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电针足三里穴对牛磺胆酸钠诱导的重症急性胰腺炎的治疗作用

Therapeutic effects of electroacupuncture at ST36 acupoint on sodium-taurocholate-induced severe acute pancreatitis.

作者信息

Xue Qi-ming, Li Ning, Xue Ping, Wang Cheng-wei, Wen Qian

机构信息

Department of Integrated Chinese and Western Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China.

出版信息

Chin J Integr Med. 2014 Sep;20(9):695-700. doi: 10.1007/s11655-013-1331-4. Epub 2013 Jul 27.

DOI:10.1007/s11655-013-1331-4
PMID:23893236
Abstract

OBJECTIVE

To explore the protective effects and mechanisms of electroacupuncture (EA) at Zusanli (ST36) acupoint in rats with severe acute pancreatitis (SAP).

METHODS

Sixty-six male Sprague-Dawley rats were randomly assigned to three groups of 22 each: a SAP model group (SAP group), a shamoperated group (sham group) and a EA at ST36 acupoint group (EA group). A rat model of SAP was induced by pancreatic duct injection with 3.5% sodium taurocholate. EA was performed at ST36 acupoint for 30 min after induction of SAP and 30 min before sacrificed. The rats were killed at 3 h (n=7), 6 h (n=7) and 12 h (n=8) after operation, and blood samples were taken for the measurement of tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6) and acetylcholine (Ach) by enzyme-linked immunosorbnent assay. The pathological changes of pancreatic tissue, volume of ascites and pancreatic weight/body weight ratio were measured.

RESULTS

The serum concentrations of TNF-α and IL-6 in the EA group were significantly lower than in the SAP group at 3, 6 and 12 h after the operation (p<0.05). Serum Ach in the EA group was significantly higher than in the SAP group at various time points after operation (p<0.05). The other parameters were clearly improved after treatment with EA.

CONCLUSION

EA at ST36 acupoint might have a therapeutic effect in rats with SAP through activating the cholinergic anti-inflammatory pathway.

摘要

目的

探讨电针足三里穴对重症急性胰腺炎(SAP)大鼠的保护作用及机制。

方法

66只雄性Sprague-Dawley大鼠随机分为三组,每组22只:SAP模型组(SAP组)、假手术组(假手术组)和足三里穴电针组(电针组)。采用胰胆管注射3.5%牛磺胆酸钠诱导大鼠SAP模型。在诱导SAP后30分钟及处死前30分钟,于足三里穴进行电针治疗30分钟。术后3小时(n = 7)、6小时(n = 7)和12小时(n = 8)处死大鼠,采集血样,采用酶联免疫吸附测定法检测肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)和乙酰胆碱(Ach)。测量胰腺组织的病理变化、腹水量和胰腺重量/体重比。

结果

术后3、6和12小时,电针组血清TNF-α和IL-6浓度显著低于SAP组(p < 0.05)。术后各时间点,电针组血清Ach显著高于SAP组(p < 0.05)。电针治疗后其他参数明显改善。

结论

电针足三里穴可能通过激活胆碱能抗炎途径对SAP大鼠产生治疗作用。

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