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耳穴电针对大鼠直肠扩张诱导的胃节律失常的改善作用。

Ameliorating effects of auricular electroacupuncture on rectal distention-induced gastric dysrhythmias in rats.

作者信息

Zhang Zhaohui, Yin Jieyun, Chen Jiande D Z

机构信息

Department of Acupuncture, the First Affiliated Hospital, Nanjing Medical University, Nanjing, China; Division of Gastroenterology, University of Texas Medical Branch, Galveston, Texas, United States.

Division of Gastroenterology, University of Texas Medical Branch, Galveston, Texas, United States.

出版信息

PLoS One. 2015 Feb 2;10(2):e0114226. doi: 10.1371/journal.pone.0114226. eCollection 2015.

Abstract

Gastric slow waves (GSW) are known to regulate gastric motility and are impaired with rectal distention (RD). Electroacupuncture (EA) at body acupoints, such as ST 36, has been shown to improve gastric dysrhythmias; however, little is known about the possible effects of auricular electroacupuncture (AEA) on GSW. To study effects and possible mechanisms of AEA on RD-induced gastric dysrhythmias in rats, ten male Sprague-Dawley (SD) rats implanted with gastric serosal electrodes were studied in two different experiments in fed state. Four sessions were performed in experiment 1 as follows: control (RD, no stimulation), RD+AEA, RD+EA at body points and RD+sham AEA. Two sessions were included in experiment 2 to study mechanisms of AEA: RD + atropine and RD + atropine + AEA. It was found that 1) RD significantly decreased the percentage of normal GSW from 89.8 ± 3.5% to 76.0 ± 3.3% (P<0.05); 2) AEA increased the percentage of normal GSW during RD to 94.0 ± 2.1% (P<0.05 vs. RD) via a reduction in the percentages of tachygastria and arrhythmia (P<0.05 vs. RD); 3) atropine blocked the ameliorating effect of AEA on RD-induced gastric dysrhythmias. Our results demonstrated that RD induces gastric dysrhythmias in fed state in rats. AEA improves RD-induced gastric dysrhythmias via the vagal pathway. AEA may have a therapeutic potential in treating gastric dysrhythmias.

摘要

胃慢波(GSW)已知可调节胃动力,且会因直肠扩张(RD)而受损。针刺身体穴位(如足三里穴ST 36)已被证明可改善胃节律失常;然而,关于耳针电刺激(AEA)对胃慢波的可能影响知之甚少。为研究AEA对大鼠RD诱导的胃节律失常的影响及可能机制,在进食状态下,对10只植入胃浆膜电极的雄性Sprague-Dawley(SD)大鼠进行了两项不同实验。实验1进行了四个阶段,如下:对照(直肠扩张,无刺激)、直肠扩张+耳针电刺激、直肠扩张+体穴针刺及直肠扩张+假耳针电刺激。实验2包括两个阶段以研究耳针电刺激的机制:直肠扩张+阿托品及直肠扩张+阿托品+耳针电刺激。结果发现:1)直肠扩张显著降低了正常胃慢波的百分比,从89.8±3.5%降至76.0±3.3%(P<0.05);2)耳针电刺激通过降低快速胃动和心律失常的百分比,将直肠扩张期间正常胃慢波的百分比提高至94.0±2.1%(与直肠扩张组相比P<0.05);3)阿托品阻断了耳针电刺激对直肠扩张诱导的胃节律失常的改善作用。我们的结果表明,直肠扩张在进食状态下可诱导大鼠胃节律失常。耳针电刺激通过迷走神经途径改善直肠扩张诱导的胃节律失常。耳针电刺激在治疗胃节律失常方面可能具有治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceb3/4313944/9eabfd48aaf2/pone.0114226.g001.jpg

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