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多囊卵巢综合征与心理应激相关性的实验研究

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目的 联合采用脱氢表雄酮(DHEA)暴露和慢性不可预知应激(CUMS)对雌性大鼠建立多囊卵巢综合征(PCOS)模型,以研究不良心理应激在PCOS发生、发展中的作用.方法 选取雌性SD大鼠48只,随机将其分为空白对照组、PCOS模型组、CUMS组、联合组.空白组给予标准饲料,PCOS模型组皮下注射采用DHEA(6 mg/100 g),CUMS组采用CUMS法进行造模,每天随机给予一个刺激,以避免在相邻两天刺激方式重复.联合组结合上述两种造模方法进行造模,持续28 d.28 d后,对4组大鼠的身高、体重进行测定,利用酶联免疫吸附测定法(ELISA)检测大鼠血清中睾酮(T)、卵泡刺激素(FSH)、促黄体生成素(LH)、胰岛素(FINS)及炎症因子[白介素-1(IL-1)和肿瘤坏死因子(TNF-α)],利用血糖仪检测FPG值,计算血糖的变化情况.观察卵巢组织形态,计算出身体质量指数(BMI)、胰岛素抵抗指数(HOMA-IR)以评估胰岛素抵抗.结果 PCOS大鼠模型建立成功.与空白组比较,模型组大鼠血清LH、T的含量显著增加(P<0.05),LH/FSH比值显著增加(P<0.05),FSH的含量显著降低(P<0.05).结论 心理应激在PCOS的发生发展中具有重要作用.
Experimental Study on Correlation between Polycystic Ovary Syndrome and Psychological Stress
Objective The polycystic ovary syndrome (PCOS) model was established by DHEA exposure combined with chronic unpredictable stress (CUMS) in female rats to study effect of adverse psychological stress in the occurrence and development of PCOS,and investigate effect of DHEA exposure combined with CUMS on insulin resistance,inflammatory factors,sex hormones and body mass index of PCOS in rats.Methods The paper chose 48 female SD rats,and divided them into blank control group randomly,DHEA group,psychological stress group and combined group (DHEA combined psychological stress group).The blank group was treated with standard feed,the PCOS model group was injected with DHEA subcutaneously (6mg/100g),and the chronic stress group was modeled with CUMS method,and a stimulus was randomly given each day to avoid the method repetition during two consecutive days and the sequential repetition during two consecutive weeks.The PCOS combined with chronic stress group was treated with the above two modeling methods for 28 days.After 28 days,the height and weight of four groups of rats was measured,and T,FSH,LH,FINS and inflammatory factors (IL-1 and TNF-α) in serum of rats were detected by ELISA.FPG and blood glucose were detected by blood glucose analyzer.Ovarian tissue morphology was observed,body mass index (BMI) and insulin resistance index (HOMA-IR) were calculated to evaluate insulin resistance.Results PCOS rat model was established successfully.Compared with blank group,serum LH and T contents in model group were significantly higher,(P<0.05).LH/FSH ratio was significantly higher,(P<0.05),and FSH contents were significantly lower,(P<0.05).Conclusion Psychological stress plays an important role in the occurrence and development of PCOS.

Polycystic ovary syndromePsychological stress methodDehydroepiandrosterone

王紫瑞、赵航、程雅丽、雷永浩、师佩毅、丁玉、崔琳

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黄河科技学院,河南 郑州 450063

多囊卵巢综合征 心理应激法 脱氢表雄酮

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(28)