丹参治疗急性胰腺炎的机制

Therapeutic effects of Rhubarb and Salvia miltiorrhiza on severe acute pancreatitis

AIM: To investigate the therapeutic effects of Rhubarb and Salvia miltiorrhiza on severe acute pancreatitis (SAP).

METHODS: Ninety-eight patients with SAP were divided into three groups: control group (group A, n = 21), Salvia miltiorrhiza treatment group (group B, n = 25) and Rhubarb & Salvia miltiorrhiza treatment group (group C, n = 52). All the patients in the 3 groups received the same routine therapy while group B and group C received additional treatment of salvia miltiorrhiza and the combined management of Rhubarb & Salvia miltiorrhiza respectively.

RESULTS: Compared with group A, group C had faster recovery of intestinal gurgling sound (t1) and less important organ injury (t₂), fewer infective positions (t₃), pancreatic pseudocysts (χ²) and significantly decreased hospital days (t4) (t₁ = 2.34, t₂ = 2.17, t₃ = 3.04, χ² = 13.76, t₄ = 3.65, all P < 0.05) and lower mortality. Compared with group A, group B had a significant reduce in organ injury (t = 3.45, P < 0.05), while had no difference in recovery of intestinal gurgling sound, and in the number of infective positions, pancreatic pseudocysts and hospital days. Compared with group B, group C had better recovery of intestinal gurgling sound with significant difference (t = 2.73, P < 0.05).

CONCLUSION: On the basis of routine treatment, combined management of Rhubarb and Salvia miltiorrhiza for treating SAP possesses a significant synergistic action and therapeutic effect.

Influence of Salvia miltiorrhiza on the changes of plasma endothelin and P-selectin in patients with acute pancreatitis

AIM: To explore the changes of plasma endothelin and P-selectin as well as the effects of Salvia miltiorrhiza (SM) in patients with acute pancreatitis (AP).

METHODS: A total of 82 patients with acute pancreatitis were divided into group A (n = 40) and B (n = 42), treated with general method and SM, respectively. Anther 20 normal individuals were used as normal controls. The levels of plasma endothelin (ET) and P-selectin were measured by radioimmunoassay.

RESULTS: The levels of ET and P-selectin in patients with severe acute pancreatitis (SAP) were significantly higher than those in the cases with mild acute pancreatitis (MAP) and normal controls (ET: 147.56 ± 10.65 ng/L vs 85.13 ± 9.47, 52.27 ± 6.23 ng/L, P < 0.01; P-selectin: 85.32 ± 6.21 µg/L vs 30.01 ± 4.82, 10.26 ± 2.57 µg/L, P < 0.01), and the levels of ET and P-selectin were positively correlated in SAP (r = 0.705, P < 0.01). After treatment, the levels of ET and P-selectin in group B were obviously decreased as compared with those before treatment (ET: 69.77 ± 7.65 ng/L vs 100.54 ± 11.41 ng/L, P < 0.01; P-selectin: 4.07 ± 4.75 µg/L vs 54.52 ± 9.79 µg/L, P < 0.01). The average in-hospital time of group B was distinctly shorter than that of group A (9.76 ± 1.77 d vs 14.27 ± 2.55 d, P < 0.01).

CONCLUSION: Endothelin and P-selectin may be involved in the pathogenesis of AP, and SM is effective in the treatment of AP.