电针“内关”穴对家兔急性心肌缺血区肌原纤维、线粒体和血小板的影响  

Influence of Electroacupuncture of “Neiguan” on Myofibrilla, Mitochondria and Platelets of Myocardial Ischemic Area in the Rabbit

作　　者：罗明富[1] 王平[1] 刘俊岭[1] 王志英[1] 陈淑萍[1] 

机构地区：[1]中国中医研究院针灸研究所,北京100700

出　　处：《针刺研究》2001年第2期119-121,共3页Acupuncture Research

摘　　要：本实验采用透射电镜技术对家兔急性心肌缺血后心肌缺血区肌原纤维、线粒体及血小板结构的变化及针刺的作用进行了观察。结果 :①缺血组肌原纤维的明暗带变浅或消失 ,Z带呈屈曲状 ;线粒体积聚、肿胀 ,有的线粒体嵴断裂和血小板脱颗粒发生。②电针“内关”穴后 ,心肌的横纹和肌原纤维的明暗带清晰可见 ,多数线粒体未见肿胀和积聚成堆现象发生 ,血小板也没有出现脱颗粒。结果提示 ,针刺“内关”Objective: To observe the protective effect of electroacupuncture (EA) of “Neiguan” (PC 6) on ischemic cardiac myofibrilla, mitochondria and blood platelets in the rabbit. Methods: 12 mongrel rabbits were randomly and evenly divided into control group, ischemia group and ischemia+EA group. Bilateral “Neiguan” (PC 6) were punctured and stimulated with electrical pulses (3 V, 40 Hz and intermittent waves) for 30 min. Myocardial ischemia was produced by occlusion of the left ventricular branch of the coronary artery. After sectioning, the myocardial samples taken from the ischemic marginal region were observed by using a transmission electron microscope. Results: ① In ischemia group, both the dark and light bands of some myofibrilla became lighter in color or disappeared; Z bands presented tortuous like changes; mitochondria got aggregate and swollen. Some mitochondrial cristae were broken and degranulation of platelets appeared; ② In EA+ischemia group, both the dark and light bands of the myofibrilla could be seen clearly, the Z band was normal, no swelling and no aggregation of majority of the mitochondria and no degranulation of platelets were found. Conclusion: EA of “Neiguan” (PC 6) can protect the ischemic cardiac myocytes from injury.

关 键 词：心肌缺血 电针 透射电镜 肌原纤维 线粒体血小板 

分 类 号：R246.1[医药卫生—针灸推拿学] R259.42[医药卫生—中医临床基础]