促排卵周期中未破裂黄素化卵泡综合征与性激素的关系探讨

目的:对未破裂黄素化卵泡综合征(LUFS)周期及正常排卵周期患者在不同时间性激素进行测定与比较,探讨LUFS的发生与性激素的关系。方法:对自然周期有排卵障碍的患者使用克罗米芬+HCG促排,分别在月经周期的第3天(C3)、第10天(C10)、卵泡成熟日(CM)(卵泡直径≥18mm)、尿LH阳性或注射HCG后48小时(CL)进行性激素测定,根据患者是否有排卵分为:正常排卵组(A组);未排卵出现LUFS组(B组)。选择同期自然周期正常排卵者为对照组(C组),同上法进行性激素测定。对A、B、C组患者不同时间的血清性激素进行比较。结果:1、FSH:在CM日A、B两组的促卵泡成熟激素(FSH)均低于C组(P<0.01)。2、LH:在C3、C10、CL日测定的A、B组LH值均高于C组(P<0.01),在CM日测定的A、B组LH值低于C组(P<0.01)。3、P:在CM日A、B两组的孕酮值低于C组(P<0.01);4、E2:在C3日测定的B组E2值低于C组(P<0.01),在CL日测定的B组E2值高于C组(P<0.01);5、PRL:在不同时间各组的PRL值均无显著性差异(P>0.05)。6、T:在不同时间各组的T值均无显著性差异(P>0.05)。结论:性激素在LUFS的发生中起重要作用,但以C3日E2值与LUFS的发生的关系最大,E2值低者易发生LUFS。     

链脲佐菌素诱导长爪沙鼠Ⅰ型糖尿病模型的实验研究

目的探讨链脲佐菌素(STZ)诱导长爪沙鼠Ⅰ型糖尿病模型的可能性,并观察模型动物早期肾脏损害情况。方法雄性长爪沙鼠96只,随机分为正常对照组(NC组)、模型组1(DM1组)、模型组2(DM2组),DM1及DM2组沙鼠分别一次性腹腔注射100 mg/kg、200 mg/kg STZ,NC组注射等量柠檬酸盐缓冲溶液。注射STZ后1、2、4、6周末,分别监测沙鼠一般情况,血糖、胰岛素等血清学指标和尿液指标,并处死沙鼠进行胰腺和肾脏组织的病理学检查。结果注射STZ 24 h后,DM2组及DM1组部分沙鼠逐渐出现典型的"三多一少"症状,随着病程的发展,DM2组沙鼠持续高血糖,DM1组沙鼠血糖值与NC组差异有显著性(P0.05),但有下降趋势;DM2组沙鼠胰岛素显著性降低(P0.05),其他血清学指标及尿液指标均显著性升高(P0.05),DM1组沙鼠各指标差异无显著性。DM2组沙鼠及DM1组少数沙鼠胰腺组织中可见胰岛β细胞减少、空泡样变性等变化,DM2组沙鼠肾脏组织中出现肾小球基质增多,毛细血管襻扩张等病变,DM1组沙鼠肾脏组织未见明显变化。结论 STZ 200 mg/kg可成功诱导长爪沙鼠Ⅰ型糖尿病模型,在病程早期沙鼠肾脏结构和功能已经发生改变。     

炔雌醚对内蒙古农牧交错带长爪沙鼠种群繁殖的影响

炔雌醚对一些鼠类种群具有良好的控制效果。为探究炔雌醚对长爪沙鼠Meriones unguriculataus种群繁殖的影响,于2006年5—8月在内蒙古锡林郭勒盟白音锡勒牧场农牧交错带展开了炔雌醚对长爪沙鼠野生种群繁殖的控制实验。设置了投药区和对照区,5月初进行投药,实验期间采用夹线调查法逐月对样地内的长爪沙鼠进行系统的取样调查,分析炔雌醚对长爪沙鼠种群繁殖的影响。结果显示:在投药之后的6—8月,投药区成体鼠的子宫坏死率分别为75.3%、61.5%和48.7%,与对照区差异有高度统计学意义(P0.01);投药区成体鼠的怀孕率下降,与对照区差异有高度统计学意义(P0.01);投药区的胎仔数显著低于对照区(P0.05)。综上表明,炔雌醚对农牧交错带长爪沙鼠种群繁殖的控制具有良好的效果。     

