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1. 华中科技大学同济医学院附属同济医院
2. 湖北中医药大学针灸骨伤学院
3. 中国中医科学院针灸研究所
纸质出版日期:2017
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雷成成, 李亮, 张虹, 等. 电针敏化穴位对腹泻型肠易激综合征大鼠肠功能的影响[J]. 针刺研究, 2017,42(5):413-417.
LEI Cheng-cheng, LI Liang, ZHANG Hong, et al. Effect of Electroacupuncture Stimulation of Sensitized Acupoints on Bowel Dysfunction in Rats with Diarrhea-predominant Irritable Bowel Syndrome[J]. Acupuncture research, 2017, 42(5): 413-417.
雷成成, 李亮, 张虹, 等. 电针敏化穴位对腹泻型肠易激综合征大鼠肠功能的影响[J]. 针刺研究, 2017,42(5):413-417. DOI: 10.13702/j.1000-0607.2017.05.007.
LEI Cheng-cheng, LI Liang, ZHANG Hong, et al. Effect of Electroacupuncture Stimulation of Sensitized Acupoints on Bowel Dysfunction in Rats with Diarrhea-predominant Irritable Bowel Syndrome[J]. Acupuncture research, 2017, 42(5): 413-417. DOI: 10.13702/j.1000-0607.2017.05.007.
目的:比较敏化穴位和非敏化穴位调节腹泻型肠易激综合征(D-IBS)大鼠肠运动功能的疗效差异。方法:SD大鼠随机分为正常组、模型组、电针敏化穴组、电针非敏化穴组
各组10只。采用慢性束缚应激加番泻叶灌服法建立D-IBS模型
通过观察D-IBS大鼠体表伊文思兰(EB)渗出点与穴位的相关性来确定敏化穴位。电针敏化穴组、电针非敏化穴组分别选取敏化穴"大肠俞"和非敏化穴"心俞"进行电针治疗
分别观察造模前后及治疗4、7d各组大鼠Bristol粪便性状评分(BSS)、稀便率、腹泻指数的变化。结果:D-IBS大鼠体表EB渗出点与双侧"大肠俞"具有高度相关性
提示双侧"大肠俞"穴是D-IBS疾病状态下的敏化穴。与正常组相比
模型组大鼠在造模后BSS评分、稀便率以及腹泻指数明显升高(P<0.05);与模型组相比
在治疗7d后
电针敏化穴能有效降低D-IBS大鼠BSS评分、稀便率以及腹泻指数(P<0.05)。电针非敏化穴对D-IBS大鼠BSS评分、稀便率以及腹泻指数无明显改善(P>0.05)。结论:电针"大肠俞"能有效改善D-IBS大鼠肠运动功能紊乱
其疗效优于非敏化穴"心俞"
为电针治疗D-IBS提供了选穴依据。
Objective To investigate the effect of electroacupuncture(EA)stimulation of sensitized acupoints on bowel dysfunction in diarrhea-predominant irritable bowel syndrome(D-IBS)rats.Methods Fifty SD rats were randomly divided into control
model
EA sensitized acupoint["Dachangshu"(BL 25)
EA-BL 25]and EA non-sensitized acupoint["Xinshu"(BL 15)
EA-BL 15]groups
with 20 rats in the model group and 10 rats in each of the other 3 groups.The D-IBS model was established by chronic restraint stress and intragastric administration of folium sennae(0.3 g/mL
10 mL/kg)
once daily for 2 weeks
followed by two weeks' restraint stress stimulation.The sensitized acupoints were determined by locating the extravasation points of Evans Blue(EB)dye after tail-intravenous injection
and stimulated with EA(2 mA
2 Hz)for 30 min
once daily for 7 consecutive days.For rats of the EA non-sensitized acupoint group
bilateral BL 15 were stimulated with the same parameters and same stimulation duration.The rats' bowel mobility was evaluated by Bristol stool scale(BSS)
loose stools rate and diarrhea index.Results After modeling
the BSS
loose stool rate
and diarrhea index were significantly increased in the model group relevant to the control group(P<0.05).After the treatment
the BSS
loose stool rate
and diarrhea index on day 7 were considerably lowered in the EA-BL 25 group(P<0.05)but not in EA-BL15 group(P>0.05)
suggesting a better therapeutic effect of EA of the sensitized acupoint.No significant changes were found in the abovementioned 3 indexes on day 4 after the treatment relevant to the model group(P>0.05).Conclusion EA stimulation of the sensitized acupoint can improve diarrhea in D-IBS rats.
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