强骨饮对去卵巢大鼠骨折愈合骨小梁Micro-CT改变研究
The effect of strengthening-bone receipt on the change of trabecular bone of fracture healing under micro-CT in rat osteoporotic model
  
DOI:10.3969/j.issn.1006.7108.2016.11.007
中文关键词:  中医中药  骨质疏松  强骨饮  骨折  Micro-CT  动物实验
英文关键词:Chinese medicine  Osteoporosis  The strengthening-bone receipt  Fracture  Micro-CT  Animal experiment
基金项目:浙江省自然科学基金(Y14H270017)
作者单位
姚建亮 王博 吴鹏 刘康 史晓林* 浙江中医药大学附属第二医院骨伤科,杭州310005 
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中文摘要:
      目的 研究强骨饮对去卵巢大鼠骨折愈合骨小梁Micro-CT的影响。方法 将32只雌性SD大鼠随机分为4组:A组 (假手术组)、B组(模型组)、C组(强骨饮组)、D组(基础用药组)。骨松造模组(B、C、D组)术前随机取8只大鼠进行骨密度测量,后骨松造模组摘除双侧卵巢,A组切除少许脂肪后缝合,3月后随机取骨松造模组8只大鼠进行骨密度測量以证明造模成功;将所有大鼠进行骨折造模,后将C组强骨饮灌胃、D组进行碳酸钙和维生素D3灌胃,A、B两组用等量生理盐水灌胃;在 6周后时各取8只大鼠股骨骨折处骨痂进行Micro-CT分析,参数包括BV/TV、Tb. Th、Tb. N、Tb. Sp。结果 B组骨小梁数量、骨小梁厚度与骨体积分数低于C、D组(P <0.05),骨小梁分离度指数高于C、D组(P<0. 05) ;C组与D组骨小梁数量、骨小梁厚度比较差异有统计学意义(P <0.05),而与D组的骨小梁分离度及骨体积分数比较差异无统计学意义(P >0.05)。结论 强骨饮能增加骨量、改善骨质疏松骨三维结构特别是增加骨小梁数量与厚度,其可能机制是强骨饮通过抑制破骨细胞活性,从而增强骨强度、促进骨折愈合。
英文摘要:
      Objective To study the effect of the strengthening-bone receipt on the trabecular bone in an osteoporotic rat model of fracture healing with micro-CT. Methods 32 female rats were randomly divided into 4 groups, group A (sham group),group B (OVX group), group C (strengthening-bone receipt group), and group D (basic treatment group). BMD was detected in 8 rats of model groups (B,C, and D group) before surgery. The rats in model groups were then ovariectomized. Rats in group A were excised small amount of fat and sewn. Eight rats were randomly selected for BMD measurement to prove the successful model establishment in 3 months. Fracture model was conducted in all rats. Rats in group C received the strengthening-bone receipt with gavage. Rats in group D received calcium and vitamin D with gavage. Rats in group A and B received normal saline. Rats were killed in 6 weeks. The femur fracture callus was collected and the parameters including bone volume fraction (BV/TV), trabecular thickness (Tb. Th), trabecular number (Tb. N), and trabecular separation (Tb. Sp) were analyzed using micro-CT. Results The Tb. N, Tb. Th, and BV/TV in group B were less than those in group C and D (P <0. 05) , but the Tb. Sp was higher than that in group C and D (P < 0. 05).The Tb. N and Tb. Th were significantly different between group C and group D (P <0. 05), while the Tb. Sp and BV/TV between group C and group D were not significantly different (P >0. 05). Conclusion The strengthening- bone receipt increases bone mass and improves three-dimensional structure of the bone, particularly Tb. N and Tb. Th. The possible mechanism of enhancing bone strength and promoting fracture healing may be through inhibiting the activity of osteoclasts.
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