基于中西医临床病证特点的骨骼肌损伤动物模型分析与评价
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甘肃中医药大学

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2024年兰州市科技局项目(2024-2-26);甘肃省名中医传承工作室建设项目(甘中医药发[2024]7号)


Wei Yingjun 1 Xie Xingwen 2 * Hou Xuan 3 Li Dingpeng 4 Ren Ling 1(1. Gansu University of Chinese Medicine, Lanzhou, 730000;
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Gansu University of Chinese Medicine

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    摘要:

    骨骼肌损伤(Skeletal muscle injury, SMI)在临床实践中较为常见,中西医对其病理机制和治疗策略存在不同的理解和方法。开发能够体现中西医临床特征的SMI动物模型,对于深入研究其发病机制和探索有效的治疗方法具有重要意义。本文从SMI的中西医病因病机、诊断标准及辨证分型出发,对现有动物模型的构建方法、特点及其与中西医病症的吻合度进行了综合评价。结果显示,重物坠落打击模型与中西医病症的吻合度最高,其中西医吻合度为69.6%,中医吻合度为49.4%;其次是运动诱导模型,西医吻合度为49.8%,中医吻合度为44.1%;而化学刺激和缺血再灌注模型的吻合度最低。总体而言,本文涉及的SMI动物模型在西医吻合度上优于中医吻合度,且现有模型难以与中医辨证分型精准对应。因此,构建能够准确反映中西医病证特点及中医证型的动物模型仍是未来研究的重要方向。

    Abstract:

    Skeletal muscle injury (SMI) is relatively common in clinical practice, and there are different understandings and methods of its pathogenesis and treatment strategies in traditional Chinese and Western medicine. The development of SMI animal models that can reflect the clinical characteristics of traditional Chinese and Western medicine is of great significance for in-depth research on its pathogenesis and exploration of effective treatment methods. This paper comprehensively evaluates the construction methods, characteristics and the coincidence degree with traditional Chinese and Western medicine syndromes of the existing animal models from the etiology and pathogenesis, diagnostic criteria and syndrome differentiation typing of SMI. The results show that the heavy object falling strike model has the highest coincidence degree with traditional Chinese and Western medicine syndromes, with a coincidence degree of 69.6% in Western medicine and 49.4% in traditional Chinese medicine; followed by the exercise-induced model, with a coincidence degree of 49.8% in Western medicine and 44.1% in traditional Chinese medicine; while the chemical stimulation and ischemia-reperfusion models have the lowest coincidence degree. Overall, the SMI animal models involved in this paper have a higher coincidence degree with Western medicine than with traditional Chinese medicine, and the existing models are difficult to accurately correspond with the syndrome differentiation typing of traditional Chinese medicine. Therefore, the construction of animal models that can accurately reflect the characteristics of traditional Chinese and Western medicine syndromes and traditional Chinese medicine syndromes is still an important direction for future research.

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  • 收稿日期:2025-04-17
  • 最后修改日期:2025-09-07
  • 录用日期:2025-12-29
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