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作 者:朱庆丰[1] 张发宝[1] 汪克明[2] 周逸平[2]
机构地区:[1]安庆师范学院生命科学系,安庆246011 [2]安徽中医学院经脉脏腑相关研究中心,合肥230038
出 处:《针刺研究》2007年第1期20-23,共4页Acupuncture Research
基 金:国家自然科学基金资助项目(39670872)
摘 要:目的:探讨电针刺激抗心肌缺血的机制。方法:采用异丙肾上腺素(Isoprenolonhydrochloride,ISO)腹腔注射建立大鼠急性心肌缺血实验模型。24只雄性Wistar大鼠随机分为3组,每组8只。①电针治疗组:将大鼠麻醉后,注射2%ISO,按100mg/kg(即5mL/kg),i.p.,同时进行电针治疗。选取左侧“心俞”接正极和“厥阴俞”接负极。电针参数:输出波形为正负向交替脉冲波,脉冲宽度为300μs,频率2-20Hz,疏密波,输出电压为3.5-5V,以针柄轻度抖动为度,每次电针30min,共2次,间隔12h。②模型组:同电针治疗组,但不进行电针治疗。③对照组:将大鼠麻醉后,注射生理盐水,38℃,按5mL/kg体重i.p.。比色法测定血清肌酸激酶(creatinekinase,CK)值;放射免疫法测定血浆、心脏组织、脊髓(T1-T6)组织内降钙素基因相关肽(CGRP)含量。结果:电针治疗能够降低造模引起的血清CK水平升高;急性心肌缺血损伤可导致血浆CGRP含量降低,但心肌组织和脊髓中CGRP水平无明显变化;电针后,大鼠血浆中CGRP含量升高(P<0.01),心肌组织内CGRP含量仍无明显变化,但脊髓中CGRP含量有所升高(P<0.05)。对血浆、心脏组织及脊髓组织内的CGRP进行相关分析,未发现三者的明显相关性。结论:电针刺激具有一定的抗心肌缺血损伤作用,CGRP可能是参与电针抗心肌缺血的重要因子。Objective: To probe into the relationship between "Xinshu" (BL 15) - "Jueyinshu" (BL 14) of the Bladder Channel and the heart and the underlying mechanism of electroacupuncture (EA) in resisting acute myocardial ischemia (AMI) in rats. Methods: A total of 24 mate Wistar rats were randomly divided into control, model and EA groups with 8 cases in each group. AMI model was duplicated by intraperitoneal injection of 2 % isoproterenol (ISO, 100 mg/kg). EA (pulse duration 300 us, frequency 2-20 Hz, output voltage 3.5-5 V) was applied to BL14 and BL15 on the left side for 30 min, twice in a day (with an interval of 12 h). After decapitation, blood samples, myocardial tissue and spinal cord (T1-T6) were collected respectively for detecting serum creatine kinase (OK, with chromatometry) and calcitonin gene-related peptide (CGRP) contents in the plasma, myocardium and the spinal cord (with radioimmunoassay). Results: In comparison with control group, serum OK of both model group and EA group increased significantly (P〈0. 01 ), and plasma CGRP content of model group lowered lightly; while compared with model group, OK content of EA group decreased obviously ( P〈0. 05) and plasma CGRP of EA group increased evidently (P〈0.05). No significant differences were found among 3 groups in myocardial CGRP contents and between control group and model group in spinal CGRP contents (P〉0.05). Conclusion: EA of "Xinshu" (BL 15)-"Jueyinshu" (BL 14) may suppress isoproterenol-injection induced myocardial injury and plasma CGRP possibly takes part in the protective effect of EA in resisting myocardial ischemia injury.
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