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[延髓头端腹外侧区微量注射可乐定和育亨宾对电针治疗心肌缺血效果的影响]

[Influence of microinjection of clonidine and yohimbine in rVLM on the effect of electroacupuncture treatment of myocardial ischemia].

作者信息

Liu J, Chen S, Cao Q, Zhang J

机构信息

Institute of Acupuncture and Moxibustion, China Academy of TCM, Beijing.

出版信息

Zhen Ci Yan Jiu. 1996;21(2):31-5.

PMID:9387370
Abstract

In the present paper, influence of microinjection of clonidine (Clon, 0.38 mMol, 2 microliters) and yohimbine (Yoh, 5.1 mMol, 2 microliters) in rostral ventrolateral medulla (rVLM) on the effect of electroacupuncture (EA) at Neiguan (PC 6) was observed in the rabbit with acute myocardial ischemia. Results showed that (1) EA of Neiguan could significantly accelerate the recovery of AMI-induced changes in ECG ST-segement, mean blood pressure, left ventricular pressure (LVP) and dp/dt max; (2) Clon strengthened the effect of EA on ST and LVP in some degree; and (3) Yoh significantly weakened the effect of EA on ST and LVP. It reveals that when alpha 2 receptors of rVLM are excited, the favourable effect of EA in regulating post-ischemic myocardial electrical and mechanical activity can be enhanced in some degree; and when they are inhibited, the effect of EA disappears, indicating an involvement of alpha 2 receptors of rVLM in EA of Neiguan-induced regulation on the functional activity of the heart.

摘要

在本研究中,观察了向急性心肌缺血家兔延髓头端腹外侧区(rVLM)微量注射可乐定(Clon,0.38毫摩尔,2微升)和育亨宾(Yoh,5.1毫摩尔,2微升)对针刺内关(PC 6)效果的影响。结果显示:(1)针刺内关可显著加速急性心肌梗死(AMI)所致心电图ST段、平均血压、左心室压力(LVP)和dp/dt max变化的恢复;(2)可乐定在一定程度上增强了针刺对ST段和LVP的作用;(3)育亨宾显著减弱了针刺对ST段和LVP的作用。这表明,当rVLM的α2受体被激活时,针刺调节缺血后心肌电活动和机械活动的有益作用可在一定程度上增强;而当这些受体被抑制时,针刺的作用消失,提示rVLM的α2受体参与了针刺内关对心脏功能活动的调节作用。

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