光周期对布氏田鼠和长爪沙鼠体重和能量代谢的影响

本文测定了光周期对雄性布氏田鼠和长爪沙鼠的体重、基础代谢率和能量代谢的影响。动物从长光照(16L∶8D , LD) 转入短光照(8L∶16D , SD) 条件下驯化6 周(田鼠) 和7 周(沙鼠) 。结果显示: (1) 无论在LD还是SD 条件下, 两种动物的体重都趋于增加, 但反应程度不同也具有种间差异性。两种动物的体重对光周期的反应有时段性, 约14 d 前两种动物的体重增加迅速, 而后增加缓慢, 3 周左右趋于稳定。短光照条件下布氏田鼠和长爪沙鼠的体重分别增长了37 %和11 % , 均低于长光照组(分别为47 %和25 %) , 说明短光照条件下布氏田鼠和长爪沙鼠的体重增长较长光照缓慢; (2) 光照对两种动物的摄入能、消化能和可代谢能均没有显著影响,摄入能与体重的增长无关; (3) 光照对两种动物的基础代谢率无显著影响。这些结果表明: 布氏田鼠和长爪沙鼠在自然环境中, 可能以光周期作为一种信号, 当环境温度降低、食物质量变劣时, 采取降低体重以减少绝对能量需求的策略而适应环境。     

氮气气腹制作腹内高压对肝脏功能的影响

目的研究腹内压升高及持续时间对肝脏功能的影响。方法选择SD大鼠45只,随机分为正常对照组,10mmHg腹内压(IAP)模型组,20mmHg腹内压(IAP)模型组,每组15只。各IAP组大鼠以头皮针于腹腔穿刺,通过三通管连接压力计及氮气袋,运用氮气气腹法制作SD大鼠腹内高压动物模型,对照组不充气。各组动物按腹内压持续时间分别于1、2、4h处死,使用全自动生化分析仪检测每个动物的天门冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)。结果 10mmHg和20mmHg IAP持续4h组的血清AST、ALT含量均明显高于持续1h和2h组(P<0.01,P<0.05);20mmHg IAP 2h组血清AST、ALT含量亦明显高于1h组(P<0.05);但10mmHg IAP持续2h组血清AST、ALT含量与1h相比,差异无统计学意义(P>0.05)。IAP维持1h的3组(10mmHg组,20mmHg组,对照组)大鼠的血清AST、ALT含量差异无统计学意义(P>0.05);IAP持续2h,20mmHg IAP组的AST、ALT含量明显高于10mmHg IAP组和对照组;IAP维持4h,20mmHg IAP组血清AST、ALT含量均显著高于对照组(P<0.01),较10mmHg IAP组血清AST含量增高(P<0.05),而ALT间比较无统计学意义(P>0.05);10mmHg IAP组持续4h组血清AST、ALT含量高于对照组4h组(P<0.01,P<0.05)。结论腹内高压可致肝损伤,并与腹腔压力和时间密切相关。SD大鼠腹内高压动物模型的制作简易、稳定可靠,且可重复。     

环磷酰胺对长爪沙鼠精子畸形的影响

目的探讨环磷酰胺（CP）对长爪沙鼠精子畸形的影响。方法取长爪沙鼠随机分成正常对照组,CP组（低、中、高剂量组即剂量分别为20 mg/kg、30 mg/kg、40 mg/kg）,环磷酰胺经腹腔注射,连续注射5 d,药后30d麻醉沙鼠,剖腹取出两侧附睾制备精子悬液涂片,用甲醇固定10 min,用2%的伊红染色30 min,蒸馏水洗片,显微镜观察精子形态。结果低、中、高剂量组分别与正常对照组比较,长爪沙鼠精子畸形率差异极显著（P〈0.01）;低、中剂量组分别与高剂量组相比较,长爪沙鼠精子畸形率差异极显著（P〈0.01）;低剂量组与中剂量组比较,精子畸形率差异不显著（P〉0.05）。形态学观察显示：环磷酰胺对长爪沙鼠精子影响畸形类型主要为尾折叠、尾粗细/长短/扭曲和无钩。结论环磷酰胺对长爪沙鼠精子有一定的致畸率,且对长爪沙鼠精子尾部影响最大。在一定剂量内范围内,环磷酰胺对长爪沙鼠的精子致畸率无明显区别;当高于一定剂量,随着环磷酰胺用药剂量的增加,长爪沙鼠的精子致畸率也增加。     

