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电针足三里穴对失血性休克延迟补液大鼠肠组织缺血性损伤的影响

钟毓贤 石现 赵莹 刘维维 姚甲瑞 张慧苹 胡森

感染、炎症、修复2011,Vol.12Issue(4):213-216,4.
感染、炎症、修复2011,Vol.12Issue(4):213-216,4.

电针足三里穴对失血性休克延迟补液大鼠肠组织缺血性损伤的影响

Effects of electro-acupuncture of Zusanli points(足三里穴)on ischemia injury of gut in rats with delayed fluid replacement after hemorrhagic shock

钟毓贤 1石现 2赵莹 1刘维维 1姚甲瑞 1张慧苹 1胡森1

作者信息

  • 1. 解放军总医院第一附属医院烧伤研究所休克与多器官功能障碍实验室,北京,100048
  • 2. 解放军总医院针灸科,北京,100853
  • 折叠

摘要

Abstract

To investigate the effects of electro-acupuncture of Zusanli points (足三里穴)on ische mia inj ury to gut in rats with delayed fluid replacement after hemorrhagic shock. Methods: Thirty SD male rats with 40% blood loss were randomly divided into 3 groups (n =10) : immediate fluid resuscitation (IFR) group, delayed fluid resuscitation with sham electro-acupuncture group (SEA/DFR group) , and delayed fluid resuscitation with electro-acupuncture Zusanli points group (EA/DFR group). IFR group received fluid replacement with Ringer's solution in volume 2 times of lost blood 10 minutes after blood loss. Electro-acupuncture was given to bilateral Zusanli points (ST36) with constant voltage (4 Hz, 4 V ) for 25 minutes approximately 10 minutes after blood loss, while no-acupuncture was conducted in SEA/DFR group. Two EA groups received delayed fluid resuscitation 3 hours after blood loss. The intestinal mucosal blood flow (IMBF) and diamine oxidase (DAO)were measured before hemorrhage, 3 hours and 24 hours after hemorrhage. The tissue water content of jejunum was also determined 12 hours after hemorrhage. Results;The levels of IMBF and DAO in gut tissue were significantly decreased, the rate of tissue water content obviously increased after blood loss in all groups (all P<0. 05). Three hours after blood loss, IMBF and DAO levels of EA/DFR group and IFR group were significantly higher than those of SEA/DFR group, while IMBF and DAO of EA/DFR group were significantly lower than those of IFR group(all P<0. 05). Twelve hours after blood loss, IMBF and DAO levels were higher and the rate of tissue water content was lower in EA/DFR group and IFR group compared with those of the SEA/DFR group, IMBF and the rate of tissue water content of EA/DFR group showed no significant difference compared with those of IFR group (both P<0. 05) , while DAO levels of EA/DFR group were lower than that of IFR group(P<0. 05).Conclusions: The results suggest that electroacupuncture of Zusanli points alleviates gut ischemia injury in rats with delayed fluid resuscitation after hemorrhagic shock.

关键词

休克,失血性/足三里穴/电针//二胺氧化酶/局部血流量

Key words

Hemorrhage shock /Zusanli point/Electro-acupuncture/Gut Diamine oxidase /Intestinal mucosal blood flow

引用本文复制引用

钟毓贤,石现,赵莹,刘维维,姚甲瑞,张慧苹,胡森..电针足三里穴对失血性休克延迟补液大鼠肠组织缺血性损伤的影响[J].感染、炎症、修复,2011,12(4):213-216,4.

基金项目

全军医学科研"十一五"专项课题(06Z055) (06Z055)

感染、炎症、修复

OACSTPCD

1672-8521

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