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四氧嘧啶致糖尿病8周兔的心脏功能研究

CARDIAC FUNCTIONAL CHANGES IN ALLOXAN DIABETIC RABBITS

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【作者】 钱肇仁周一鸣顾亚明钟学礼崔可心苏清芬俞亮

【Author】 Qian Zhaoren, Zhou Yiming, Gu Yarning, Zhong Xneli, Oui Kexin, Su Qingfen, Yn Liang(Department of Endocrinology, Hua Shan Hospital; "Departments of Pathology and. Physiology, Faculty of Basic Medical Sciences, Shanghai Medical University, Shanghai)

【机构】 上海医科大学华山医院内分泌科上海医科大学基础医学部病理学教研室上海医科大学华山医院生理学教研室上海医科大学华山医院生理学教研室

【摘要】 比较四氧嘧啶致糖尿病8周兔和正常兔的心功能,发现糖尿病兔左心室收缩及舒张功能均减退。即左心室内压峰值(LVSP)及压力-压力变化速率环(P-dp/dt)正峰值,左心室内压最大下降速率(-dp/dt max)P-dp/dt负峰值,压力-压力对数值变化速率环[P-(dp/dt)/P]负峰值(-νpm),及心力环总面积、舒张期心力环面积均显著小于正常对照组(P<0.05)。并发现空腹血糖及糖基化血红蛋白(HbA1)分别P-dp/dt正、负峰值呈负相关,HbA1与P-(dp/dt)/P环的一νpm及舒张期心力环面积呈负相关。

【Abstract】 Myocardial functional changes were studied in 6 diabetic rabbits in comparison with 7 normal controls. Alloxan 100 mg/kg was injected once or twice intravenously to each rabbit, 8 weeks after the onset of diabetes, the myocardial contraction indices including the left ventricular super-pressure (LVSP) and positive peak value of pressure-circle of the left ventricular pressure rate (P-dp/dt) showed significant decreases as compared to normal controls (P<0.05). The myocadlal relaxation indices including negative maximal values of the left ventricular pressure rate ( -dp/dt max) and nadir values of pressure circles represented by logarithm P-dp/dt ( -vPm) were all significantly lower than those of normal controls (P<0.05). The total area of heart working cycle with the diastolio area of the circle were all significantly lower than those of controls (P<0.05). The concentrations of plasma glucose and HbA1. correlated negatively with the P-dp/dt surge and nadir values respectively. HbA1 correlated negatively with - Vpm and the diastolic area of the heart working cycle.

【关键词】 四氧嘧啶糖尿病兔心脏功能
【Key words】 alloxandiabetic rabbitscardiac function
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