不同生长阶段长爪沙鼠血清中氧化与抗氧化物质含量变化

目的　探讨不同生长阶段长爪沙鼠血清中氧化与抗氧作用机制。方法　选择 1月龄、3月龄、2 4月龄的长爪沙鼠各 16只 (雌雄各半 ) ,测定长爪沙鼠血清中超氧化物歧化酶 (SOD)、丙二醛 (MDA)、谷胱甘肽过氧化物酶 (GsH -Px)。结果　丙二醛 (MDA)在 3月龄最低 ,谷胱甘肽过氧化物酶 (GsH -Px)在 3月龄最高 ;超氧化物歧化酶 (SOD)随着长爪沙鼠的月龄增长而升高。结论　在长爪沙鼠生长过程中谷胱甘肽过氧化物酶 (GsH -Px)的含量变化与丙二醛 (MDA)含量变化有直接关系 ,而超氧化物歧化酶 (SOD)含量变化与MDA含量变化没有直接关系。     

性早熟雌性Sprague-Dawle大鼠下丘脑Lin28a和Lin28b表达异常

目的:研究正常雌性Sprague-Dawle(SD)大鼠不同性发育阶段及雌激素诱导性早熟后下丘脑Lin28a和Lin28b的表达及意义。方法:1)于雌性SD大鼠出生后15日(postnatal day 15,PND15)、PND23、PND35荧光实时定量PCR分析下丘脑Lin28a和Lin28b mRNA的表达,同时以ELISA法检测血清黄体生成素(LH)和雌二醇(E2)水平变化;2)苯甲酸雌二醇(estradiol benzoate,EB)诱导的性早熟大鼠随机分为EB-1组和EB-2组,分别于阴道开口(vaginal opening,VO)时及PND56两个时间点处死,相应的发育阶段的大鼠用无菌芝麻油(sesame oil,OIL)作为对照分为OIL-1和OIL-2组;荧光实时定量PCR分析下丘脑Lin28a和Lin28b mRNA的表达,ELISA法检测LH和E2水平变化,并观察性早熟对大鼠阴道开口、体重、顶臀径、胫骨长等生长发育指标的影响。结果:1)PND15、PND23和PND35组下丘脑Lin28a和Lin28b mRNA表达、血清LH和E2水平无统计学差异(P0.05);2)EB-1组下丘脑Lin28a和Lin28b mRNA表达高于OIL-1组(P0.05),血清LH和E2水平与OIL-1组相比无统计学差异(P0.05);EB-2组下丘脑Lin28a和Lin28b mRNA表达高于OIL-2组(P0.05),血清LH和E2水平低于OIL-2组(P0.05);3)与OIL-2组比较,EB-2组VO时间明显提前(P0.01),体重、顶臀长、胫骨长差异无统计学差异(P0.05)。结论:外源性雌激素引起的性早熟可能导致下丘脑Lin28a和Lin28b表达异常。     

光周期不参与长爪沙鼠的能量调节

光周期是引起季节性适应的最直接信号,大部分小型哺乳动物面对光周期信号变化表现出能量平衡的适应性改变.这种由光周期信号引发的、黑视素和褪黑素介导的能量调节对于小型哺乳动物维持最优适合度是至关重要的.本研究以分布在内蒙草原的长爪沙鼠(Meriones unguiulatus)为研究对象,研究了光周期诱导的能量调节.健康成年长爪沙鼠在长光(LD,16L:8D)或短光(SD,8L:16D)下驯化10周,或者先在短光下6周再转到长光下继续驯化4周(SL).发现在整个实验过程中,3组动物的体重和干物质摄入均没有显著差异.较年轻动物可能对光周期更敏感,因此将亚成体长爪沙鼠分别在LD或SD下驯化8周,检测能量平衡的变化.短光驯化并不改变体重、干物质摄入、静止代谢率、非颤抖性产热以及褐色脂肪组织中解耦联蛋白1的表达.为了进一步理解这种光不敏感性的可能机制,测定了视网膜中黑视素含量以及血清褪黑素浓度.与本课题组的预测一致,黑视素含量以及血清褪黑素浓度并不受光周期影响.这些结果表明,与大部分小型哺乳动物不同,长爪沙鼠表现出一种特殊模式,即面对光周期变化并不改变能量平衡.不变的黑视素含量和褪黑素浓度可能介导长爪沙鼠能量平衡的光不敏感性.     

