Zhu Shu-Ying, Ma Jin, Wang Ze-Ru, Chai Qing, Yan Liang-Chun, Song Jun, Shu Jin-Jun, Wang Huai-Ming, Chen Yi-Ding
Department of Anesthesiology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan 610041, China.
The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, Center for Information in Medicine, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, Sichuan 611731, China.
Evid Based Complement Alternat Med. 2022 May 27;2022:2440609. doi: 10.1155/2022/2440609. eCollection 2022.
In previous studies, electroacupuncture (EA) with 2/15 Hz has been shown to enhance the sedative effects in general anesthesia patients. Central lateral thalamic stimulation of 50 Hz showed an arousal effect in macaques. Therefore, it is worth studying the sedative effect of EA at peripheral acupoints with different frequencies, especially the frequency of around 50 Hz.
Rats were anesthetized under the constant infusion of propofol and EA at (ST36) and (PC6) locations. Electroencephalography (EEG) and heart rate were continuously recorded before and after the intervention by EA in the group (control), group (low-frequency group, 2/15 Hz diffuse/dense wave EA stimulation), and group (high-frequency group, 50 Hz stimulation).
In the group, a significant increase in the power of the delta component with a decrease in the alpha component ( < 0.05) was observed after EA stimulation. In the group, significant increases in the powers of alpha and beta components of EEG ( < 0.05) and a decrease in the delta component of EEG were observed ( < 0.05). The phenomenon is also shown in full-frequency waves. In addition, a significant decrease in the low-frequency/high-frequency ratio parameter was observed in the group.
EA at bilateral ST36 and PC6 can enhance the sedative effects of propofol anesthesia in low-frequency stimulation but lighten the sedative effects in high-frequency (50 Hz) stimulation. The sympathetic-vagal balance was affected due to low-frequency EA.
在先前的研究中,已证明2/15赫兹的电针(EA)可增强全身麻醉患者的镇静效果。对猕猴进行50赫兹的丘脑中央外侧核刺激显示出觉醒作用。因此,研究不同频率尤其是50赫兹左右的外周穴位电针的镇静效果具有重要意义。
在持续输注丙泊酚的情况下对大鼠进行麻醉,并在足三里(ST36)和内关(PC6)穴位进行电针。通过脑电图(EEG)和心率连续记录干预前和干预后对照组、低频组(2/15赫兹疏密波电针刺激)和高频组(50赫兹刺激)的情况。
在对照组中,电针刺激后观察到δ波成分功率显著增加,α波成分减少(P<0.05)。在低频组中,观察到脑电图的α波和β波成分功率显著增加(P<0.05),脑电图的δ波成分减少(P<0.05)。全频波也显示出该现象。此外,在高频组中观察到低频/高频比率参数显著降低。
双侧足三里和内关穴位的电针在低频刺激时可增强丙泊酚麻醉的镇静效果,但在高频(50赫兹)刺激时会减轻镇静效果。低频电针会影响交感-迷走神经平衡。