首页|期刊导航|中药药理与临床|基于中西医临床病证特点的糖尿病周围神经病变动物模型分析

基于中西医临床病证特点的糖尿病周围神经病变动物模型分析OA

Analysis of Animal Models of Diabetic Peripheral Neuropathy Based on Clinical Disease Characteristics of Traditional Chinese Medicine and Western Medicine

中文摘要英文摘要

目的:基于糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)中西医临床病证特点,对现有的 DPN 动物模型进行总结分析,以期为后续 DPN 模型的研究以及临床药物研发提供参考依据.方法:通过中国知网(CNKI)、万方、维普、PubMed、Web of Science 等数据库检索与 DPN 相关的动物实验研究文献,对其相关指标及数据进行统计分析.总结国内外现有的 DPN 动物模型资料,根据 DPN 中西医临床病证特点及造模方法,进行归纳及赋值分析,系统评估 DPN 模型的临床吻合度,筛选出可供参考的动物模型.结果:现有 DPN 模型有自发型、化学诱导型、外科手术法、基因修饰型;造模方法种类多样,模型动物多以鼠类为主,对各 DPN 模型进行吻合度分析,结果表明 DPN 模型与西医临床吻合度一般,与中医临床吻合度普遍偏低,DPN 模型检测指标多以西医指标为主.结论:目前 DPN 模型多为西医模型,缺乏中医证候模型,检测指标过于单一,西医治疗不理想,中医辨证论治具有潜在优势,因此,构建出与中西医临床病证特点紧密相关的 DPN 模型,旨在找出更加契合临床病理特点的 DPN 模型,为进一步 DPN 模型的深入研究以及 DPN 药物研发提供参考.

Objective:Based on the clinical disease characteristics of diabetic peripheral neuropathy(DPN)in both Western medicine and traditional Chinese medicine(TCM),this paper summarized the existing animal models of DPN,so as to provide references for future DPN model research and clinical drug development.Methods:Literature related to an-imal experiments on DPN was retrieved from China National Knowledge Network(CNKI),Wanfang,VIP,PubMed,Web of Science,and other databases.Relevant indicators and data were analyzed.The existing DPN animal models in China and abroad were categorized according to the clinical disease characteristics and modelling methods of Western medicine and TCM.A systematic evaluation was conducted to determine the clinical relevance of these models and select the ani-mal model for reference.Results:The existing DPN models include spontaneous,chemically induced,surgically induced,and genetically modified models.The modelling methods are diverse,with rats being the most common experimental ani-mals.An analysis of the clinical relevance of DPN models shows that the relevance of these models to the clinical charac-teristics of DPN in Western medicine is average,while their relevance to TCM is relatively low.Additionally,the assess-ment indicators of DPN models are mostly based on Western medicine.Conclusion:Existing DPN models are mostly based on Western medicine,lacking models incorporating TCM syndromes.The assessment indicators are too limited,and Western medicine treatment has shown unsatisfactory results.Given the potential advantages of TCM syndrome differenti-ation and treatment,developing DPN models that integrate both clinical disaster characteristics of TCM and Western med-icine is essential.Such models can better reflect the clinical pathological characteristics of disease and provide references for further research on DPN models and the development of DPN drugs.

吴梦;王琨;王志潇;苗明三;王灿

河南中医药大学药学院,郑州 450046河南中医药大学药学院,郑州 450046河南中医药大学药学院,郑州 450046河南中医药大学药学院,郑州 450046河南中医药大学药学院,郑州 450046

糖尿病周围神经病变中西医吻合度病证特点

Diabetic peripheral neuropathyTraditional Chinese medicine and western medicineRelevanceDisease characteristic

《中药药理与临床》 2026 (3)

129-136,8

豫药全产业链研发河南省协同创新中心(豫科技(2023)175号)河南省重大专项(编号:221100310400)国家中医药管理局科技司张仲景传承与创新专项(编号:GZYKJS-2022-040-1)岐黄学者(国中医药人教函2022-6)河南省重点研发专项计划(编号:241111311500).

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