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安徽中医学院针灸基础与技术安徽省重点实验室培育基地
纸质出版日期:2009
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吴生兵, 周美启, 周逸平, 等. 电针不同穴组防治脑心综合征作用机制的研究[J]. 针刺研究, 2009,34(5):315-318.
WU Sheng-bing, ZHOU Mei-qi, ZHOU Yi-ping, et al. Study on the Mechanism of Electroacupuncture of Different Acupoint Groups in the Treatment of Cerebrocardiac Syndrome in Rats[J]. Acupuncture research, 2009, 34(5): 315-318.
吴生兵, 周美启, 周逸平, 等. 电针不同穴组防治脑心综合征作用机制的研究[J]. 针刺研究, 2009,34(5):315-318. DOI:
WU Sheng-bing, ZHOU Mei-qi, ZHOU Yi-ping, et al. Study on the Mechanism of Electroacupuncture of Different Acupoint Groups in the Treatment of Cerebrocardiac Syndrome in Rats[J]. Acupuncture research, 2009, 34(5): 315-318. DOI:
目的:筛选出针刺防治脑心综合征的有效穴组
并初步探讨针刺防治脑心综合征的作用机制。方法:Wistar大鼠随机分为正常组(n=8)、伪手术组(n=8)、模型组(n=12)、水沟-风府组(n=12)、内关-心俞组(n=12)。采用胶原酶加肝素联合注射建立脑出血动物模型。水沟-风府组选取"水沟""风府"予以治疗
内关-心俞组选取"内关""心俞"予以治疗
每次电针20 min
每天1次
共3次。采用心率变异性分析系统检测大鼠心率变异性
采用高效液相色谱法测定大鼠脑组织兴奋性氨基酸(EAA)含量。结果:与伪手术组比较
模型组R-R间期(RRI)延长
R-R间期总变异(TV)增大
低频成分/高频成分(LF/HF)减小(P<0.01);两针刺组与模型组比较
RRI缩短
TV减小
LF/HF增大(P<0.01);针刺两组之间比较
差异无统计学意义(P>0.05)。与伪手术组比较
模型组谷氨酸(Glu)、天冬氨酸(Asp)含量显著升高(P<0.05
P<0.01);两针刺组大鼠脑组织内Glu、Asp含量均低于模型组(P<0.05);针刺两组之间比较
脑组织Glu、Asp含量的差异无统计学意义(P>0.05)。结论:电针"水沟""风府"或"内关""心俞"均可防治脑心综合征
且两穴组可相互替代。交感神经系统兴奋性降低及脑内EAA的水平升高可能参与脑心综合征的发生发展;电针降低脑出血模型大鼠脑内EAA的水平可能是其防治脑心综合征的作用机制之一。
Objective To compare the effects of electroacupuncture(EA) of different acupoint groups on heart rate va-riability(HRV) and cerebral glutamate(Glu) and aspartic acid(Asp) contents in cerebrocardiac syndrome(CCS) rats.Methods A total of 52 Wistar rats were randomized into normal(n=8)
sham-operation(sham
n=8)
model(n=12)
Shuigou-Fengfu(GV 26-GV 16
n=12)
and Neiguan-Xinshu(PC 6-BL 15
n=12) groups.CCS model was established by intra-cerebral(Caudate nucleus) injection of clostridiopeptidase(1 U/μl) plus heparin(7 U/μl).EA(2 Hz/100 Hz
1-3 mA) was applied to GV 26-GV 16 and PC 6-BL 15 for 20 min
once daily for 3 days.Cerebral Glu and Asp contents were detected by high perfor-mance liquid chromatography
and HRV was analyzed by SMUP Software.Results In comparison with normal and sham groups
the R-R interval(RRI) of electrocardiogram and total variability(TV) of HRV
cerebral Glu and Asp contents in model group increased significantly(P<0.01
P<0.05)
and the ratio of low frequency/high frequency(LF/HF) decreased evidently(P<0.01).Compared with model group
RRI and TV values
and cerebral Glu and Asp contents of EA of GV 26-GV 16 and PC 6-BL 15 groups reduced markedly(P<0.01
P<0.05)
LF/HF of the later two groups increased evidently(P<0.01).No significant differences were found between GV 26-GV 16 and PC 6-BL 15 groups in RRI
TV and LF/HF of HRV
and cerebral Glu and Asp contents(P>0.05).Conclusion EA of both GV 26-GV 16 and PC 6-BL 15 can effectively improve CCS in rats
which is closely associated with their effects in lowering cerebral Glu and Asp levels and in suppressing the excitability of sympathetic nerve.
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