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湖南省儿童医院中西医结合科
纸质出版日期:2014
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罗伟, 刘春雷, 王军英, 等. 针刺与智能通络治疗仪联合应用对慢性萎缩性胃炎大鼠胃电节律及胃黏膜组织前列腺素E_2、前列腺素F_(2α)的影响[J]. 针刺研究, 2014,39(6):482-486.
LUO WEI, LIU Chun-lei, WANG Jun-ying, et al. Effect of Electroacupuncture Combined with Cutaneous“Tongluo”Stimulation on Gastric Electrical Rhythms and Gastromucosal Prostaglandin Content in Rats with Chronic Atrophic Gastritis[J]. Acupuncture research, 2014, 39(6): 482-486.
罗伟, 刘春雷, 王军英, 等. 针刺与智能通络治疗仪联合应用对慢性萎缩性胃炎大鼠胃电节律及胃黏膜组织前列腺素E_2、前列腺素F_(2α)的影响[J]. 针刺研究, 2014,39(6):482-486. DOI: 10.13702/j.1000-0607.2014.06.010.
LUO WEI, LIU Chun-lei, WANG Jun-ying, et al. Effect of Electroacupuncture Combined with Cutaneous“Tongluo”Stimulation on Gastric Electrical Rhythms and Gastromucosal Prostaglandin Content in Rats with Chronic Atrophic Gastritis[J]. Acupuncture research, 2014, 39(6): 482-486. DOI: 10.13702/j.1000-0607.2014.06.010.
目的:观察针刺配合智能通络治疗仪对慢性萎缩性胃炎(chronic atrophic gastritis
CAG)大鼠胃电节律和胃黏膜组织前列腺素(prostaglandin
PG)的影响
探讨针刺治疗CAG的可能机制。方法:SD大鼠随机分为空白组10只和造模组40只
造模组采用N-甲基-N’-硝基-N-亚硝基胍溶液、水杨酸钠、热盐水灌胃同时配合饥饱失常法复制CAG大鼠模型
造模成功后按照随机数字表法将造模组分为模型组10只、西药组10只、联合治疗组10只。联合治疗组选取大鼠"足三里""中脘""天枢""脾俞"穴进行电针刺激
然后再在"天枢""脾俞"穴处加以智能通络治疗仪配合治疗。西药组采用自制维酶素混悬液灌胃。两组均每日治疗1次
共治疗2个月。采用EGEG-8D型八导智能胃肠电图仪检测胃电节律
放射免疫法检测各组大鼠胃黏膜组织前列腺素E2(PGE2)、前列腺素F2α(PGF2α)水平。结果:与空白组比较
模型组胃电波形平均频率和波形平均幅值明显降低(P<0.01)
异常节律指数和频率变异系数明显升高(P<0.01);与模型组比较
西药组和联合治疗组波形平均频率和波形平均幅值明显升高(P<0.01)
异常节律指数和频率变异系数明显降低(P<0.01)。与空白组比较
模型组PGE2、PGF2α水平明显降低(P<0.01);与模型组比较
西药组和联合治疗组PGE2、PGF2α水平均明显升高(P<0.01)。结论:针刺与智能通络治疗仪联合运用能够明显改善CAG大鼠胃电节律紊乱的状况
同时可以提高胃黏膜组织PGE2、PGF2α水平
从而对慢性萎缩性胃炎具有较好的治疗作用。
Objective To observe the effect of electroacupuncture(EA)combined with cutaneous"Tongluo"(meridiandredging)stimulation on gastric electrical activities and gastromucosal prostaglandin(PG)level in rats with chronic atrophic gastritis(CAG)
so as to investigate its mechanism underlying improvement of gastric function.Methods A total of 40 SD rats were randomly divided into blank control
CAG model
medication and combined therapy groups
with 10 rats being in each group.CAG model was established by intragastric administration of deionized water with N-methyl-N'-nitro-N-nitrosoguanidine(MNNG)solution(5mL/kg)
once a day
in combination with alternate fasting and full-eating and lavage of 2% sodium salicylate and warm saline(15%)for 12 weeks.For rats of the combined therapy group
EA was applied to"Zusanli"(ST 36)
"Zhongwan"(CV 12)
"Tianshu"(ST 25)and"Pishu"(BL 20)
two acupoints for one session
followed by cutaneous"Tongluo"stimulation of ST 25 and BL 20 by using an intelligent Tongluo therapeutic instrument for 20 min
once daily for 2months.Electrogastrography(EGG)was recorded using an intelligent gastrointestinal electrographic instrument.Gastromucosal PGE2 and PGF2αcontents were assayed by radioimmunoassay.Results Compared to the control group
the mean frequency and amplitude of EGG
and gastromucosal PGE2 and PGF2αcontents were obviously decreased while the abnormal rhythm index and frequency-variationcoefficiency levels were markedly increased in the model group(P<0.01).Following treatment
the above-mentioned changes of the 6indexes were significantly reversed by both medication and combined therapy(P<0.01).No significant differences were found between the medication and combined therapy groups(P>0.05).Conclusion Combined use of EA and intelligent Tongluo stimulation can significantly improve the gastroelectric dysrhythmia in CAG rats
which may be closely associated with its effect in up-regulating gastric mucosal PGE2 and PGF2αlevels.
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