Wang Hong, Wang Chun-Yang, Zhang Jin-Shan, Sun Lan, Sun Jing-Ping, Tian Qing-Hua, Jin Xiang-Lan, Yin Ling
Neuroinformatics Center, Chinese PLA General Hospital, Beijing 100853, China.
World J Gastroenterol. 2005 Sep 21;11(35):5517-20. doi: 10.3748/wjg.v11.i35.5517.
To determine the role of acupuncture therapy in treating experimental gastric ulcer in rats.
Twenty-eight adult male Sprague-Dawley rats were randomly divided into four groups (pre-acupuncture group; acupuncture group; paradistance-acupuncture group; and control group), and pre-acupuncture, paradistance-acupuncture, and control groups received 5 muL acetic acid (200 mL/L HAc) injection after a same course of electroacupuncture (EA) treatment (4 Hz, 0.6 mA, 0.45 ms, 45 min for 4 d). The rats in these three groups recovered within 4 d. The acupuncture group received EA therapy for 4 d, after HAc injection. The stomach was dissected to compare the pathological structures of ulcer. Also c-Fos activation in the nuclei of solitary tract (NTS) was observed under microscope after regular immunohistochemistry staining of brain stem sections.
The number of ulcers was different among the four groups, especially between control group and paradistance-acupuncture group or pre-acupuncture group. In the latter group, the number of ulcers was much less. The gastric ulcer area was consistent with the histopathological results, indicating that pre-acupuncture had an obvious therapeutic effect on gastric ulcers. Acupuncture had a very modest effect and paradistance-acupuncture had no effect on gastric ulcers. No therapeutic effect was found in the control group. Fos-Li neurons in NTS induced by noxious gastric ulcer showed a significant difference between pre-acupuncture and control groups.
Acupuncture before ulceration can obviously alleviate ulcer. The production of c-Fos proves that the vagus nerve mediates the induction of c-Fos in nuclei of solitary tract following experimental ulceration, suggesting that parasympathetic afferents promote the process of noxious visceral stimulation.
确定针刺疗法在治疗大鼠实验性胃溃疡中的作用。
将28只成年雄性Sprague-Dawley大鼠随机分为四组(针刺前组、针刺组、旁距针刺组和对照组),针刺前组、旁距针刺组和对照组在经过相同疗程的电针(EA)治疗(4Hz,0.6mA,0.45ms,4天,每天45分钟)后接受5μL乙酸(200mL/L HAc)注射。这三组大鼠在4天内恢复。针刺组在注射HAc后接受4天的EA治疗。解剖胃以比较溃疡的病理结构。在对脑干切片进行常规免疫组织化学染色后,在显微镜下观察孤束核(NTS)中c-Fos的激活情况。
四组之间溃疡数量不同,尤其是对照组与旁距针刺组或针刺前组之间。在后一组中,溃疡数量少得多。胃溃疡面积与组织病理学结果一致,表明针刺前对胃溃疡有明显治疗作用。针刺作用甚微,旁距针刺对胃溃疡无效。对照组未发现治疗效果。有害胃溃疡诱导的NTS中Fos-Li神经元在针刺前组和对照组之间存在显著差异。
溃疡形成前针刺可明显减轻溃疡。c-Fos的产生证明迷走神经介导实验性溃疡形成后孤束核中c-Fos的诱导,提示副交感传入神经促进有害内脏刺激过程。