目的 了解月见草油在草酸钙结石形成中的作用,为临床治疗提供新的方法与思路.方法 雄性SD大鼠60只,随机分为4组,各组15只.C组和D组以月见草油(含γ-亚麻酸9.2%)或葵花籽油(含亚油酸70%)10 g/kg灌胃4周后,用诱石剂1%乙二醇(EG)加2%氯化氨喂饮,同时继续以月见草油或葵花籽油灌胃4周,8周后检测各组大鼠肾功能、24 h血尿生化指标和肾草酸钙结晶情况;仅饲普通饲料(A组,空白组)和普通饲料加1%乙二醇(EG)加2%氯化氨喂饮(B组,成石组)大鼠作为对照.结果 月见草油组肾组织水肿较轻,肾内草酸钙结晶数及肾成石率低于成石组(P<0.05),尿枸橼酸较成石组高(P<0.01),24 h尿钙、尿草酸排泄均低于成石组(P<0.01),血尿素氮(P<0.01)、血肌酐(P<0.05)低于成石组.结论 γ-亚麻酸能有效改善肾功能,减少尿钙及草酸的排泄,抑制实验鼠肾草酸钙结晶形成,在尿石症防治方面可能有一定应用价值.%Objective To compare the role of y-linolenic acid (y-LNA) in the prevention of stone-forming with that of linoleic acid (LNA). Methods 60 male adult SD rats were divided into 4 groups, group A (normal control), group B (stone forming), group C (evening primrose oil, 9. 2% y-LNA), and group D (sunflower seed oil, 70% LN). Rats in group C were fed with evening primrose oil and rats in group D with sunflower seed oil for 4 weeks. Renal stone formation was induced by 1% ethylene glycol (EG) plus 2% muriate. Meanwhile, gavage was continued with evening primrose oil and sunflower seeds oil. After 8 weeks, all rats were sacrificed and the renal function, 24 h blood and urine biochemical indexes, renal calcium oxalate crystallization and urinary oxalate were detected. Results The parenchymal edema in group C were milder compared with that in group B. Calcium oxalate crystallization, urinary calcium excretion (P<0. 01), urinary oxalate(P<0. 01), blood urea nitrogen (P<0. 01) and creatinine (P<0. 05) were lower in group C than in group B, but urinary citrate was higher in group C than in group B (P<0. 01). Conclusions It is suggested that y-linolenic acid can protect and improve renal function, decrease urinary calcium and urinary oxalate excretion, and prevent calcium oxalate crystal formation. It may be valuable for the prevention and treatment of urolithiasis.
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