正常长爪沙鼠的血象分析

长爪沙鼠是有开发应用价值的实验动物。本文首次测定了我国人工驯养、繁殖的100只(雌雄各50只)正常长爪涉鼠的血象正常值。其血象数据与国外学者报道的基本一致,性别间无显著性差异。     

三种啮齿类动物非酒精性脂肪肝形成及机制探讨

目的 分析物种差异对NAFLD模型复制的影响,探讨不同鼠种NAFLD形成及其机制.方法 长爪沙鼠、SD大鼠、ICR小鼠各20只,按种属随机分为对照组及模型组,对照组给予普通饲料,模型组给予高脂饲料.16周后,观察肝脏HE及Mallory三色染色病理变化,计算肝指数,检测血清血脂(CHO、TG、LDL-c、HDL-c)、肝功能(GOP、GPT)及肝组织中抗氧化酶(SOD、GSH-PX、CAT)活性及羟脯氨酸(Hyp)、丙二醛(MDA)、游离脂肪酸(FFA)水平.结果 与对照组比较,各模型组:沙鼠Hyp、CHO、TG、LDL-c、HDL-c、肝指数、GOP、GPT、MDA、FFA均升高,SOD、GSH-PX、CAT活性降低(P＜0.05,P＜0.01),肝脏出现纤维化;大鼠CHO、肝指数、GOP、GPT、FFA、SOD活性升高,MDA含量、GSH-PX、CAT活性降低(P ＜0.05,P＜0.01),有局灶性脂肪肝炎;小鼠CHO、LDL-c、HDL-c、肝指数、CAT活性升高,MDA含量降低(P ＜0.05,P＜0.01),肝脏病理正常.结论 三种动物在脂质代谢、肝功能、氧化应激等方面有显著的差异,并形成了不同的NAFLD模型:沙鼠形成伴高TG、CHO血症的肝纤维化模型、大鼠形成伴高CHO血症的局灶性脂肪肝炎模型、小鼠形成高胆固醇血症模型但肝脏未发生明显的病理改变.     

Combined effects of levonorgestrel and quinestrol on reproductive hormone levels and receptor expression in females of the Mongolian gerbil (Meriones unguiculatus)

The effects of treatment with a combination of levonorgestrel and quinestrol (EP-1; ratio of 2:1) on reproductive hormone levels and the expression of their receptors in female Mongolian gerbils were examined. We show that serum follicle-stimulating hormone (FSH) and luteinizing hormone (LH) decreased, whereas serum estradiol (E2) and progesterone (P4) increased after EP-1 treatment. EP1 down-regulated mRNA expression of the follicle-stimulating hormone receptor (FSHR) and the estrogen receptor (ER) βin the ovary. EP-1 up-regulated the mRNA expression of the luteinizing hormone receptor (LHR) and the progesterone receptor (PR) in the ovary as well as ERα and PR in the uterus of Mongolian gerbils. The effects were time-dependent and dose-dependent. EP-1 had no obvious effects on ERα mRNA expression in the ovary. The current study demonstrates that the effect of EP-1 on the expression of ER subtypes is tissue-specific in Mongolian gerbils. EP-1 disrupted the reproductive endocrinology of the Mongolian gerbil. These findings suggest that the effects of EP-1 on reproductive hormone levels and their receptor expression in Mongolian gerbils may be the result of synergistic actions of levonorgestrel and quinestrol, with quinestrol playing the major role.     

Effects of quinestrol on reproductive hormone expression, secretion, and receptor levels in female Mongolian gerbils (Meriones unguiculatus)

