Li Chun-hua, Ren Xiao-xuan, Guo Meng-wei, Zhao Ya-fang, Ji Bo, Liu Yu-qi, Yuan Hong-wen, Xie Jie-ping, Zhang Lu-fen, Zhu Jiang
School of Acu-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China.
Zhen Ci Yan Jiu. 2011 Oct;36(5):347-52.
To observe the effect of electroacupuncture (EA) on plasma thromboxane B2(TXB2) and 6-keto-prostaglandin F1alpha (6-keto-PGF1alpha) levels in dysmenorrhea rats in order to investigate its mechanism underlying relief of primary dysmenorrhea and specificity of acupoint efficacy.
Female SD rats with diestrus were randomly divided into saline control (control), model, EA Sanyinjiao (SP 6), EA Xuehai (SP 10), EA Xuanzhong (GB 39) and EA non-acupoint (NAP) groups, with 10 rats in each. Dysmenorrhea model was established by subcutaneous injection of Estradiol Benzoate (0.5 mg/rat on the 1st and 10th day, and 0.2 mg/rat from the 2nd to the 9th day) and intraperitoneal injection of Oxytocin (0.2 mL/rat, 1 h after last injection of Estradiol Benzoate on the 10th day). EA was applied to bilateral SP 6, SP 10, GB 39, and non-acupoint (the mid-point between the Gallbladder and Stomach meridian at the GB 39 level) for 20 min. The latency and score of writhing were recorded for 20 min. Plasma TXB2 and 6-keto-PGF1alpha contents were detected by radioimmunoassay.
Compared with the control group, the latency of writhing in the model group was shortened considerably (P < 0.01), and the writhing score was increased significantly (P < 0.01). In comparison with the model group, the writhing latency was increased significantly only in the EA-SP 6 group (P < 0.05), and the writhing scores in the EA-SP 6, EA-SP 10, EA-GB 39 and EA-NAP groups were reduced remarkably (P < 0.01). Plasma TXB2 content and the ratio of TXB2/6-keto-PGF1alpha. were significantly higher in the model group than in the control group (P < 0.01). Compared to the model group, plasma TXB2 levels and the ratios of TXB2/6-keto-PGF1alpha. in the EA-SP 6, EA-SP 10, EA-GB 39 and EA-NAP groups were downregulated markedly (P < 0.05, P < 0.01), while plasma 6-keto-PGF1alpha was upregulated strikingly only in the EA-SP 6 group (P < 0.05). No significant differences were found among the EA-SP 6, EA-SP 10, EA-GB 39 and EA-NAP groups in the writhing latency and writhing score, plasma TXB2 and 6-keto-PGF1alpha, levels (P > 0.05).
EA can relieve pain reaction in dysmenorrhea rats, which may be closely associated with its effects in downregulating plasma TXB2, upregulating plasma 6-keto-PGF1alpha, content, and balancing plasma TXB2/6-keto-PGF1alpha. The effect of EA of SP 6 is relatively better.
观察电针(EA)对痛经大鼠血浆血栓素B2(TXB2)和6-酮-前列腺素F1α(6-keto-PGF1α)水平的影响,以探讨其缓解原发性痛经的机制及穴位效应的特异性。
将处于动情间期的雌性SD大鼠随机分为生理盐水对照组(对照组)、模型组、电针三阴交(SP 6)组、电针血海(SP 10)组、电针悬钟(GB 39)组和电针非穴位(NAP)组,每组10只。采用皮下注射苯甲酸雌二醇(第1天和第10天0.5 mg/只,第2天至第9天0.2 mg/只)和腹腔注射缩宫素(0.2 mL/只,于第10天最后一次注射苯甲酸雌二醇后1 h)的方法建立痛经模型。将电针分别施加于双侧SP 6、SP 10、GB 39及非穴位(GB 39水平处胆经与胃经之间的中点),持续20分钟。记录20分钟内扭体潜伏期和扭体评分。采用放射免疫法检测血浆TXB2和6-keto-PGF1α含量。
与对照组相比,模型组扭体潜伏期显著缩短(P < 0.01),扭体评分显著升高(P < 0.01)。与模型组相比,仅电针SP 6组扭体潜伏期显著延长(P < 0.05),电针SP 6、SP 10、GB 39及NAP组扭体评分均显著降低(P < 0.01)。模型组血浆TXB2含量及TXB2/6-keto-PGF1α比值显著高于对照组(P < 0.01)。与模型组相比,电针SP 6、SP 10、GB 39及NAP组血浆TXB2水平及TXB2/6-keto-PGF1α比值均显著下调(P < 0.05,P < 0.01),而仅电针SP 6组血浆6-keto-PGF1α显著上调(P < 0.05)。电针SP 6、SP 10、GB 39及NAP组在扭体潜伏期、扭体评分、血浆TXB2和6-keto-PGF1α水平方面差异均无统计学意义(P > 0.05)。
电针可缓解痛经大鼠的疼痛反应,这可能与其下调血浆TXB2、上调血浆6-keto-PGF1α含量及平衡血浆TXB2/6-keto-PGF1α有关。电针SP 6的效果相对较好。