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[针刺对多巴酚丁胺心脏效应的增强作用:穴位功能特异性的表现]

[A reinforcement of acupuncture on the cardiac effect of dobatamine: exhibition of acupoint's functional specificity].

作者信息

Cui Jing-jing, Gao Jun-hong, Fu Wei-xing, Wang Yu-min, Ma Shu-hua, Zhang Meng, Cui Hai-feng, Yu Xiao-chun

机构信息

The Medical Experimental Research Center, Institute of Acu-mozibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.

出版信息

Zhen Ci Yan Jiu. 2010 Jun;35(3):188-92.

Abstract

OBJECTIVE

To investigate the functional specificity of acupoint by means of acupoint injection of Dobutamine Hydrochloride (DH).

METHODS

Male SD rats were randomized into normal control (NC), EA-Neiguan (PC6) + acupoint injection (AI, EA-PC 6 + AI), EA-Zusanli (ST 36) + AI (EA-ST 36 + AI), and EA-intramuscular injection site (IMIS) + intramuscular injection (EA-IMIS+ IMI) groups,with 8 rats being in each group. EA (2 Hz/15 Hz, 3 mA) was applied to bilateral "Neiguan" (PC 6), "Zusanli "(ST 36) and muscular-injection site for 10 min. DH (a beta1-adrenoceptor agonist) solution (100 microg/kg) was injected intramuscularly into the gluteus maximus after termination of EA intervention. The left ventricular systolic pressure (LVSP), heart rate (HR) and + dp/dt max were recorded before and 2, 5, 15 and 30 min after injection of DH.

RESULTS

The values of LVSP, HR and + dp/dt max in EA-PC 6 + AI group were significantly higher than those in NC, EA-ST 36 + AI, and EA-IMIS + IMI groups (P < 0.01) 2 and 5 minutes after EA plus acupoint injection of DH. No significant differences were found between EA-ST 36 + AI and EA-IMIS+ IMI groups in LVSP, HR and +dp/dt max (P > 0.05). After injection of DH for 30 minutes, the values of LVSP, HR and + dp/dt max in EA-PC 6 + AI group were still significantly higher than those in NC group (P < 0.01).

CONCLUSION

EA-PC 6+ AI DH is significantly superior to EA-ST 36 + AI DH and EA-IMIS+ IMI DH in producing a stronger cardiac excitatory effect and a longer post-effect, showing a relative specificity of the acupoint in upregulating cardiac functional activities.

摘要

目的

通过穴位注射盐酸多巴酚丁胺(DH)来研究穴位的功能特异性。

方法

将雄性SD大鼠随机分为正常对照组(NC)、电针内关(PC6)+穴位注射(AI,电针PC6+AI)、电针足三里(ST36)+AI(电针ST36+AI)和电针肌肉注射部位(IMIS)+肌肉注射(电针IMIS+IMI)组,每组8只大鼠。采用2Hz/15Hz、3mA的电针刺激双侧“内关”(PC6)、“足三里”(ST36)和肌肉注射部位,持续10分钟。电针干预结束后,将DH(一种β1肾上腺素能受体激动剂)溶液(100μg/kg)肌肉注射至臀大肌。记录注射DH前及注射后2、5、15和30分钟时的左心室收缩压(LVSP)、心率(HR)和+dp/dt max。

结果

电针PC6+AI组在电针加穴位注射DH后2分钟和5分钟时,LVSP、HR和+dp/dt max值显著高于NC组、电针ST36+AI组和电针IMIS+IMI组(P<0.01)。电针ST36+AI组和电针IMIS+IMI组在LVSP、HR和+dp/dt max方面无显著差异(P>0.05)。注射DH30分钟后,电针PC6+AI组的LVSP、HR和+dp/dt max值仍显著高于NC组(P<0.01)。!

结论

电针PC6+AI DH在产生更强的心脏兴奋作用和更长的后效应方面明显优于电针ST36+AI DH和电针IMIS+IMI DH,显示出穴位在上调心脏功能活动方面的相对特异性。

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