1. 中国中医科学院针灸研究所
2. 山东中医药大学
纸质出版:2016
移动端阅览
[1]辛娟娟,高俊虹,刘军,陆凤燕,王圆圆,赵玉雪,景向红,喻晓春.电针“内关穴”对原发性高血压大鼠心肌肥厚的影响及其作用机制[J].中医杂志,2016,57(16):1406-1410.
XIN Juanjuan, GAO Junhong, LIU Jun, et al. Effect and Mechanism of Electroacupuncture at Neiguan(PC6) on Myocardial Hypertrophy in Primary Hypertension Rats[J]. Journal of Traditional Chinese Medicine2016, 57(16): 1406-1410.
[1]辛娟娟,高俊虹,刘军,陆凤燕,王圆圆,赵玉雪,景向红,喻晓春.电针“内关穴”对原发性高血压大鼠心肌肥厚的影响及其作用机制[J].中医杂志,2016,57(16):1406-1410. DOI: 10.13288/j.11-2166/r.2016.16.015.
XIN Juanjuan, GAO Junhong, LIU Jun, et al. Effect and Mechanism of Electroacupuncture at Neiguan(PC6) on Myocardial Hypertrophy in Primary Hypertension Rats[J]. Journal of Traditional Chinese Medicine2016, 57(16): 1406-1410. DOI: 10.13288/j.11-2166/r.2016.16.015.
目的探讨电针改善高血压心肌肥厚的作用机制。方法选择10只12周龄雄性Wistar Kyoto(WKY)大鼠作为正常组
另选12周龄自发性高血压大鼠(SHR)30只
随机分为模型组、电针组和假电针组
每组10只。电针组针刺双侧内关穴(2/15 Hz
1 m A
持续30 min)
每日1次;假电针组仅于内关穴浅刺
不予电刺激
两组均干预8周;模型组不做处理。采用无创血压仪监测各组大鼠干预前和干预第2、4、6、8周血压的变化情况;干预结束后
采用超声心动图检测各组大鼠心肌肥厚指标水平
并采用Western blot方法检测各组间心肌组织β1受体(β1-AR)的表达情况。结果 1)与正常组比较
模型组收缩压、舒张压和平均动脉压均显著升高(P<0.05);电针6周、电针8周后电针组大鼠血压较模型组显著降低(P<0.05)。2)与正常组比较
模型组左心室质量指数、左室舒张末期前壁厚度和舒张末期后壁厚度显著增加(P<0.01)
舒张末期左室内径明显减小(P<0.01)。3)与正常组相比
模型组心肌细胞β1-AR蛋白表达显著升高(P<0.01)
电针组心肌细胞β1-AR蛋白表达较模型组显著降低(P<0.01)。结论电针内关穴可有效改善原发性高血压大鼠心肌肥厚
β1-肾上腺素能受体可能参与介导了电针内关穴对SHR大鼠心肌肥厚的缓解作用。
Objective To observe effect of electroacupuncture at point Neiguan( PC 6) on myocardial hypertrophy in rats with primary hypertension and to preliminarily explore mediation function of β-adrenergic receptor.Methods Ten male 12-week-old Wistar Kyoto rats( WKY) were selected as the normal group. Other thirty 12-weekold spontaneously hypertensive rats( SHR) were selected and randomly divided into a model group
an electroacupuncture group
and a sham-electroacupuncture group
with 10 rats in each. The electroacupuncture group received electroacupuncture at bilateral Neiguan( 2 /15 Hz
1 m A
for 30 min)
once per day; and the sham-electroacupuncture group only received shallow acupuncture at Neiguan without electrical stimulation. Both groups were intervened for 8 weeks. No treatment was given to the model group. Blood pressure variation condition of rats in each group was monitored adopting noninvasive blood pressure instrument before intervention and in the 2nd
the 4th
the 6th and the8 th week during intervention. Myocardial Hypertrophy index levels of rats in each group were examined with ultrasonic cardiogram after intervention. And the expression of β1-adrenergic receptor( β1-AR) in cardiac muscle tissue in each group was tested with Western blot. Results 1) Compared with those in the normal group
systolic pressure
diastolic pressure and mean arterial pressure of rats in the model group all remarkably increased( P < 0. 05); blood pressure of rats in the electroacupuncture group remarkably decreased compared with that in the model group after being intervened for 6 weeks( P < 0. 05). 2) Compared with those in the normal group
left ventricular mass index
left ventricular diastolic end anterior wall thickness
and diastolic end posterior wall depth of myocardial hypertrophy index remarkably increased( P < 0. 001)
and diastolic end left ventricular diameter remarkably decreased( P <0. 001) in the model group. 3) Compared with that in the normal group
the expression of myocardial cell β1-AR protein in the model group remarkably increased( P < 0. 01). While compared with that of the model group
the expression of myocardial cell β1-AR protein in the electroacupuncture group remarkably decreased( P < 0. 001).Conclusion Electroacupuncture at Neiguan( PC 6) could effectively improve myocardial hypertrophy in rats with primary hypertension. β1-adrenergic receptor might take part in mediating relaxation effects of electroacupuncture at Neiguan on myocardial hypertrophy in SHR rats.
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