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中国中医科学院针灸研究所机能室
纸质出版日期:2009
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高永辉, 陈淑萍, 王俊英, 等. 不同穴组电针对大鼠血压及心率变异性的影响[J]. 针刺研究, 2009,34(1):21-26.
GAO Yong-hui, CHEN Shu-ping, WANG Jun-ying, et al. Effects of Electroacupuncture of Different Acupoints Groups on Blood Pressure and Heart Rate Variability in Rats[J]. Acupuncture research, 2009, 34(1): 21-26.
目的:探讨电针不同穴组对失血性低血压大鼠的血压、心率及植物性神经活动的影响。方法:雌性Wistar大鼠70只
随机分为模型对照组、内关-大陵组、外关-阳池组、天枢-外陵组、大肠俞-气海俞组、百会-前神聪组、光明-悬钟组
每组10只。采用颈动脉放血法造成低血压模型
电针上述穴位30 min
记录颈动脉血压和颈-胸导联心电图
分析心率变异性(HRV)频谱的变化。结果:失血后
大鼠平均动脉压明显降低(与失血前比较P<0.05)
心率变化不大。与对照组比
失血后15、30 min时电针内关-大陵组和光明-悬钟组
失血后30 min时电针天枢-外陵组、百会-前神聪组平均动脉压均显著升高(P<0.05)。失血30 min时
内关-大陵组和光明-悬钟组的升压作用明显优于外关-阳池组、大肠俞-气海俞组及百会-前神聪组(P<0.05)。失血后
HRV中低频带(LF)、低频带/高频带(LF/HF)比值、极低频带(VLF)明显增加;与对照组比
电针内关-大陵组和光明-悬钟组失血后30 min LF、LF/HF及VLF均明显降低(P<0.05)
提示电针改善了交感/迷走神经的失衡状态。结论:电针不同的穴组对低血压大鼠的血压、心率及自主神经有不同的调节作用
"内关"-"大陵"和"光明"-"悬钟"的调节作用较强;这一作用有可能是通过调整自主神经的平衡而实现。
Objective To observe the effect of electroacupuncture(EA) of different acupoint groups on mean arterial pressure(MAP) and heart rate variability(HRV)in hypotension rats.Methods A total of 70 Wistar female rats were randomized into model
"Neiguan"(PC 6)-"Daling"(PC 7)
"Waiguan"(SJ 4)-"Yangchi"(SJ 5)
"Tianshu"(ST 25)-"Wailing"(ST 26)
"Dachangshu"(BL 25)-"Qihaishu"(BL 24)
"Baihui"(GV 20)-"Qianshencong"(EX-HN)
and"Guangming"(GB 37)-"Xuanzhong"(GB 39)groups
with 10 cases in each.Hypotension model was established by bleeding(2.5-3 ml) through carotid artery.Immediately after bleeding
EA(2/15 Hz
1 mA
30 min) was applied to the above-mentioned acupoints of the 6 EA groups.MAP and ECG were recorded
then HRV was analyzed by using software Chart 5.2.1.Results MAP declined significantly after bleeding.Compared with model group
MAP values of PC6-PC7 and GB37-GB39 groups increased significantly 15 min and 30 min after bleeding
and those of ST25-ST26 and GV20-EX-HN groups also increased apparently 30 min after bleeding(P<0.05).No marked effects were observed in EA of SJ4-SJ5 and BL25-BL24 groups(P>0.05).The effect of PC6-PC7 and GB37-GB39 groups was significantly superior to that of SJ4-SJ5
BL25-BL24 and GV20-EX-HN groups in elevating MAP 30 min after bleeding(P<0.05).Compared with model group
heart rate(HR) of PC6-PC7 group was increased significantly 15 min and 30 min after bleeding(P<0.05.).After bleeding
low frequency(LF)
LF/high frequency(HF) and very low frequency(VLF) increased apparently.Compared with model group
LF
LF/HF and VLF of PC6-PC7 and GB37-GB39 groups decreased significantly 30 min after bleeding(P<0.05)
suggesting a better balancing effect of EA of PC6-PC7 and GB37-GB39 on the activities of sympathetic and vagus nerves.Conclusion EA of different acupoint groups has its own relative specificity in regulating MAP and HR in the rat
and PC6-PC7 EA and GB37-GB39 EA have a better efficacy
which is closely associated with their effects in balancing activities of the autonomic nerve system.
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