|
|
Effects of electroacupuncture at ST36 point on the survival rate and organ function of rats with delayed intravenous resuscitation from seawater immersion injury following hemorrhagic shock |
WANG Lili1, HU Sen2, ZHANG Haipai3, TIAN Yumo4, ZHANG Huiping2, GUAN Ling1 |
1. Department of Acupuncture and Moxibustion, Department of Traditional Chinese Medicine, the Sixth Medical Center, Chinese PLA General Hospital, Beijing 100037,China; 2. Research Center of Trauma Repair and Tissue Regeneration, Medical Innovation Research Division, Chinese PLA General Hospital, Beijing 100048, China; 3. Strategic Support Force Xingcheng Special Duty Sanatorium, Huludao 125105, China; 4. Affiliated Hospital of Chengde Medical University, Chengde 067000,China |
|
|
Abstract Objective To study the effects of electroacupuncture at Zusanli(ST36) point on the survival rate and organ function of rats with delayed intravenous resuscitation from seawater immersion injury in hemorrhagic shock (HS). Methods 100SPF-grade male SD rats were selected and divided into HS + seawater immersion group (control group) and HS + seawater immersion + electroacupuncture group (electroacupuncture group) according to the random number table method. The rats were rapidly bled via the carotid artery, and the blood loss was 45% of the total blood volume. Immediately after blood loss, the body below the glabella was immersed in artificial seawater at (23±1) ℃ for 30 min. Blood loss and 2 times the amount of blood loss in lactated Ringer’s solution were returned 2 h after seawater immersion. The electroacupuncture group was acupunctured at 0.5 h after immersion with bilateral ST36, and the control group was not acupunctured. The 24 h survival rate and the changes ofCr, CK-MB, ALT, and DAO before blood loss, immediately after immersion, and 2 h, 5 h, and 24 h after immersion were monitored in both groups. Results The 24h survival rate was significantly higher in the electroacupuncture group (90.0%) than in the control group (50.0%,χ2=4.494,P=0.034). The DAO of the electroacupuncture group(9.98±1.00)was significantly lower than that of the control group 2h after immersion (11.99±0.85,t=4.325,P=0.001). At 5 h after immersion, CK-MB(501.00±204.94), ALT(65.38±7.67), and DAO(8.37±1.54) in the electroacupuncture group were significantly lower than those in the control group (1101.38±336.01,t=4.315, P=0.001;97.64±7.90,t=8.286,P=0.000;10.02±0.91,t=2.367,P=0.035). The Cr(19.50±4.11)in the electroacupuncture group was lower than that in the control group 24 h after immersion (24.88±2.42,t=3.191,P=0.008). Conclusions Electroacupuncture of the ST36 can improve the 24 h survival rate of rats with delayed intravenous resuscitation by seawater immersion following hemorrhagic shock, improve the organ function of animals injured by seawater immersion in hemorrhagic shock, and has the effect of anti-shock.
|
Received: 21 April 2022
|
|
|
|
|
[1] |
Zhu Y,Deng H Y,Han S, et al. Protective effect of moderate hypotonic fluid on organ dysfunction via alleviating lethal triad following seawater immersion with hemorrhagic shock in rats[J]. Front Physiol,2022,2022(13):827838.
|
[2] |
刘艳丽,田昆仑,朱 娱,等. 低温海水浸泡合并失血性休克对大鼠致死三联征及器官功能的影响[J]. 第三军医大学学报,2020,42(8):752-757.
|
[3] |
葛 洪(晋).肘后备急方[M]. 北京:中国医药科学技术出版社,2021:20.
|
[4] |
Wang H, Liu Z, Liu Y S, et al. Heart protective effects of electroacupuncture in an animal experimental study with delayed fluid resuscitation after hemorrhagic shock[J]. Evid Based Complement Alternat Med, 2018,2018:2513791.
|
[5] |
Hu S, Zhao Z K, Liu R, et al. Electroacupuncture activates enteric glial cells and protects the gut barrier in hemorrhaged rats[J]. World J Gastroenterol, 2015,21(5):1468-1478.
|
[6] |
钟毓贤,张慧苹,王海滨,等. 电针足三里穴复合延迟静脉液体复苏对60%血容量失血性休克大鼠的作用研究[J/CD].中华损伤与修复杂志(电子版), 2020, 15(1):18-25.
|
[7] |
Du M H, Luo H M, Hu S,et al. Electroacupuncture improves gut barrier dysfunction in prolonged hemorrhagic shock rats through vagus anti-inflammatory mechanism[J]. World J Gastroenterol, 2013, 19(36): 5988-5999.
|
[8] |
Suo X Y, Du Z H, Wang H S, et al. The effects of stimulation at acupoint ST36 points against hemorrhagic shock in dogs[J]. Am J Emerg Med, 2011, 29(9): 1188-1193.
|
[9] |
Lee H B,Blaufox M D.Blood volume in the rat[J].J Nucl Med,1985,26: 72-76.
|
[10] |
高金卯,张 骊. 战伤失血性休克液体复苏研究进展[J]. 武警医学, 2020, 31(8):727-729.
|
[11] |
李忠仁.实验针灸学[M].北京:中国中医药出版社,2007:156-157.
|
[12] |
程 浩,奂剑波,陈丽娜,等.长时程海水浸泡体温过低大鼠的病理学和血液学观察[J].中华航海医学与高气压医学杂志,2018,25(5):281-288.
|
[13] |
Zhong Y X, Xu G C, Wu Y S, et al. Electroacupuncture improves the survival rate and organ function in a rat model of hemorrhagic shock[J]. Evid Based Complement Alternat Med, 2019, 2019: 8371862.
|
[14] |
陆化梅,于国军,郭永娟,等.电针足三里对重度失血性休克大鼠肝脏氧自由基的影响[J].数理医药学杂志,2021,34(2):159-161.
|
[15] |
Kuo K, Palmer L. Pathophysiology of hemorrhagic shock[J]. J Vet Emerg Crit Care(San Antonio), 2022, 32: 22-31.
|
[16] |
索小燕, 王照飞, 陈 超, 等. 电刺激迷走神经对失血性休克犬的保护作用[J]. 中华实验外科杂志,2021,38(12):2389-2392.
|
[17] |
Torres R R, Yehia G, