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1. 中国中医研究院针灸研究所
2. 中国中医研究院针灸研究所,北京,100700
3. ,北京,100700
纸质出版日期:2005
移动端阅览
刘俊岭, 陈淑萍, 高永辉. 脊髓在电针“内关-间使”改善缺血心脏功能活动中的作用观察[J]. 针刺研究, 2005,(3):155-160.
Role of the Spinal Cord in the Improvement of Performance of Ischemic Heart Induced by Electroacupuncture of "Neiguan"(PC 6)-"Jianshi"(PC 5)[J]. Acupuncture research, 2005, (3): 155-160.
目的:观察电针“内关-间使”对缺血心脏功能作用的相对特异性和切断脊髓对电针效应的影响。方法:第一批33只家兔随机分为对照组、“内关-间使”组和“外关-支沟”组。第二批完整动物和脊髓动物各18只
分别随机分为对照组和电针组。第三批Wistar大鼠共18只
随机分为对照和电针两组。结扎冠状动脉左心室支(大鼠前降支)造成急性心肌缺血。于颈部C2
C
3之间横断脊髓造成脊髓动物。测量颈-胸导联ECG-ST、左室内压(LVP)、左室内压最大上升速率(dp/dtmax)、平均动脉压(MAP)。结果:①急性缺血后
ECG-ST显著抬高
LVP、dp/dtmax和MAP立即降低;电针“内关-间使”能显著促进ST段、LVP、dp/dtmax及MAP的恢复
与对照组及“外关-支沟”组相比差异显著(P
<
0.05);②在完整动物和脊髓动物上
电针“内关-间使”都可显著促进缺血性ECG-ST、LVP、dp/dtmax的恢复(P
<
0.05)
并能明显促进脊髓动物MAP的恢复(P
<
0.05);③切断大鼠脊神经根后
电针的作用消失。结论:在完整和脊髓动物上
电针“内关-间使”可显著促进缺血性心脏功能活动的恢复
和电针完整动物“外关-支沟”的作用相比
具有相对特异性;脊髓是实现电针上述作用的关键部位。
Objective: To observe the relatively specific effect of electroacupuncture(EA) of "Neiguan"(PC 6)-"Jianshi"(PC 5) on the performance of ischemic heart and the influence of transection of the spinal cord on the therapeutic effect.Methods: This study was made up of 3 parts: ① 33 Japanese big-ear white rabbits were evenly divided into control
"Neiguan-Jianshi"(PC 6-PC 5) and "Waiguan-Zhigou"(TE 5-TE 6) groups;② 36 normal(18 cases) and spinalized rabbits(18 cases) were respectively randomized into control and EA groups;and ③ 18 Wistar rats were randomized into control and EA groups.All the animals were anesthetized with urethane (420 mg/kg) plus chloralose(50 mg/kg)
and experienced experimental myocardial ischemia by occlusion of the ventricular branch(rabbit) and the anterior descending branch(rat) of the left coronary artery.The spinalized rabbits were made by transection of cervical segments(C_2-C_3) of the spinal cord.EA(40 Hz
loading voltage 3 V) was applied to bilateral PC 5-PC 6
TE 5-TE 6 for 20 min.ECG-ST
mean arterial pressure(MAP)
left ventricular pressure(LVP) and the maximum ascending rate of LVP(dp/dtmax) were recorded.Results: ① Following myocardial ischemia
ECG-ST elevated significantly
while LVP
dp/dtmax and MAP decreased considerably
EA of PC 5-PC 6 could significantly promote the recovery of ECG-ST
LVP
dp/dtmax and MAP(P<0.05)
and the therapeutic effect of EA of PC 5-PC 6 was significantly superior to that of EA of TE 5-TE 6.② After transection of the spinal cord
EA of PC 5-PC 6 still could promote the recovery of ECG-ST
LVP and dp/dtmax and MAP(P<0.05).③ Following sectioning the dorsal and ventral roots from C_5 to T_5
no significant difference was found between control and EA groups in ECG-ST (P>0.05)
suggesting that the therapeutic effect of EA of PC 5-PC 6 in promoting recovery of ECG-ST was eliminated.Conclusion: In both intact and spinalized rabbits
EA of PC 5-PC 6 can promote the recovery of the ischemic cardiac functional activities
and the effect of EA of PC 5-PC 6 possesses a relatively specificity in comparison with EA of TE 5-TE 6.The spinal cord is the key site for accomplishing the aforementioned therapeutic effects of EA of PC 5-PC 6.
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