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延髓腹外侧区在电针“内关”改善急性心肌缺血中的作用 被引量:3

ROLE OF VENTROLATERAL MEDULLARY AREA IN THE EFFECT OF ELECTRICAL NEEDLING “NEIGUAN” POINT ON IMPROVING ACUTE MYOCARDIAL ISCHEMIA IN RABBITS
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摘要 延髓腹外侧区神经元含多种递质或调质,有整合循环、呼吸、躯体传入、内分泌等多种功能。其表面结构是维持心血管活动的重要脑区,它作为重要的心血管活动中枢愈来愈受到人们的重视。临床和实验研究表明,针刺“内关”具有改善心绞痛患者症状。 40 healthy rabbits were anesthetized with 20% urethane and divided into 4 groups in same number:1)electroacupuncture group physiological saline was applied locally on the S area of the ventral surface of the medulla:2)naloxon group,naloxon (5mg/ml.PH 6.5-7)was applied on the S area:3)propra- nolol group,propranolol (5mg/ml.pH 7.0)was applied on the S area;4) control group,physiological saline was applied on the S area.The state of regional myocardial ischemia of the rabbits was caused by ligating the LAD for 20 minutes.The changes of the blood pressure and the ST values of sta- ndard lead Ⅱ of ECG were observed before ligating and,at 5′,10′,15′,20′, 25′,30′,35′,40′,45′,50′,55′ and 60′ after loosening respectively.Electro- acupuncture was applied on “Neiguan” points bilaterally at 10′ after ligating for 60 minutes (intensity 6-8 volt,frequency 60/min).The average potential changes of the ST values of standard lead Ⅱ of 5 times were used as the index to evaluate myocardial ischemia and its recovery course. The followings are the main results of our observation: There were no statistical defference,of blood pressure and the ST values between the four groups before ligation.At 10 minutes ofter ligation,the ST values were elevated markedly,but there were no statistical significances be- tween the four groups. During electroacupuncture,blood pressures in the four groups decreased gradually,but comparing with electroacupuncture group,blood pressure in the naloxon group and the control group decresed markedly,the propranolol group was the same as the electroacupuncture group:the ST values in the four groups recovered gradually,but the recovering in the naloxon and the control group was sluggish and there was statistical difference comparing with electroacupu- nture group,(there was)and no statistical difference was observed between propranolol group and electroacupuncture group. The above mentioned results show that there is an improved effect of ele- ctroacupuncture on acute ischemic myocardial injury.The effect can be reversed by naloxon applied locally on the S area of the ventral surface of the medulla.
出处 《针刺研究》 CAS CSCD 1991年第2期108-111,共4页 Acupuncture Research
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参考文献10

  • 1李鹏,1989年
  • 2邓军,生理学通报,1988年,5卷,1期,30页
  • 3曹庆淑,1987年
  • 4骆鸿,生理科学进展,1987年,18卷,3期,224页
  • 5郭学勤,生理学报,1987年,39卷,2期,132页
  • 6赵颖,中国针灸,1987年,3期,15页
  • 7龚西玲,生理学报,1986年,38卷,6期,627页
  • 8李鹏,针刺研究,1986年,11卷,3期,166页
  • 9刘瑞庭,针刺研究,1986年,11卷,3期,229页
  • 10曹庆淑,中西医结合杂志,1986年,6卷,5期,517页

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