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[内耳与糖尿病:大鼠实验性链脲佐菌素糖尿病]

[Inner ear and diabetes mellitus experimental streptocotocin diabetes in rats].

作者信息

Strauss P, Herrig M, Rick W, Fassbender-Balg S

出版信息

Laryngol Rhinol Otol (Stuttg). 1982 Jun;61(6):319-24.

PMID:6981745
Abstract

The histological changes in the inner ear were compared with the hearing ability in insulin deficiency diabetes of rats. 38 LEW-Han-rats were treated with streptocotocin; 34 of these became diabetic, as proved by the glucose tolerance test. 22 rats served as controls. The diabetes was not treated. For a period of up to 440 days the weight, blood glucose and auditory function were controlled in the living animals. Auditory function was tested by means of pinnal reflex of Preyer for a frequency range between 1000 and 20000 cps. With regard to the mean values of frequency, neither a decrease nor a difference between normal controls and diabetic rats was found to any substantial degree. Histological examinations of sacrificed diabetic rats meanwhile showed the well-known changes in the kidneys with microaneurism, thickened basal lamina, mesangial proliferation, and hyaline bodies. The changes in the inner ear, especially in the region of the stria vascularis and lamina spiralis ossea to the ganglion cochleae, were rather discrete, so that no pronounced diminution of the auditory function as a result of restricted metabolism was to be expected. A loss of ganglion cells was seen in the spiral ganglion of the cochlea in correlation with ageing. There was no clear difference between diabetic rats and normal controls. Insulin deficiency diabetes causes severe changes in the vessels, as demonstrated in the kidney. In the inner ear, however, there were no comparable changes, the hearing ability of diabetic rats remaining practically normal.

摘要

将大鼠胰岛素缺乏型糖尿病模型的内耳组织学变化与听力进行了比较。38只LEW-Han大鼠用链脲佐菌素处理;其中34只经葡萄糖耐量试验证实患糖尿病。22只大鼠作为对照。糖尿病未进行治疗。在长达440天的时间里,对存活动物的体重、血糖和听觉功能进行监测。通过普赖尔耳廓反射测试1000至20000 cps频率范围内的听觉功能。就频率平均值而言,正常对照组与糖尿病大鼠之间未发现有任何显著程度的降低或差异。与此同时,对处死的糖尿病大鼠进行组织学检查,结果显示肾脏出现了如微动脉瘤、基底膜增厚、系膜增生和透明小体等常见变化。内耳的变化,尤其是血管纹区域和至蜗神经节的骨螺旋板区域的变化相当不明显,因此预计不会因代谢受限而导致听觉功能明显下降。与衰老相关,在耳蜗螺旋神经节中可见神经节细胞丢失。糖尿病大鼠与正常对照组之间无明显差异。胰岛素缺乏型糖尿病会导致血管出现严重变化,如在肾脏中所显示的那样。然而,在内耳中未发现类似变化,糖尿病大鼠的听力实际上保持正常。

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