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“双固一通”针法对家兔缺血心肌电活动及其超微结构的影响

Effect of Shuangguyitong Therapy of Electroacupuncture on action potentials and Myocardial Ultrastructures of Experimental Myocardial Ischemia Model in Rabbits

中文摘要英文摘要

目的 观察 “双固一通”针法对实验性急性心肌缺血家兔心肌细胞电活动及超微结构变化的影响。方法 30只家兔随机分为正常组、模型组、电针组,监测各组动物心电图、动脉血压及心肌细胞电活动等指标,在结扎左冠状动脉前降支建立的心肌缺血模型上,观察“双固一通”针法电针刺激,对缺血损伤心肌超微结构及心肌跨膜电活动改变的影响。结果 “双固一通”针法电针组对缺血心肌损伤具有明显的保护作用,与模型组比较,电针能促进缺血后心电图ST段、T波和动脉血压的恢复(P<0.05),抑制APA的衰减(P<0.05),有利于APD50和APD90的恢复(P<0.05),电针治疗后心肌组织损伤改变减轻,心肌肌纤维走向正常,肌丝无明显坏死、溶解,线粒体少量空泡变化。结论 针灸“双固一通”法可明显降低缺血心肌损伤的程度,能有效改善心肌缺血的动作电位变化,有利于心肌泵血功能的恢复,说明固护正气在治疗疾病中的重要作用。

Objective To research the therapeutic effects of Shuangguyitong therapy of electroacupuncture on action potentials and myocardial ultrastructures of experimental acute myocardial ischemia model in rabbits . Methods 30 rabbits were divided into the control group, model group, Shuangguyitong group. Electrocardiography(ECG), mean arterial pressure(MAP), transmembrane action potential(TAP) were examined in rabbits. Experimental acute myocardial ischemia model by ligation of anterior descending branch of the left coronary artery was induced in rabbits. The myocardial ultrastructure and ransmembrane potential were observed. Results The Shuangguyitong therapy of electroacupuncture has favorable regulative action on the electrical and mechanical activities of the ischemic heart, results indicated that electroacupunctrure could markedly promote recovery of ST segment of electrocardiography (P<0.05)and the mean arterial pressure after ischemia, inhibit reduction of transmembrane action potential amplitude(APA) (P<0.05) and accelerate restoration of transmembrane action potential durations (APD50 、 APD90) (P<0.05). In the acupuncture group, less injury of myocardial tissure, normal run of myocardial fiber, a small amount mitochondrial vacuolation and no obvious dissolution and necrosis of myocardium were found. Conclusion The Shuangguyitong therapy of electroacupuncture can obvious reduce the degree of myocardial ischemia, and improve the ability of anti-myocardial ischemia on the rabbits. It is very important to strengthening Zhengqi during treatment .

尤行宏、洪亚群、陈泽斌、王华、梁凤霞

中医学基础医学内科学

心肌缺血针刺疗法心肌超微结构动作电位电生理学

Myocardial ischemiaAcupunctureMyocardial ultrastructuresAction potentialelectrophysiology

尤行宏,洪亚群,陈泽斌,王华,梁凤霞.“双固一通”针法对家兔缺血心肌电活动及其超微结构的影响[EB/OL].(2009-02-01)[2025-08-16].http://www.paper.edu.cn/releasepaper/content/200902-12.点此复制

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