首页|消囊调经汤联合克罗米芬对多囊卵巢综合征模型小鼠子宫内膜容受性和促黄体生成素的实验研究

消囊调经汤联合克罗米芬对多囊卵巢综合征模型小鼠子宫内膜容受性和促黄体生成素的实验研究

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探讨消囊调经汤联合克罗米芬对多囊卵巢综合征(Polycystic ovary syndrome,PC OS)模型小鼠的子宫内膜容受性和促黄体生成素的实验研究。取雌性小鼠50只,随机分为空白组、模型组、西药对照组、中药治疗组和中西药联合治疗组,每组10只,除空白组外各造膜小鼠采用脱氢表雄酮(Dehydroepiandrosterone,DHEA)联合高脂饲料制备PCOS模型。西药对照组、中药治疗组和中西药联合治疗组分别采用克罗米芬、消囊调经汤、消囊调经汤联合克罗米芬灌胃给药,空白组和模型组给予等体积生理盐水灌胃干预。每天监测小鼠的体质量和动情周期。HE染色观察小鼠的卵巢组织形态学改变,测量子宫内膜厚度。酶联免疫吸附法(ELISA)测定各组小鼠促黄体生成素(Lutein-izing Hormone,LH)的含量。与空白组对比,各造膜小鼠的体质量明显增加(P<0。05),动情周期紊乱,卵巢卵泡颗粒细胞层变薄,闭锁卵泡和囊状卵泡增多,卵母细胞消失。子宫内膜明显增厚(P<0。05),LH水平明显升高(P<0。05)。与模型组相比,西药对照组、中药治疗组和中西药联合治疗组小鼠均能出现规律的动情周期;卵巢颗粒细胞层增厚,闭锁卵泡和囊状卵泡数量减少,可见卵母细胞和成熟卵泡;小鼠的体质量均明显下降(P<0。05),但三组间无明显差异;小鼠的LH水平和子宫内膜厚度均明显下降(P<0。01),且以中西药联合治疗组降低程度最大(P<0。05),西药对照组和中药治疗组之间差异无统计学意义(P>0。05)。消囊调经汤联合克罗米芬通过改善PCOS小鼠动情周期和卵巢功能,降低子宫内膜厚度和LH水平的作用,从而改善PCOS小鼠的子宫内膜容受性和内分泌紊乱,发挥治疗PCOS的效果。
Experimental Study on the Endometrial Receptivity and Progesterone Production in Polycystic Ovary Syndrome Model Mice Treated with Xiaoqi Tiaojing Tang Combined with Clomiphene
To explore the experimental study of Xiaonang Tiaojing tang combined with Clomiphene on the endo-metrial receptivity and luteinizing hormone in polycystic ovary syndrome(PCOS)model mice.Fifty female mice were randomly divided into a blank group,a model group,a Western medicine control group,a traditional Chinese medicine treatment group,and a combination of Chinese and Western medicine treatment group,with 10 mice in each group.Except for the blank group,each membrane making mouse was used to prepare a PC OS model using de-hydroepiandrosterone(DHEA)combined with high-fat diet.The Western medicine control group,Chinese medi-cine treatment group,and Chinese Western medicine combined treatment group were treated with clomiphene,Xiao-nang Tiaojing Tang,and clomiphene combined with Xiaonang Tiaojing Tang by gavage,respectively.The blank group and model group were treated with equal volume of physiological saline by gavage intervention.Monitor the body weight and estrus cycle of mice daily.HE staining was used to observe the morphological changes in mouse o-varian tissue and measure the thickness of the endometrium.Enzyme linked immunosorbent assay(ELISA)was used to determine the content of luteinizing hormone(LH)in each group of mice.Compared with the blank group,the body weight of each membrane making mouse increased significantly(P<0.05),the estrus cycle was disrup-ted,the granulosa cell layer of ovarian follicles became thinner,the number of atresia follicles and cystic follicles in-creased,and oocytes disappeared.The endometrium is significantly thickened(P<0.05),and LH levels are signifi-cantly elevated(P<0.05).Compared with the model group,mice in the Western medicine control group,Chinese medicine treatment group,and Chinese Western medicine combined treatment group all showed regular estrus cy-cles;The granulosa cell layer of the ovary thickens,and the number of atresia follicles and cystic follicles decreases,with visible oocytes and mature follicles;The body weight of the mice decreased significantly(P<0.05),but there was no significant difference among the three groups;The LH levels and endometrial thickness of mice were signifi-cantly reduced(P<0.01),and the combination of Chinese and Western medicine treatment group showed the greatest reduction(P<0.05).There was no statistically significant difference between the Western medicine con-trol group and the Chinese medicine treatment group(P>0.05).Xiaoqi Tiaojing Tang combined with Clomiphene improves the estrus cycle and ovarian function of PCOS mice,reduces endometrial thickness and LH levels,thereby improving endometrial receptivity and endocrine disorders in PCOS mice,and exerting therapeutic effects on PCOS.

polycystic ovary syndrome(PCOS)endometrial receptivityluteinizing hormone(LH)Xiaoqi Tiaojing Tangclomiphene

李燕红、李乐晓、樊军帅、陈建祥、邓辛宇、郭昂毅

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黄河科技学院 医学院,河南 郑州 450063

多囊卵巢综合征(PCOS) 子宫内膜容受性 促黄体生成素(LH) 消囊调经汤 克罗米芬

国家级大学生创新创业训练计划河南省医学教育研究项目郑州市名师工作室项目全国名老中医药专家传承工作室建设项目

2022xscxcyl34Wjlx2021027郑教师函[2022]438号国中医药人教函[2022]75号

2024

黄河科技学院学报

黄河科技学院学报

ISSN:
年,卷(期):2024.26(5)