Quinestrol, a synthetic estrogen with marked estrogenic effects and prolonged activity, has potential as a contraceptive for Mongolian gerbils. The objective of this study was to describe the effects of quinestrol on reproductive hormone expression, secretion, and receptor levels in female Mongolian gerbils. Serum and pituitary concentrations of follicle stimulating hormone (FSH) and luteinizing hormone (LH) were decreased, whereas serum concentrations of estradiol (E2) and progesterone (P4) were increased after quinestrol treatment; the effects were both time- and dose-dependent. Furthermore, quinestrol downregulated expression of FSHβ and LHβ mRNA in the pituitary gland, as well as FSH receptor (FSHR) and estrogen receptor (ER) β in the ovary. However, it up-regulated mRNA expression levels of ERα and progesterone receptor (PR) in the pituitary gland and uterus, as well as mRNA for LH receptor (LHR) and PR in the ovary (these effects were time- and dose-dependent). In contrast, quinestrol had no significant effects on the mRNA expression levels of ERα in the ovary, or the gonadotropin α (GtHα) subunit in the pituitary gland. We inferred that quinestrol impaired synthesis and secretion of FSH and LH and that the predominant ER subtype in the pituitary gland of Mongolian gerbils may be ERα. Overall, quinestrol disrupted reproductive hormone receptor expression at the mRNA level in the pituitary-gonadal axis of the Mongolian gerbil.     

Effects of quinestrol and levonorgestrel on prolactin serum concentration in lactating Mongolian gerbils (Meriones unguiculatus) and reproductive parameters of their offspring

The effects of the two sterilants, quinestrol (QE) and levonorgestrel (LNG) on serum prolactin (PRL) level in lactating Mongolian gerbils and reproductive parameters of their offspring were examined in the study. Both sterilants increased the serum PRL level in lactating gerbils. The body weight as well as weights of the ovary, testis, epididymides, and seminal vesicles were lower, whereas that of the uterus was higher in the pups originating from QE-treated mothers in comparison to controls. Histological ovarian sections of the offspring from QE-treated mothers contained only growing follicles, whereas their uterine sections showed a thinner endometrium, thicker myometrium, and greater epithelial-cell height than in controls. The histometrical testis characteristics as well as sperm concentration and motility of male pups from QE-treated mothers were lower compared to those of the control group. The serum gonadotropin levels of female pups from mothers treated with QE were lower, whereas the serum estradiol (E₂) and progesterone (P₄) levels were higher than in control gerbils. In contrast, serum gonadotropin and testosterone (T) levels of male pups from QE-treated mothers were lower compared to controls. LNG did not affect the examined parameters of the offspring. The offspring from QE-treated mothers was infertile, whereas the offspring from LNG-treated mothers was fertile. In summary, QE and LNG have a stimulatory effect on PRL level in lactating gerbils. It also appears that QE administered via milk to mothers affects reproductive processes of their offspring.     

Serum hormone patterns during abortion in the Bolivian squirrel monkey

Serum measurements of chorionic gonadotropin (CG), estradiol (E-2) and progesterone (P) were used to describe patterns of hormonal change in Bolivian squirrel monkeys undergoing spontaneous abortion. During early pregnancy, serum CG levels gradually increased, reaching maximum levels at the end of the first 50 days of pregnancy (range: 200-1964 ug protein/ml). E-2 concentrations also increased to high levels (10-30 ng/ml) toward the end of pregnancy, while serum P remained fairly constant at levels above 100 ng/ml. A gradual decline in serum hormone concentrations was observed in aborting animals. CG levels declined to less than 100 ug protein/ml while E-2 and P decreased to concentrations characteristic of nonpregnant cycling animals, less than 500 pg/ml and 20 ng/ml respectively. The data suggest that two weekly measurements of CG and E-2 could be used to identify monkeys undergoing abortion and those which have already aborted.     

The influence of estradiol and progesterone and melatonin supplementation on TNF-alpha levels in ovariectomized and pinealectomized rats

The aim of this study was to investigate the effect of estradiol and progesterone and melatonin supplementation on TNF-alpha levels in ovariectomized and pinealectomized rats. The study was carried out on 42 adult, Spraque-Dawley strain female rats aged 6 months and weighing 200-250 grams. The rats were divided into 6 groups, each group contained 7 rats. Group 1: Sham-ovariectomized (Sham-Ovx), Group 2: Ovariectomized (Ovx), Group 3: Ovx and estradiol (E) and progesterone (P) supplemented (Ovx+E-P) group, Group 4: Ovx+E-P+Melatonin (M) supplemented group, Group 5: Ovx Pinealectomized (Pnx) group, Group 6: Ovx - Pnx+E-P supplemented group. Serum TNF-alpha levels were determined after 4 weeks application period. Group 6 (Ovx-Pnx+E-P) has the highest serum TNF-alpha compared with other groups while group 2 (ovariectomized), has the lowest levels (P<0.001). Group 5 was higher than groups 1, 2, 3 and 4 (P <0.001). The results of the study show that ovariectomy reduces the serum level of TNF-alpha, but estradiol and progesterone application prevents this reduction in ovariectomized rats. However, pinealectomy intensifies the increases in TNF-alpha levels in ovariectomized and estradiol and progesterone supplemented rats, whereas melatonin reduces TNF-alpha levels in ovariectomized rats.     

