中国寄生虫学与寄生虫病杂志 ›› 1984, Vol. 2 ›› Issue (3): 164-166.

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血吸虫病性肝纤维化的实验治疗二、秋水仙碱对肝纤维化的作用

莫若明,杨维禾,孙世正,雷学熹,平伯荣,沈祥裕   

  1. 上海铁道医学院寄生虫学教研室; 上海铁道医学院寄生虫学教研室; 上海铁道医学院寄生虫学教研室; 上海铁道医学院病理学教研室; 上海铁道医学院病理学教研室; 上海铁道医学院寄生虫学教研室
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1984-08-31 发布日期:2017-01-12

EXPERIMENTAL THERAPY OF HEPATIC FIBROSIS IN SCHISTOSOMIASIS JAPONICA II. EFFECT OF COLCHICINE ON HEPATIC FIBROSIS

  • Received:2017-01-12 Revised:2017-01-12 Online:1984-08-31 Published:2017-01-12

摘要: 家兔感染日本血吸虫尾蚴4个月发生肝纤维化后,分为3组。22只兔给以吡喹酮100mg/kg,其中9只兔每日服秋水仙碱1mg, 连服3个月,13只兔不给秋水仙碱。其余6只兔不给吡喹酮,也不给秋水仙碱为感染对照。另有6只兔为正常对照。在秋水仙碱治疗前后,手术切取病兔部分肝组织作胶原定量和病理观察。 结果可见治疗后病兔肝胶原量明显减少,从43.07±4.25mg/g湿重减至15.79±2.66mg/g湿重,差异显著(P0.05)。镜下观察可见治疗后病兔肝汇管区门静脉分支周围间质内纤维组织明显减少,肝细胞变性坏死不明显,部分肝小叶结构已恢复或接近正常,表明秋水仙碱为一较有效的抗肝纤维化药物。

关键词: 肝纤维化, 秋水仙碱, 血吸虫病性, 实验治疗, 纤维组织增生, 汇管区, 寄生虫学, 虫卵结节, 铁道医学, 胶原

Abstract: 28 rabbits, each infected percutaneously with 80 cercariae of Schistosoma japonicum developed pipe-stem fibrosis resembling late human schistosomiasis 4 months later. After a single oral dose of pyquiton 100mg/kg, colchicine was then given to 9 rabbits orally to treat schistosomal hepatic fibrosis in a dosage of 1 mg daily for 3 months. The remaining 19 rabbits were used in different groups of controls, namely, infected control with pyquiton 13, infected control without pyquiton 6, uninfected control 6. Liver biopsies were made before and after colchicine treatment for collagen quantitative determination and pathological observation. The results showed that collagen content was reduced from 43.07±4.25 mg/g wet weight to 15.79±2.66 mg/g wet weight, the thick fibrous bands around intrahepatic portal zone were markedly reduced, and degenerated liver cells mostly recovered. In comparison with amygdalin, hydrocortisone and other Chinese traditional medicines in our previous work, colchicine appears to be a more effective antifibrotic drug.