Department of Anesthesiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, China.
Evid Based Complement Alternat Med. 2014;2014:926423. doi: 10.1155/2014/926423. Epub 2014 Oct 13.
Aim. This study investigated the effect of P6 EA on droperidol-induced QTc interval prolongation and Cx43 expression in ventricular muscle of rats. Methods. Twenty-four rats were randomly divided into control group (C), droperidol group (D), or EA group (E). C group rats were injected with normal saline. D group rats were injected with droperidol 0.13 mg/kg. E group rats were pretreated with EA at left P6 acupoint for 30 min and then injected with droperidol (0.13 mg/kg). QTc intervals were recorded at lead II in ECG within 120 min. Cx43 expression was measured by RT-PCR and western blotting. Result. Droperidol significantly prolonged QTc intervals compared with controls at 5 min, 10 min, 15 min, and 30 min (P < 0.05). P6 EA could significantly abbreviate the prolongation of QTc interval compared with droperidol group at 5 min, 10 min, 15 min, and 30 min (P < 0.05). Cx43 mRNA and proteins were significantly increased by P6 EA compared with droperidol group at 120 min (P < 0.05). There were no significant differences in Cx43 mRNA and protein expression between droperidol and control group at 120 min (P > 0.05). Conclusion. P6 EA could improve QTc interval prolongation induced by droperidol, which may relate to upregulation of Cx43 mRNA and protein. Antiemetic dose of droperidol had minor effects on Cx43 mRNA and protein expression at 120 min.
目的。本研究旨在探讨电针对氟哌利多致大鼠心室肌 Cx43 表达及 QTc 间期延长的影响。方法。将 24 只大鼠随机分为对照组(C 组)、氟哌利多组(D 组)和电针组(E 组)。C 组大鼠给予生理盐水,D 组大鼠给予氟哌利多 0.13mg/kg,E 组大鼠预先在左侧 P6 穴位进行电针刺激 30min,然后给予氟哌利多(0.13mg/kg)。在心电图 II 导联记录 120min 内的 QTc 间期。通过 RT-PCR 和 Western blot 检测 Cx43 的表达。结果。与对照组相比,氟哌利多组在 5、10、15 和 30min 时 QTc 间期明显延长(P < 0.05)。与氟哌利多组相比,电针组在 5、10、15 和 30min 时明显缩短 QTc 间期(P < 0.05)。与氟哌利多组相比,电针组在 120min 时 Cx43mRNA 和蛋白表达显著增加(P < 0.05)。氟哌利多组和对照组在 120min 时 Cx43mRNA 和蛋白表达差异无统计学意义(P > 0.05)。结论。电针对氟哌利多引起的 QTc 间期延长有改善作用,这可能与 Cx43mRNA 和蛋白表达上调有关。在 120min 时,止吐剂量的氟哌利多对 Cx43mRNA 和蛋白表达影响较小。