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预防医学  2017, Vol. 29 Issue (1): 23-27    DOI: 10.19485/j.cnki.issn1007-0931.2017.01.006
  论著 本期目录 | 过刊浏览 | 高级检索 |
血糖波动对糖尿病大鼠甲状腺超微结构的影响研究
徐英英1,华燕吟2,留菁菁1,王陈芳1,瞿中洁1
1.浙江中医药大学附属第三医院,浙江杭州310005;
2.浙江省人民医院
A study on the influence of blood glucose fluctuation on the ultra-structure of thyroid gland tissues in diabetes rats
XU Ying-ying, HUA Yan-yin, LIU Jing-jing,WANG Chen-fang,QU Zhong-jie
The Third Dffiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310005, China
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摘要 目的 研究血糖波动对糖尿病(DM)大鼠甲状腺组织的损伤程度。方法 将30只雄性大鼠随机分为模型组20只,对照组10只,模型组采用高糖高脂饲料叠加腹腔注射链脲佐菌素(STZ) 构建DM大鼠模型。将模型组随机分为持续性高血糖组和血糖波动组,每组10只;血糖波动组每天注射优泌乐注射液,高血糖组和对照组每天腹腔注射等量生理盐水,分析3组大鼠每日血糖水平标准差(SDBG)、平均血糖水平(MBG)和最大血糖波动幅度(LAGE)。12周后处死大鼠,采心脏血检测生化指标和甲状腺功能三项,观察甲状腺组织超微结构。结果 血糖波动组和持续高血糖组大鼠MBG、SDBG和LAGE均高于对照组(P<0.05);血糖波动组MBG低于持续高血糖组(P<0.05),SDBG和LAGE高于持续高血糖组(P<0.05)。血糖波动组总胆固醇(TC)、空腹血糖(FPG)和糖化血红蛋白(HbA1c)均高于对照组(P<0.05);TC、FPG和三酰甘油(TG)均低于持续高血糖组(P<0.05)。持续高血糖和血糖波动组游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)均低于对照组(P<0.05)。持续高血糖组与血糖波动组甲状腺滤泡上皮细胞损伤,微绒毛缺失。结论 持续的高血糖或血糖波动均可导致DM大鼠甲状腺激素合成和释放功能下降;持续高血糖组和血糖波动组DM大鼠甲状腺的超微结构均有变化,但两组差异不明显。
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徐英英
华燕吟
留菁菁
王陈芳
瞿中洁
关键词 糖尿病甲状腺血糖波动超微结构    
AbstractObjective To learn the injury severity and the possible mechanism of the thyroid tissue of DM rats with different levels of glucose levels. Methods Firstly, 20 Wistar rats were treated with STZ to create the experimental diabetic rats models. Then, the DM rats were divided into two groups including the persistence hyperglycemia group(n=10), and blood glucose fluctuation group(n=10). Another 10 Wistar rats were treated as the control group. Rats were sacrificed after 12 week treatment.The bilateral thyroid were weighted and the blood biochemistry tests were conducted for detecting glucose level, lipid levels, and thyroid functions.The ultra-structure of thyroid tissue was observed using electron microscope. Results The MBG, LAGE, and SDBG of blood glucose fluctuation group and the persistence hyperglycemia group were all higher than the control group (P<0.05).The MBG of blood glucose fluctuation group were lower than the persistence hyperglycemia group(P<0.05),the SDBG and LAGE were higher than the persistence hyperglycemia group(P<0.05). The TC, FPG, and HbA1c levels of DM rats were significantly higher in blood glucose fluctuation group than in control group(P<0.05).TC ,FPG and TG levels of the DM rats in blood glucose fluctuation group were significantly lower than the rats in persistence hyperglycemia group (P<0.05).No significance of the free T3 and free T4 levels was observed between the diabetes rats in persistence hyperglycemia group and blood glucose fluctuation group.However, the free T3 and T4 levels were significantly lower in both model groups than in control group (P<0.05).The injury of follicular epithelial cells and loss of microvilli were observed in diabetes rats in both thehyperglycemia group and blood glucose fluctuation group. Conclusion The ultra-structure changes of thyroid gland tissues indicated that abnormal glucose and lipid metabolism could result in thyroid gland tissue injury, which is the potential mechanism. However, no difference of the thyroid function and ultra-structure were observed between the hyperglycemia group and blood glucose fluctuation group.
Key wordsDiabetes mellitus    Thyroid gland    Blood glucose fluctuation    Ultra-structure
收稿日期: 2016-03-31          
中图分类号:  R581  
  R587.1  
基金资助:浙江卫生医药科技计划(2013KYB196)
通信作者: 徐英英,E-mailhaoke@com.hz.cn   
作者简介: 徐英英,硕士,副主任医师,主要从事内分泌风湿肾病治疗工作
引用本文:   
徐英英,华燕吟,留菁菁,王陈芳,瞿中洁. 血糖波动对糖尿病大鼠甲状腺超微结构的影响研究[J]. 预防医学, 2017, 29(1): 23-27.
XU Ying-ying, HUA Yan-yin, LIU Jing-jing,WANG Chen-fang,QU Zhong-jie. A study on the influence of blood glucose fluctuation on the ultra-structure of thyroid gland tissues in diabetes rats. Preventive Medicine, 2017, 29(1): 23-27.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn1007-0931.2017.01.006      或      http://www.zjyfyxzz.com/CN/Y2017/V29/I1/23
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