Ouyang Hui, Yin Jieyun, Wang Zhishun, Pasricha Pankaj J, Chen J D Z
Division of Gastroenterology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0632, USA.
Am J Physiol Gastrointest Liver Physiol. 2002 Feb;282(2):G390-6. doi: 10.1152/ajpgi.00272.2001.
Gastroparesis is a disorder with a lack of treatment options and this study investigated the effect of electroacupuncture on gastric emptying and involved mechanisms. Dogs implanted with a duodenal cannula and serosal electrodes were fed with Ensure mixed with phenol red, and the gastric effluent was collected. Electroacupuncture was performed from 30 min before until 45 min after the meal. Gastric myoelectrical activity and electrocardiogram were recorded. Gastric emptying was significantly improved with electroacupuncture. Vagal activity assessed from the spectral analysis of heart rate variability was markedly increased with electroacupuncture. Electroacupuncture increased the regularity of gastric slow waves in both the proximal and distal stomach. It also increased the number of spike bursts in the distal but not proximal stomach. Electroacupuncture accelerates gastric emptying of liquid in dogs and its potential for treating gastroparesis may be explored. The effect may be attributed to improvement in gastric slow-wave rhythmicity and antral contractile (spike) activity and may possibly involve the vagal pathway.
胃轻瘫是一种缺乏治疗方案的病症,本研究调查了电针疗法对胃排空的影响及其相关机制。给植入十二指肠插管和浆膜电极的犬喂食添加了酚红的安素,收集胃流出物。在进食前30分钟至进食后45分钟进行电针治疗。记录胃肌电活动和心电图。电针显著改善了胃排空。通过心率变异性频谱分析评估的迷走神经活动在电针治疗后显著增加。电针增加了胃近端和远端慢波的规律性。它还增加了胃远端而非近端的峰电位爆发次数。电针可加速犬的液体胃排空,其治疗胃轻瘫的潜力值得探索。这种作用可能归因于胃慢波节律性和胃窦收缩(峰电位)活动的改善,并且可能涉及迷走神经通路。
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