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胰岛素、二甲双胍及胰岛素 - 二甲双胍联合用药对高脂饮食/链脲佐菌素诱导的糖尿病白化大鼠肝脏形态的短期影响

The Short-term Effects of Insulin, Metformin and Insulin-Metformin Combination on the Liver Morphology in High Fat Diet / Streptozotocin Induced Diabetic Albino Rats.

作者信息

Mubeen Sahar, Amjad Zaheer, Memon Farrukh Mustafa, Ashraf Syed U

机构信息

Department of Anatomy, Dow International Medical College (DUHS), Karachi.

Student, Dow International Medical College (DUHS), Karachi.

出版信息

J Coll Physicians Surg Pak. 2016 Dec;26(12):962-966.

Abstract

OBJECTIVE

To evaluate the histological effects of insulin, metformin and insulin-metformin combination on liver morphology in high fat diet (HFD) / Streptozotocin (STZ) induced diabetic albino rats.

STUDY DESIGN

Experimental and comparative study.

PLACE AND DURATION OF STUDY

Institute of Basic Medical Sciences (IBMS), Dow University of Health Sciences (DUHS), Ojha Campus, Karachi, from January to August 2012.

METHODOLOGY

The study was conducted on 50 HFD/STZ induced diabetic albino wistar rats which were randomized into 5 groups. One of the groups was treated with insulin, one with metformin, and the other group with insulin-metformin combination for 4 weeks. One of the groups was left untreated. One group was control group. After the treatment period, the rats were sacrificed and livers were isolated, weighed, processed and stained to analyse the difference in hepatic morphology in each treated and untreated groups, then the results were compared with control rats.

RESULTS

Statistically significant difference (p < 0.0001) was seen between the groups by using Kruskill Wallis Test. To further investigate the effectiveness of insulin, metformin and insulin-metformin combination, Mann-Whitney U-test was applied. Statistically significant difference was noticed when diabetic rats were given insulin-metformin combination (p < 0.0001).

CONCLUSION

The combination therapy was observed to have better effects on liver morphology than insulin and metformin used separately.

摘要

目的

评估胰岛素、二甲双胍以及胰岛素 - 二甲双胍联合用药对高脂饮食(HFD)/链脲佐菌素(STZ)诱导的糖尿病白化大鼠肝脏形态的组织学影响。

研究设计

实验性对比研究。

研究地点及时间

2012年1月至8月,位于卡拉奇奥贾校区的道健康科学大学基础医学科学研究所(IBMS)。

方法

本研究以50只HFD/STZ诱导的糖尿病白化Wistar大鼠为对象,随机分为5组。其中一组用胰岛素治疗,一组用二甲双胍治疗,另一组用胰岛素 - 二甲双胍联合治疗4周。一组不进行治疗。一组为对照组。治疗期结束后,处死大鼠,分离肝脏,称重,处理并染色,以分析各治疗组和未治疗组肝脏形态的差异,然后将结果与对照大鼠进行比较。

结果

使用克鲁斯卡尔 - 沃利斯检验(Kruskill Wallis Test)发现各组之间存在统计学显著差异(p < 0.0001)。为进一步研究胰岛素、二甲双胍以及胰岛素 - 二甲双胍联合用药的有效性,应用了曼 - 惠特尼U检验(Mann - Whitney U - test)。当给糖尿病大鼠使用胰岛素 - 二甲双胍联合用药时,发现有统计学显著差异(p < 0.0001)。

结论

观察到联合治疗对肝脏形态的影响比单独使用胰岛素和二甲双胍更好。

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