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[电针“中脘”(CV12)和“足三里”(ST36)不同刺激强度与顺序组合对正常大鼠胃内压的影响]

[Influence of electroacupuncture of "Zhongwan" (CV12) and "Zusanli" (ST36) in different combinations of stimulating strength and sequence on intragastric pressure in normal rats].

作者信息

Chen Jian-Zhi, Lu Meng-Jiang, Han Xu, Xu Bin, Yu Zhi

机构信息

Key Laboratory of Integrated Acupuncture and Drugs of Chinese Ministry of Education, Nanjing University of Chinese Medicine, Nanjing 210023, China.

出版信息

Zhen Ci Yan Jiu. 2019 Feb 25;44(2):125-30. doi: 10.13702/j.1000-0607.170922.

Abstract

OBJECTIVE

To observe the effect of electroacupuncture (EA) of "Zhongwan" (CV12) and "Zusanli" (ST36) in different combinations of stimulating parameters on intragastric pressure (IGP) in normal rats so as to explore their best combinations for promoting gastrointestinal mobility.

METHODS

A total of 90 male SD rats were randomly divided into 6 EA groups:CV12-1 mA+ST36-1 mA, CV12-1 mA+ST36-2 mA, CV12-1 mA+ST36-4 mA, ST36-1 mA+CV12-1 mA, ST36-2 mA+CV12-1 mA, and ST36-4 mA+CV12-1 mA which the first acupoint was stimulated first, followed by the second in each group (=15 rats/group). Before (1 min), and 0-30 s, 30-60 s, 60 -90 s, and 90-120 s during EA stimulation of the left ST36 or CV12 first or later, the IGP was measured via an inserted intragastric balloon, a connected pressure transducer and an amplifier. Changes of the IGP were analyzed using 2×3×4 factorial design.

RESULTS

  1. During 0-30 s, EA-CV12 showed an obvious inhibitory effect on IGP(<0.05) while EA-ST36 showed a mild exciting effect (>0.05). 2) Compared with the IGP level of 0-30 s, the IGP levels of 30-120 s were significantly decreased in all the groups (<0.01). 3) In the CV12-1 mA/ST 36-1 mA groups, only the IGP level of 0-30 s was affected by the EA-stimulating order (<0.05). In the CV12-1 mA/ST36-2 mA groups, both the IGP levels during 0-30 s and 90-120 s were obviously affected by EA-stimulating sequence. In the CV12-1 mA/ST36-4 mA groups, the IGP level during 0-120 s was affected by EA-stimulating order. 4) Only in the condition of EA-CV12 stimulating first and EA-ST36 second and at 4 mA, the reduction effect of IGP of EA-CV12 was antagonized. There are marked interaction effects between the EA strength and acupoint EA stimulating sequence, and between the time course and acupoint EA stimulating sequence (<0.01), but no significant interaction effects were found between the time course and stimulating strength, and among the EA stimulating strength, time course and acupoint EA stimulating sequence (>0.05).

CONCLUSION

Simultaneous EA stimulation of ST36 and CV12 has an antagonistic effect on IGP in normal rats, which is affected by the stimulating sequence, stimulating strength and time course.

摘要

目的

观察电针“中脘”(CV12)和“足三里”(ST36)不同刺激参数组合对正常大鼠胃内压(IGP)的影响,以探寻促进胃肠动力的最佳组合。

方法

将90只雄性SD大鼠随机分为6个电针组:CV12 - 1mA+ST36 - 1mA、CV12 - 1mA+ST36 - 2mA、CV12 - 1mA+ST36 - 4mA、ST36 - 1mA+CV12 - 1mA、ST36 - 2mA+CV12 - 1mA、ST36 - 4mA+CV12 - 1mA,每组先刺激第一个穴位,再刺激第二个穴位(每组15只大鼠)。在电针刺激左侧ST36或CV12之前(1分钟)以及刺激过程中的0 - 30秒、30 - 60秒、60 - 90秒和90 - 120秒,通过插入胃内的气囊、连接的压力传感器和放大器测量胃内压。采用2×3×4析因设计分析胃内压的变化。

结果

1)在0 - 30秒期间,电针CV12对胃内压有明显抑制作用(P<0.05),而电针ST36有轻度兴奋作用(P>0.05)。2)与0 - 30秒时的胃内压水平相比,所有组在30 - 120秒时的胃内压水平均显著降低(P<0.01)。3)在CV12 - 1mA/ST 36 - 1mA组中,仅0 - 30秒时的胃内压水平受电针刺激顺序影响(P<0.05)。在CV12 - 1mA/ST36 - 2mA组中,0 - 30秒和90 - 120秒时的胃内压水平均明显受电针刺激顺序影响。在CV12 - 1mA/ST36 - 4mA组中,0 - 120秒时的胃内压水平受电针刺激顺序影响。4)仅在电针CV12先刺激、电针ST36后刺激且强度为4mA的情况下,电针CV12对胃内压的降低作用被拮抗。电针强度与穴位电针刺激顺序之间、时间进程与穴位电针刺激顺序之间有显著交互作用(P<0.01),但时间进程与刺激强度之间以及电针刺激强度、时间进程与穴位电针刺激顺序之间无显著交互作用(P>0.05)。

结论

同时电针刺激ST36和CV12对正常大鼠胃内压有拮抗作用,该作用受刺激顺序、刺激强度和时间进程影响。

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