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四川大学华西医院中西医结合科
纸质出版日期:2018
移动端阅览
陈欢, 苏杭, 袁玲, 等. 电针配合大承气汤协同调控急性胰腺炎大鼠肺肠损伤的机制研究[J]. 针刺研究, 2018,43(6):353-359.
CHEN Huan, SU Hang, YUAN Ling, et al. Administration of Electroacupuncture and Da-Cheng-Qi Decoction Has a Synergetic Effect in Relieving Injury of Pancreas,Lung and Large Intestine and Inflammatory Reactions in Rats with Acute Pancreatitis[J]. Acupuncture research, 2018, 43(6): 353-359.
陈欢, 苏杭, 袁玲, 等. 电针配合大承气汤协同调控急性胰腺炎大鼠肺肠损伤的机制研究[J]. 针刺研究, 2018,43(6):353-359. DOI: 10.13702/j.1000-0607.170986.
CHEN Huan, SU Hang, YUAN Ling, et al. Administration of Electroacupuncture and Da-Cheng-Qi Decoction Has a Synergetic Effect in Relieving Injury of Pancreas,Lung and Large Intestine and Inflammatory Reactions in Rats with Acute Pancreatitis[J]. Acupuncture research, 2018, 43(6): 353-359. DOI: 10.13702/j.1000-0607.170986.
目的:观察电针肺与大肠俞募配穴联合大承气汤对急性胰腺炎(AP)大鼠肺和肠道炎性反应损伤的影响
探讨电针与大承气汤协同增效的机制。方法:SD大鼠随机分为假手术组、模型组、大承气汤组、电针治疗组和针药合用组
每组8只。采用改良3%牛磺胆酸钠(0.1mL/100g)逆行胰胆管注射法复制AP模型。电针治疗组和针药合用组电针双侧"肺俞"与"大肠俞""中府""天枢"各3次
每次20min
每次间隔7h。造模24h后
针药合用组和大承气汤组给予大承气汤灌胃1次。采用双抗夹心ELISA法测定血清白细胞介素-6(IL-6)、IL-10含量和肺、大肠组织髓过氧化物酶(MPO)、丙二醛(MDA)含量
HE染色观察肺、大肠、胰腺组织病理变化并予以病理评分。结果:与假手术组比较
模型组胰腺、肺、大肠病理评分
肺与大肠MDA、MPO含量
血清IL-6、IL-10含量均明显升高(P<0.05);与模型组比较
大承气汤组、电针治疗组、针药合用组胰腺、肺、大肠病理评分
肺与大肠MDA、MPO含量
血清IL-6含量明显降低(P<0.05)
血清IL-10含量升高(P<0.05)。与大承气汤组和电针治疗组比较
针药合用组肺与大肠病理评分、MPO和MDA含量
血清IL-6含量明显降低(P<0.05)
血清IL-10含量升高(P<0.05)。结论:肺与大肠俞募配穴法电针与大承气汤针药合用与单纯大承气汤、电针相比
在调控急性胰腺炎大鼠氧化应激水平和炎性反应中更有优势
以协同减轻肺肠损伤。
Objective To explore the effectiveness of electroacupuncture(EA)stimulation of Shu-and Mu-points of Lung and Large Intestine Meridians combined with administration of Da-Cheng-Qi Decoction(DCQD)in the treatment of inflammatory injury in rats with acute pancreatitis
so as to reveal their synergetic anti-inflammatory effect.Methods Forty male SD rats were randomly divided into five groups:normal control
model
DCQD
EA
EA+DCQD
with 8 rats in each group.All the rats except those in the normal group received a retrograde biliopancreatic duct injection of sodium Taurocholate(3.0%
0.1 mL/100 g)to induce an acute pancreatitis model.Twenty-four hours after modeling
EA(4 Hz/50 Hz)was applied to bilateral Shupoints"Feishu"(BL 13)and"Dachangshu"(BL 25)
and Mu-points"Zhongfu"(LU 1)and"Tianshu"(ST 25)for 20 min
once every 7 h
3 times in total.Rats of the DCQD and EA+DCQD groups were given intra-gastric gavage of DCQD(1 mL/100 g)24 h after modeling
and those of the other 3 groups were given intra-gastric gavage of same dosage of normal saline.The histopathological changes of the pancreas
lung and large intestine tissues were observed after H.E.staining and scored according to Schmidt's and colleagues' methods(the severity of edema
inflammation
hemorrhage
necrosis).The concentrations of interleukin-6(IL-6)and IL-10 in the serum
and those of myeloperoxidase(MPO)and malonaldehyde(MDA)in the lung and large intestine tissues were detected by using double-antibody sandwich ELISA.Results After modeling
the histopathological scores of pancreas
lung and large intestine tissues
the concentrations of MPO and MDA in lung and large intestine
and the levels of IL-6 and IL-10 in serum were significantly increased in the model group compared with the normal control group(P<0.05).Following the treatment
the histopathological scores of pancreas
lung and large intestine tissues
the contents of MPO and MDA in the lung and large intestine
and serum IL-6 were considerably reduced in the EA
DCQD and EA+DCQD groups relevant to the model group(P<0.05)
while serum IL-10 content was notably increased in the three treatment groups(P<0.05).The therapeutic effect of EA+DCQD was significantly superior to that of simple EA and simple DCQD in down-regulating the histopathological scores of lung and large intestine tissues
the contents of MPO and MDA in the lung and large intestine
and serum IL-6 level
and up-regulating serum IL-10 level(P<0.05).No significant differences were found between the EA and DCQD groups in the above-mentioned 9 indexes(P>0.05).Conclusion EA and DCQD can relieve the inflammatory injury of the pancreas
lung and large intestine tissues in rats with acute pancreatitis
and EA combined with DCQD has a better synergetic effect in reducing oxidative stress level and inflammatory reaction.
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