度下降,组织结构有明显改善,黏膜下层腺体结构正常,未见结缔组织增生与炎症细胞浸润。六灵解毒丸能明显下调大鼠血清与组织中的IL-1β、IL-6、TNF-α水平(P<0.05~0.01)。另外,六灵解毒丸对二甲苯所致小鼠耳肿胀和乙酸所致的小鼠腹腔毛细血管通透性升高均有显著的抑制作用(P<0.05~0.01),其中六灵解毒丸中、高剂量组抑制耳肿胀作用明显优于蓝芩口服液。结论 六灵解毒丸对于急性咽炎具有良好的治疗作用,其机制可能与下调IL-1β、IL-6、TNF-α水平相关。在临床等效剂量下,六灵解毒丸的作用略优于蓝芩口服液,表明六灵解毒丸有较好的治疗急性咽炎的作用。Abstract: OBJECTIVE To study the therapeutic effect of Liuling Jiedu Wan on acute pharyngitis. METHODS The model of acute pharyngitis was prepared by spraying 15% ammonia water into the young rats' pharynx. Rats with successful modeling were randomly divided into 5 groups, namely model group, Lanqin Oral Liquid group and Liuling Jiedu Wan group with 3 doses. Rats in the control and model groups were given normal saline by gavage. The drugs were given once a day by gavage continuously for 7 days. During the course of gavage, body weight, laryngeal redness and other signs of the rats were observed. After administration, HE staining was used to observe the pharyngeal lesions in rats, and the expression of inflammatory factors in the serum and the connective tissue under the pharyngeal mucosa were detected. The anti-inflammatory effect of Liuling Jiedu Wan was studied by capillary permeability and ear swelling in mice. RESULTS Compared with the control group, rats in the model group frequently scratched the oropharynx and experienced slow weight gain, obvious pharyngeal redness and swelling. Their tissue structures were abnormal, with a large number of connective tissue hyperplasia and inflammatory cell infiltration. After the administration of Liuling Jiedu Wan, the weights of the rats increased rapidly, the degrees of pharyngeal redness and swelling decreased, and the tissue structures were significantly improved. The structures of submucosal glands were normal, and no connective tissue hyperplasia and inflammatory cell infiltration were observed. Moreover, Liuling Jiedu Wan could significantly decrease the levels of IL-1β, IL-6 and TNF-α in serum and tissues of rats (P<0.05,P<0.01). Liuling Jiedu Wan could significantly reduce the capillary permeability caused by acetic acid and reduce the degree of ear swelling caused by xylene (P<0.05,P<0.01). The effects of Liuling Jiedu Wan on ear swelling in the middle and high dose groups were significantly better than that of Lanqin Oral Liquid. CONCLUSION Liuling Jiedu Wan has a good therapeutic effect on acute pharyngitis, and its mechanism may be related to the down-regulation of IL-1β, IL-6 and TNF-α levels. Under the clinical equivalent dose, the anti-inflammatory effect of Liuling Jiedu Wan is slightly better than that of Lanqin Oral Liquid, indicating that Liuling Jiedu Wan has a better effect on acute pharyngitis.