贵州小型猪2型糖尿病气阴两虚证模型建立及评价
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贵州中医药大学

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]国家自然科学基金(82160957),贵州省科技计划项目(黔科合支撑[2021]一般148),贵州省科技计划项目(黔科合基础-ZK[2024]一般360)


Establishment and evaluation of qi yin deficiency syndrome model of type 2 diabetes in guizhou miniature pigs
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贵州中医药大学

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Funded by National Natural Science Foundation of China (82160957), Guizhou Provincial Science and Technology Plan Project (Supported by Qiankehe [2021] General 148), Guizhou Provincial Science and Technology Plan Project (Qiankehe Fundamentals ZK [2024] General 360)

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    摘要:

    【】 目的 本文旨在探讨贵州小型猪2型糖尿病气阴两虚证模型的构建方法及评价体系和相关指标。方法 选取6月龄贵州小型猪26只,其中对照组6只采用基础饲料喂养10个月,2型糖尿病气阴两虚证模型组20只采用高糖高脂饲料饲喂10个月、青皮附子水煎剂喂养3个月,构建了贵州小型猪2型糖尿病气阴两虚证模型。采用小便情况、大便情况、行动及精神、对周围环境反应、皮毛鼻盘色泽等五方面量表评价中医证型,血清CD4+、CD8+及两者比值,cAMP、cGMP及两者比值、舌象R、G、B值评估气阴两虚证。采用空腹血糖(FPG)、糖化血红蛋白(HbA1c)、糖耐量实验(OGTT)、胰岛素抵抗指数(HOMA-IR)、TG、TC、HDL-C、LDL-C、PT、APTT等指标变化,HE染色观察胰腺组织形态学变化来评价评估2型糖尿病。结果 模型组小型猪的体征可概括为体型偏胖、神疲乏力、好卧、懒动、精神萎靡、无神、食少多饮、皮毛无光泽、皮毛灰暗;二便、行动及精神、对周围环境反应、皮毛鼻盘色泽等评分偏低(P<0.05);舌象呈舌红无苔或少苔;与正常组相比,模型组小型猪实验室指标出现了FPG、HbA1c、HOMA-IR、TC、LDL-C、cAMP、cGMP、舌象R、G、B值显著降低,PT、APTT、CD4、CD4/CD8值显著下降,TG升高(P > 0.05),HDL-C升高(P > 0.05),cGMP升高(P > 0.05);病理染色显示胰腺组织破坏。结论 采用高糖高脂饲料配合破气伤阴中药饲喂的方法可成功建立T2DM气阴两虚小型猪模型。建立的该模型在中医证候上呈现神疲乏力、烦渴欲饮、气短懒言、舌红少津、少苔、脉虚无力的主症和小便色黄透明无味、大便干结、反应迟钝、蜷缩、皮毛无光泽、灰暗、鼻盘淡白无华等兼症,也呈现糖脂代谢异常和胰岛素抵抗的临床表现。

    Abstract:

    【】Objective The purpose of this paper is to explore the construction method, evaluation system and related indicators of the Qi Yin deficiency syndrome model of type 2 diabetes in Guizhou miniature pigs. Methods Twenty six six month old Guizhou miniature pigs were selected, of which six were fed with basic diet for 10 months in the control group, 20 were fed with high sugar and high fat diet for 10 months in the model group of qi yin deficiency in type 2 diabetes, and three months were fed with Qingpi Fuzi decoction. The model of qi yin deficiency in type 2 diabetes in Guizhou miniature pigs was constructed. Five scales were used to evaluate traditional Chinese medicine syndrome types, including urination, defecation, movement and mental state, response to the surrounding environment, and color of the skin, hair, nose, and disc. Serum CD4+, CD8+, and their ratios, cAMP, cGMP, and their ratios, as well as tongue R, G, and B values were used to evaluate Qi Yin deficiency syndrome. Fasting blood glucose (FPG), glycosylated hemoglobin (HbA1c), glucose tolerance test (OGTT), insulin resistance index (HOMA-IR), TG, TC, HDL-C, LDL-C, PT, APTT and other indicators were used to evaluate and evaluate type 2 diabetes. Results The physical signs of the small pigs in the model group can be summarized as overweight, fatigue and fatigue, tendency to lie down, laziness, lethargy, lack of energy, overeating and drinking, dull fur, and dull fur; The scores for defecation, movement and mental state, response to the surrounding environment, and color of the skin, fur, and nasal disc were relatively low (P<0.05); The tongue appears red with no or little coating; Compared with the normal group, the laboratory indicators of the small pigs in the model group showed FPG HbA1c、HOMA-IR、TC、LDL-C、cAMP、cGMP、 The R, G, and B values of tongue images were significantly reduced, while PT, APTT, CD4, and CD4/CD8 values were significantly reduced. TG was elevated (P>0.05), HDL-C was elevated (P>0.05), and cGMP was elevated (P>0.05); Pathological staining showed destruction of pancreatic tissue. Conclusions The method of using high sugar and high-fat feed combined with traditional Chinese medicine for breaking qi and damaging yin can successfully establish a small pig model of T2DM with qi and yin deficiency. The established model presents the main symptoms of fatigue and fatigue, thirst and thirst, shortness of breath and lazy speech, redness of the tongue and less fluid, lack of moss, and weak pulse in traditional Chinese medicine syndromes, as well as concurrent symptoms such as yellow and transparent urine, dry and dry stools, slow response, curling up, dull and dull fur, gray and dull nasal discs, as well as clinical manifestations of abnormal glucose and lipid metabolism and insulin resistance.

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  • 收稿日期:2024-06-21
  • 最后修改日期:2024-08-15
  • 录用日期:2024-10-30
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