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基于中西医临床病症特点的勃起功能障碍动物模型分析

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目的 基于勃起功能障碍的中西医病症特点,对其现有动物模型进行整理分析,评估模型的临床吻合情况及其优缺点,以期改进现有的动物模型、为临床研究提供更直观的参考。方法 检索现有的勃起功能障碍动物模型资料进行分类,结合勃起功能障碍的中西医临床病症特点,对各模型进行赋值评估其临床吻合情况、评价模型优缺点。结果 现有的勃起功能障碍模型根据病因分为血管性模型、神经性模型、心理性模型、去势模型及内分泌模型等共10种,其中,中医临床吻合度较高的是药物注射联合高脂饮食复制2型糖尿病勃起功能障碍动物模型、高尿酸勃起功能障碍大鼠模型,中医吻合度均为63%,且能够全面地模拟临床病理特征和过程;西医吻合度较高的是双侧海绵体神经挤压模型、脊髓损伤模型,西医吻合度均为49%;各模型各有优缺点,普遍在于缺乏中医西医病证结合的造模方法。结论 现有的动物模型制备诱因单一,多符合西医病因病机,与中医病机联系较少,缺少中医证候的体现,中西医吻合度均普遍不高,中医药治病从多方位辨证论治,应将中西医病症特点结合,采用多因素造模方法,共同反映勃起功能障碍的病理病变过程,完善现有的模型,建立更符合中西医临床病症特点的勃起功能障碍动物模型,为临床防治提供参考。
Analysis of an Animal Model of Erectile Dysfunction Based on the Characteristics of Clinical Conditions in Chinese and Western Medicine
Objective Based on the characteristics of erectile dysfunction in Chinese and western medicine,we analyzed the existing animal models and evaluated the clinical match of the models as well as their strengths and weaknesses,with a view to improving the existing animal models and providing a more intuitive reference for clinical research.Methods The existing animal models of erectile dysfunction were searched,categorized,and combined with the clinical characteristics of erectile dysfunction in Chinese and Western medicine,the models were evaluated for their clinical compatibility and their strengths and weaknesses.Results The existing models of erectile dysfunction are divided into vascular models,neurological models,psychological models,detrusor models and endocrine models according to the etiology of the disease,a total of 10 kinds,of which,the higher degree of Chinese medicine clinical match is the drug injection combined with a high-fat diet to replicate the type 2 diabetes mellitus erectile dysfunction animal model,the high uric acid erectile dysfunction rat model,the degree of Chinese medicine match is 63%,and can be comprehensively simulated clinical The higher degree of match in Western medicine is the bilateral cavernous nerve compression model and spinal cord injury model,with the degree of match in Western medicine being 49%;each model has its own advantages and disadvantages,generally due to the lack of a modeling method that combines TCM and Western medicine with disease evidence.Conclusion The existing animal models are prepared with a single causative factor,mostly in accordance with the etiology and mechanism of Western medicine,with less connection to the mechanism of Chinese medicine,and lack of reflection of Chinese medicine symptoms,and the degree of Chinese and Western medicine match is generally not high,Chinese and Western medicine treatment of disease from a multi-faceted diagnosis and treatment should be a combination of the characteristics of Chinese and Western medicine,using multifactorial modeling methods,to reflect the pathology of the pathological process of erectile dysfunction,to improve the existing model,and to establish a more in line with the characteristics of the Chinese and Western medicine clinical conditions of the erectile dysfunction animal models,to provide references for the prevention and control of the clinic.

Erectile dysfunctionImpotencePathological combinationAnimal modelFitAdvantages and disadvantages

李亚青、王灿、苗明三

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河南中医药大学药学院 郑州 450046

勃起功能障碍 阳痿 病证结合 动物模型 吻合度 优缺点

2024

世界科学技术-中医药现代化
中科院科技政策与管理科学研究所,中国高技术产业发展促进会

世界科学技术-中医药现代化

CSTPCD北大核心
影响因子:1.175
ISSN:1674-3849
年,卷(期):2024.26(10)