Susceptibility of four species of small rodents to encephalomyocarditis (EMC) virus infection

The D variant of encephalomyocarditis virus (10(1)-10(5) PFU/head) was intraperitoneally inoculated into 4 species of small rodents, rats, mice, Syrian hamsters, and Mongolian gerbils, and the susceptibility of these animals to EMC virus was examined virologically and histopathologically 3 days after infection. Viral replication was detected in the brain (mice), in the heart (mice and gerbils), and in the pancreas (mice, hamsters, and gerbils). No viral replication was detected in rats. Histopathological changes were seen in the brain (mice and hamsters), in the heart (mice and gerbils), and in the pancreas (mice, hamsters, and gerbils). No histopathological changes were seen in rats. The present results suggest that it may be quite possible to produce EMC virus-induced diabetes mellitus not only in mice but also in hamsters and gerbils.     

Progesterone receptors and ventilatory stimulation by progestin

Progestin is thought to be a ventilatory stimulant but its effectiveness in raising ventilation is variable in humans and other species. We hypothesized that the level of progesterone receptors was an important determinant of the ventilatory response to progestin. Since estradiol induces progesterone receptor formation, we compared the ventilatory effect of the synthetic progestin medroxyprogesterone acetate (MPA) given in combination with estradiol with the effects of estradiol alone, MPA alone, or vehicle (saline) in ovariectomized rats. Animals receiving MPA alone had low numbers of progesterone receptors (2.43 pmol/g uterine wt) and had no change in ventilation, arterial Pco2, or Po2. MPA administration raised ventilation 23 +/- 5%, lowered arterial Pco2 3.2 +/- 0.9 Torr (both P less than 0.01) and tended to raise arterial Po2 when given in combination with estradiol to animals with increased numbers of progesterone receptors (4.85 pmol/g uterine wt). Estradiol alone produced the highest number of progesterone receptors (12.3 pmol/g uterine wt) but had no effect on ventilation or arterial Pco2 and decreased arterial Po2. Combined estradiol plus MPA treatment produced a greater fall in arterial Pco2 than did treatment with MPA alone, estradiol, or saline (all P less than 0.05). These results suggest that both an elevation in progestin levels and progesterone receptor numbers are required to stimulate ventilation.     

复方醋酸棉酚片联合独一味胶囊对大鼠无排卵型功能失调性子宫出血的改善作用及其作用机制

摘要 目的：探讨复方醋酸棉酚片联合独一味胶囊对大鼠无排卵型功能失调性子宫出血的改善作用及其作用机制。方法：将40只雌性SD大鼠随机均分成两组（空白组和模型组）,采用给大鼠连续21 d灌胃戊酸雌二醇的方法制备无排卵型功能失调性子宫大鼠模型。模型大鼠制备成功后,按随机法再均分成模型组、阳性组和治疗组,其中阳性组和治疗组分别灌胃给予相应的药物,空白组和模型组灌胃等体积的生理盐水,各组均连续灌胃7 d。计算各组大鼠的子宫系数,采用酶联免疫吸附法测定大鼠血清中雌二醇（estradiol, E₂）和孕酮（progestone,P）水平,采用免疫组化法测定大鼠子宫内膜组织中两个蛋白（matrix metalloproteinases-9,MMP-9和vascular endothelial growth factor ,VEGF）的表达量。结果：模型组大鼠血清中的P水平比空白组显著性减少（P<0.05）,子宫内膜组织中的MMP-9和VEGF表达量比空白组均显著性升高（P<0.05）。给药后,治疗组和阳性组大鼠血清中的P水平均显著高于模型组（P<0.05）,大鼠子宫内膜组织中的MMP-9和VEGF 表达量均显著低于模型组（P<0.05）,治疗组与阳性组之间无显著性差异（P >0.05）。结论：复方醋酸棉酚片联合独一味胶囊对无排卵型功能失调性子宫出血具有明显的改善作用,其机制可能与调控子宫内膜 MMP-9 和VEGF的表达量有关。