1. 山西中医药大学
2. 天津中医药大学
纸质出版:2020
移动端阅览
[1]王海军,刘高峰,郭继龙,来晓云,董爱爱,冀雨芳,冀来喜.针刺腧穴“降压方”对自发性高血压大鼠心肌肥厚的影响[J].中医杂志,2020,61(21):1915-1920.
WANG Haijun, LIU Gaofeng, GUO Jilong, et al. Effects of Acupuncture with Acupoints “Jiangya Formula (降压方)” on Myocardial Hypertrophy in Spontaneously Hypertensive Rats[J]. Journal of Traditional Chinese Medicine2020, 61(21): 1915-1920.
[1]王海军,刘高峰,郭继龙,来晓云,董爱爱,冀雨芳,冀来喜.针刺腧穴“降压方”对自发性高血压大鼠心肌肥厚的影响[J].中医杂志,2020,61(21):1915-1920. DOI: 10.13288/j.11-2166/r.2020.21.015.
WANG Haijun, LIU Gaofeng, GUO Jilong, et al. Effects of Acupuncture with Acupoints “Jiangya Formula (降压方)” on Myocardial Hypertrophy in Spontaneously Hypertensive Rats[J]. Journal of Traditional Chinese Medicine2020, 61(21): 1915-1920. DOI: 10.13288/j.11-2166/r.2020.21.015.
目的探讨针刺腧穴"降压方"对自发性高血压大鼠(SHR)心肌肥厚的影响及可能作用机制。方法选择雄性WKY大鼠10只作为空白组
另选SHR 30只随机分为模型组、最小化针刺组和降压方组
每组10只。降压方组大鼠针刺双侧"人迎""曲池""足三里"穴
每日1次
连续针刺6天
休息1天;最小化针刺组仅浅刺各穴
不予行针
各组大鼠均干预8周。于干预前及干预第2、4、6、8周末测量大鼠尾动脉收缩压;干预后采用心脏超声检测各组大鼠室间隔舒张末厚度(IVSS)、左室舒张末期内径(LVIDd)、左室后壁舒张期厚度(LVPWd)
计算心脏重量指数(HWI)
运用WGA染色法观察各组大鼠心肌组织结构
采用RT-qPCR法检测心肌组织心房利钠肽(ANP)mRNA、β-肌球蛋白重链(β-MHC)mRNA表达。结果在干预前及干预第2、4、6、8周末
模型组大鼠尾动脉收缩压均显著高于空白组(P<0.05);在第4、6、8周
降压方组大鼠收缩压明显低于模型组和最小化针刺组(P<0.05)。与空白组比较
模型组大鼠IVSS、LVPWd、HWI以及心肌组织ANP和β-MHC mRNA表达增加
心肌细胞直径与横截面积均增大
LVIDd降低(P<0.05);与模型组比较
降压方组大鼠上述各指标均改善(P<0.05);而最小化针刺组大鼠各指标与模型组比较差异无统计学意义(P>0.05)。结论针刺腧穴"降压方"可有效改善SHR血压和心肌肥厚状态
可能是通过抑制心肌组织ANP和β-MHC mRNA表达来实现。
Objective To explore the effects of acupuncture at acupoint "Jiangya Formula(降压方)" on myocardial hypertrophy in spontaneously hypertensive rats(SHR) and its possible mechanism. Method A total of 10 male WKY rats were selected as the blank group
and 30 SHR rats were randomly divided into a model group
a minimization acupuncture group and a Jiangya Formula group
with 10 rats in each group. Rats in the Jiangya Formula group were given acupuncture on both sides of "Renying(ST 9)"
"Quchi(LI11)" and "Zusanli(S36)" points
once a day
for 6 consecutive days
with 1 day rest; the minimization acupuncture group was only shallowly punctured each point
without manupulation
and rats in each group were intervened for 8 weeks. The systolic blood pressure of the tail artery was measured before the intervention and on the end of the 2 nd
4 th
6 th
and 8 th week; after the intervention
cardiac ultrasound was used to detect the diastolic thickness of the ventricular septum(IVSS)
the left ventricular end diastolic diameter(LVIDd)
diastolic thickness of the posterior wall of the left ventricle(LVPWd)
and to calculate the heart weight index(HWI); the myocardial tissue structure of rats in each group was observed by WGA staining method
and the expression of atrial natriuretic peptide(ANP) mRNA and β-myosin heavy chain(β-MHC) mRNA in myocardial tissue were detected by RT-qPCR method. Results Before the intervention and at the end of the 2 th
4 th
6 th
8 th week intervention
the systolic blood pressure of the tail artery in the model group was significantly higher than that of the blank group(P<0.05); at the 4 th
6 th
8 th week
the systolic blood pressure of rats in the Jiangya Formula group was significantly lower than that in the model group and the minimization acupuncture group(P<0.05). Compared with the blank group
the expression of IVSS
LVPWd
HWI
myocardial tissue ANP and β-MHC mRNA in the model group increased
the diameter and cross-sectional area of myocardial cells increased
and the LVIDd decreased(P<0.05); compared with the model group
the above-mentioned indexes of the rats in the Jiangya Formula group were improved(P<0.05); while the indexes of the rats in the minimization acupuncture group were not significantly different from the model group(P>0.05). Conclusion Acupuncture at acupoint "Jiangya Formula(降压方)" can effectively improve the blood pressure and myocardial hypertrophy state of SHR
which may be achieved by inhibiting the expression of ANP and β-MHC mRNA in myocardial tissue.
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