The School of Acupuncture, Moxibustion, and Tuina, Beijing University of Chinese Medicine, Beijing, China.
Department of Qigong and Tuina, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Acupunct Med. 2018 Feb;36(1):29-35. doi: 10.1136/acupmed-2016-011131. Epub 2017 Jul 27.
Diabetes mellitus (DM) is associated with high morbidity, mortality and economic cost. Studies have shown that acupuncture can improve many symptoms of DM.
To examine for differences in effects of electroacupuncture (EA) stimulation at , BL15 and BL23 in the streptozotocin (STZ)-induced DM rat model, to help guide clinical selection of acupuncture points.
90 male rats weighing 160±5 g were used. 12 rats were control fed (Normal group) and 78 were fed a high-fat high-sugar diet for 8 weeks and underwent intraperitoneal STZ injection to model DM. 60 animals that met modelling criteria were randomly divided into an untreated DM group and four groups receiving EA at (DM+WWX group), BL15 (DM+BL15 group), BL23 (DM+BL23 group) or a non-traditional acupuncture point on the tail (DM+Tail group). Fasting blood glucose, total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and insulin levels were determined and an oral glucose tolerance test (OGTT) performed.
EA at had a glucose-lowering effect on the 21st and 28th days, decreased TC, TG and LDL-C levels, increase insulin levels and improved glucose tolerance. EA at BL15 had a glucose-lowering effect on the7th, 14th and 21st days of intervention but did not impact lipids, insulin or OGTT parameters. EA at BL23 or on the tail had no significant effects.
EA at and BL15 had differential effects on metabolic markers in the STZ-induced rat model of DM. These effects may be explained neuroanatomically by variations in the segmental innervation of the tissues at these locations.
糖尿病(DM)与高发病率、死亡率和经济成本有关。研究表明,针灸可以改善 DM 的许多症状。
研究电针对链脲佐菌素(STZ)诱导的 DM 大鼠模型中 BL15 和 BL23 的作用差异,以帮助指导临床选穴。
使用 90 只体重为 160±5 g 的雄性大鼠。12 只大鼠正常喂养(正常组),78 只大鼠给予高脂高糖饮食 8 周,并腹腔注射 STZ 造模 DM。符合造模标准的 60 只动物随机分为未治疗 DM 组和 4 组,分别接受电针(DM+WWX 组)、BL15(DM+BL15 组)、BL23(DM+BL23 组)或尾部非传统穴位(DM+Tail 组)电针治疗。测定空腹血糖、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)和胰岛素水平,并进行口服葡萄糖耐量试验(OGTT)。
电针 21 天和 28 天有降血糖作用,降低 TC、TG 和 LDL-C 水平,升高胰岛素水平,改善葡萄糖耐量。电针 BL15 干预第 7、14 和 21 天有降血糖作用,但对血脂、胰岛素或 OGTT 参数无影响。电针 BL23 或尾部无明显作用。
电针对 STZ 诱导的 DM 大鼠模型的代谢标志物有不同的影响。这些作用可能与这些部位组织的节段性神经支配的差异有关。