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数值模拟非糖尿病和糖尿病兔降主动脉血流动力学。

Numerical simulation of haemodynamics of the descending aorta in the non-diabetic and diabetic rabbits.

机构信息

Key Laboratory of Biorheological Science and Technology, Ministry of Education, State and Local Joint Engineering Laboratory for Vascular Implants, Bioengineering College of Chongqing University, Chongqing, PR China.

Shanghai East Hospital, Institute for Biomedical Engineering and Nano Science, Tongji University School of Medicine, Shanghai, PR China.

出版信息

J Biomech. 2019 Jun 25;91:140-150. doi: 10.1016/j.jbiomech.2019.05.013. Epub 2019 May 21.

Abstract

Diabetes mellitus (DM) is a predisposing risk factor leading to macrovascular diseases. Changes in haemodynamics of the diabetic aortas remain largely unclear and relevant computational analyses are lacking in the literature. Ten adult rabbits (1.6-2.2 kg) were collected and the type I diabetic rabbit model was induced by injection of alloxan. A total of five control and five diabetic rabbit aortas were considered for subsequent numerical simulation. The CT scanning was performed to reconstruct three-dimensional model of the individual rabbit descending aorta. The flow velocity waveforms were measured by ultrasound machine and were set to be the inlet boundary conditions. The reconstructed aortas were then imported into ANSYS to perform mesh generation and computational analysis. Results showed that the distributions of haemodynamic indicators time-averaged wall shear stress (TAWSS), oscillating shear index (OSI) and transverse wall shear stress (transWSS) in the non-diabetic rabbit aortas were similar to those in the diabetic rabbit aortas. However, the mean values of TAWSS and transWSS in the non-diabetic rabbit aortas were significantly higher than those values in the diabetic rabbit aortas (TAWSS: p = 0.04; transWSS: p = 0.02). The back of right renal artery tended to have high OSI in both the non-diabetic and the diabetic rabbit aortas. Notably, the regions with high OSI tended to have intense disturbed flow and low TAWSS in the most diabetic rabbit aortas. The results suggest that diabetes leads to changes in haemodynamic parameters in the rabbit aortas. In particular, the lower TAWSS and the higher OSI within the diabetic aortas may further contribute to aortic wall remodeling.

摘要

糖尿病(DM)是导致大血管疾病的易患危险因素。糖尿病主动脉的血液动力学变化在很大程度上仍不清楚,文献中也缺乏相关的计算分析。收集了 10 只成年兔子(1.6-2.2kg),通过注射链脲佐菌素诱导 1 型糖尿病兔子模型。共考虑了 5 个对照和 5 个糖尿病兔子的主动脉进行后续数值模拟。通过 CT 扫描对个体兔子降主动脉的三维模型进行重建。使用超声机测量血流速度波形,并将其设置为入口边界条件。将重建的主动脉导入 ANSYS 进行网格生成和计算分析。结果表明,非糖尿病兔子主动脉中的血液动力学指标时间平均壁切应力(TAWSS)、振荡剪切指数(OSI)和横向壁切应力(transWSS)的分布与糖尿病兔子主动脉中的分布相似。然而,非糖尿病兔子主动脉中的 TAWSS 和 transWSS 的平均值明显高于糖尿病兔子主动脉中的值(TAWSS:p=0.04;transWSS:p=0.02)。右肾动脉背面在非糖尿病和糖尿病兔子主动脉中均倾向于具有较高的 OSI。值得注意的是,在大多数糖尿病兔子主动脉中,OSI 较高的区域往往存在强烈的紊乱流和低 TAWSS。结果表明,糖尿病导致兔子主动脉血液动力学参数的变化。特别是糖尿病主动脉内较低的 TAWSS 和较高的 OSI 可能进一步导致主动脉壁重塑。

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