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糖尿病大鼠膀胱逼尿肌兴奋性与自律性的实验研究

Experimental study of excitability and autorhthmicity in urinary bladder detrusor of diabetes rats.

作者信息

Wang Dongwen, Shuang Weibing, Wang Jingyu, Ye Zhangqun, Wu Bowei

机构信息

Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2005;25(5):568-70. doi: 10.1007/BF02896020.

Abstract

The changes in excitability and autorhthmicity of bladder detrusor in experimental non-insulin dependent diabetes mellitus (NIDDM) rats were observed. Sixty-nine NIDDM rats as NIDDM group and 69 normal rats as control group were enrolled into this experimental study. At 6th, 10th, 14th, 18th, 22nd and 26th week after the rats were injected last time, the changes in the excitability and autorhthmicity of detrusor strips in vitro were observed. The results showed that the threshold of the tension which made the detrusor strips contract was significantly higher in NIDDM group (0.716 +/- 0.325 g) than in control group (0.323 +/- 0.177 g) (F = 59.63, P < 0.001). At different stages, the threshold of the tension resulting the contract of the detrusor strips in NIDDM group was also higher than in control group. At 18th week after STZ injection, the frequency of spontaneous contract of the detrusor strips in NIDDM was significantly higher than in control group (P < 0.05), whereas at 22nd week, that in NIDDM group was significantly lower than in control group (P < 0.05). It was concluded that the decreased excitability of the bladder detrusor was the earliest and most obvious changes in bladder function in diabetes rats and the autorhthmicity had also changed at the early stage of diabetic bladder.

摘要

观察实验性非胰岛素依赖型糖尿病(NIDDM)大鼠膀胱逼尿肌兴奋性和自律性的变化。将69只NIDDM大鼠作为NIDDM组,69只正常大鼠作为对照组纳入本实验研究。在大鼠最后一次注射后第6、10、14、18、22和26周,观察体外逼尿肌条兴奋性和自律性的变化。结果显示,NIDDM组使逼尿肌条收缩的张力阈值(0.716±0.325g)显著高于对照组(0.323±0.177g)(F = 59.63,P < 0.001)。在不同阶段,NIDDM组导致逼尿肌条收缩的张力阈值也高于对照组。在注射链脲佐菌素(STZ)后第18周,NIDDM组逼尿肌条的自发收缩频率显著高于对照组(P < 0.05),而在第22周,NIDDM组显著低于对照组(P < 0.05)。结论是,膀胱逼尿肌兴奋性降低是糖尿病大鼠膀胱功能最早且最明显的变化,并且在糖尿病膀胱早期其自律性也发生了改变。

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