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1. 复旦大学航空航天系
2. 上海市针灸经络研究中心
纸质出版日期:2017
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邢贝贝, 黄猛, 陈国辉, 等. 穴位敏化现象的实验动物观察[J]. 针刺研究, 2017,42(4):327-331.
XING Bei-bei, HUANG Meng, CHEN Guo-hui, et al. Observation on Acupoint Sensitization Phenomenon in Experimental Myocardial Ischemia Rabbits[J]. Acupuncture research, 2017, 42(4): 327-331.
邢贝贝, 黄猛, 陈国辉, 等. 穴位敏化现象的实验动物观察[J]. 针刺研究, 2017,42(4):327-331. DOI: 10.13702/j.1000-0607.2017.04.008.
XING Bei-bei, HUANG Meng, CHEN Guo-hui, et al. Observation on Acupoint Sensitization Phenomenon in Experimental Myocardial Ischemia Rabbits[J]. Acupuncture research, 2017, 42(4): 327-331. DOI: 10.13702/j.1000-0607.2017.04.008.
目的:发展一种适合穴位敏化现象研究的动物模型
观察心肌缺血导致的体表穴位处力敏变化
探讨穴位敏化的现象及发生机制。方法:新西兰家兔随机分成对照组和模型组
每组10只。模型组采用改进的气囊阻塞可控心肌缺血模型。在造模前后检测心肌缺血引起的Ⅱ导联变化
通过心肌2
3
5-三苯基氯化四氮唑(TTC)染色确定心肌坏死程度。分别在心肌缺血模型制备过程第8、14、20天检测清醒家兔不同体表部位机械痛阈值。结果:可控心肌缺血模型制备过程中模型组Ⅱ导联变化一致
在气囊充气阻塞左冠状动脉前降支(心肌缺血)时ST段抬高(P<0.05)
气囊放气后ST段恢复
表明家兔心肌缺血刺激可控。心肌TTC染色示模型组心肌坏死程度为(9.37±0.19)%。3个检测阶段模型组与对照组家兔在足底及"太溪"穴处均无明显机械痛阈值改变(P>0.05);心肌缺血刺激14d后模型组"内关"处及心肌缺血刺激20d后模型组"神门"和"内关"处机械痛阈均显著低于对照组(P<0.01)。结论:改进的家兔可控心肌缺血模型适用于疾病前后穴位敏化现象的力敏研究。心肌缺血可导致"神门"和"内关"处力敏降低
内脏疾病可导致相关临床治疗穴位发生敏化。
Objective To develop an animal model suitable for the study of acupoint sensitization in myocardial ischemia(MI)animals by observing changes of the mechanical withdrawal threshold(pain threshold
PT).Methods Twenty New Zealand rabbits were randomly divided into control and model groups(n=10in each group).The controllable MI model was set up by installing a balloon occluder at the left anterior descending branch of the left coronary artery.Air inflation of the balloon was given for 5 min/time
twice a day(4-hours' interval)for continuous 5days(the first stage of MI)
with one day's rest
then
another 5 days' air inflation was conducted again(2nd stage of MI).Electrocardiogram(ECG)of the standard limb leadⅡ was recorded for assessing MI
and myocardial 2
3
5-triphenyltetrazolium chloride(TTC)staining was used to verify the degree of ischemic myocardium.The PT of the skin areas of"Neiguan"(PC 6)
"Shenmen"(HT 7)
"Taixi"(KI 3)
hind paw(HP)was detected under conscious conditions
before MI
on day 8(after recovery from MI)
day 14(the first stage of MI)
and day 20(the second stage of MI)
respectively.Results The controllable MI model was successful due to a marked elevation of ECG ST Ⅱ after inflation of the implanted balloon and a distinct recovery after balloon deflation(P<0.05).The myocardial TTC staining showed that the area of the myocardial necrosis was about 10%.The PT values were significantly decreased in PC 6 area at the first stage of MI and in both PC 6 and HT 7 regions at the 2nd stage of MI(P<0.01)
suggesting a close relationship between the acupoints of the Pericardium and Heart meridians and the heart in terms of the basic theory of Chinese medicine.Conclusion MI may induce a reduction of PT of some related acupoints in MI rabbits
and the controllable MI model of the present study is helpful to the study of acupoint sensitization phenomenon after occurrence of visceral diseases.
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