Lin Ya-Ping, Yi Shou-Xiang, Yan Jie, Chang Xiao-Rong
The Institute of Acupuncture and Massage, Hunan University of Traditional Chinese Medicine, Changsha 410007, Hunan Province, China.
World J Gastroenterol. 2007 Apr 21;13(15):2229-33. doi: 10.3748/wjg.v13.i15.2229.
To observe the effect of acupuncture at Foot-Yangming Meridian on gastric mucosal blood flow (GMBF), gastric motility and brain-gut peptide.
Sixty SD rats were randomly divided into 6 groups: normal control group, model group (group with gastric mucosal damage, GMD), Sibai group (with acupuncture at Sibai point + GMD), Tianshu group (with acupuncture at Tianshu point + GMD), Zusanli group (with acupuncture at Zusanli point + GMD) and non-acupoint group (with acupuncture at non-acupoint + GMD). The GMD model group was induced by infusing pure alcohol into gastric cavity. H(2) Gas Clearance Test (HGCT) was used to measure GMBF, the frequency and amplitude of gastric motility were measured by the method of aerocyst, the content of brain-gut peptide in sinus ventriculi and bulbus medullae were detected by radioimmunoassay.
Inhibitory effect of the frequency and amplitude of gastric motility were shown in model group, and the rates of frequency and amplitude changes were remarkably different from the normal control group (-19.41 +/- 17.21 vs -4.71 +/- 10.32, P < 0.05; -51.61 +/- 29.02 vs 1.81 +/- 14.12, P < 0.01). In comparison with control group, the GMBF was 0.52 +/- 0.161 mL vs 1.03 +/- 0.255 mL per 100g tissue/min, P < 0.01, the content of motilin in sinus ventriculi and bulbus medullae was 63.04 +/- 7.77 pg/mL vs 72.91 +/- 8.42 pg/mL, P < 0.05 and 50.96 +/- 8.77 pg/mL vs 60.76 +/- 8.05 pg/mL, P < 0.05, but the content of somatostatin in sinus ventriculi and bulbus medullae was 179.85 +/- 43.13 ng/g vs 90.54 +/- 40.42 ng/g, P < 0.01 and 532.86 +/- 122.58 ng/g vs 370.91 +/- 76.29 ng/g, P < 0.05,respectively. In comparison with model group, the amplitude of gastric motility was 1.52 +/- 20.13, -6.52 +/- 23.31, 6.92 +/- 25.21 vs -51.61 +/- 29.02, P < 0.01 and GMBF was 0.694 +/- 0.160 mL vs 0.893 +/- 0.210 mL, 1.038 +/- 0.301 mL vs 0.52 +/- 0.161 mL per 100g tissue/min, P < 0.01, respectively in Tianshu, Sibai and Zusanli groups, the content of motilin in sinus ventriculi and bulbus medullae was 71.64 +/- 9.35 pg/mL vs 63.04 +/- 7.77 pg/mL, P < 0.05; 58.96 +/- 6.69 pg/mL vs 50.96 +/- 8.77 pg/mL, P < 0.05 in Zusanli group and 72.84 +/- 8.62 pg/mL vs 63.04 +/- 7.77 pg/mL, P < 0.05 in Sibai group, while the content of somatostatin in bulbus medullae in Tianshu, Sibai and Zusanli groups was 480.62 +/- 151.69 ng/g, 388.53 +/- 155.04 ng/g, 365.76 +/- 143.93 ng/g vs 532.86 +/- 122.58 ng/g, P < 0.05, respectively.
Electro-acupuncture at acupoints of Foot-Yangming Meridian could enhance the gastric motility, improve GMBF, and regulate the content of motilin and somatostatin in sinus ventriculi and bulbus. The effects of acupuncture on GMBF and gastric motility may be related to the content of brain-gut peptide.
观察针刺足阳明经对胃黏膜血流量(GMBF)、胃动力及脑肠肽的影响。
将60只SD大鼠随机分为6组:正常对照组、模型组(胃黏膜损伤组,GMD)、四白组(针刺四白穴+GMD)、天枢组(针刺天枢穴+GMD)、足三里组(针刺足三里穴+GMD)和非穴位组(针刺非穴位+GMD)。胃黏膜损伤模型组通过向胃腔内注入纯酒精诱导。采用氢清除试验(HGCT)测量GMBF,用气囊法测量胃动力的频率和幅度,用放射免疫分析法检测胃窦和延髓中脑肠肽的含量。
模型组胃动力频率和幅度呈抑制作用,频率和幅度变化率与正常对照组有显著差异(-19.41±17.21对-4.71±10.32,P<0.05;-51.61±29.02对1.81±14.12,P<0.01)。与对照组相比,每100g组织每分钟的GMBF为0.52±0.161mL对1.03±0.255mL,P<0.01,胃窦和延髓中胃动素含量为63.04±7.77pg/mL对72.91±8.42pg/mL,P<0.05,50.96±8.77pg/mL对60.76±8.05pg/mL,P<0.05,但胃窦和延髓中生长抑素含量分别为179.85±43.13ng/g对90.54±40.42ng/g,P<0.01,532.86±122.58ng/g对370.91±76.29ng/g,P<0.05。与模型组相比,天枢、四白和足三里组胃动力幅度分别为1.52±20.13、-6.52±23.31、6.92±25.21对-51.61±29.02,P<0.01,每100g组织每分钟的GMBF分别为0.694±0.160mL对0.893±0.210mL、1.038±0.301mL对0.52±0.161mL,P<0.01,胃窦和延髓中胃动素含量在足三里组为71.64±9.35pg/mL对63.0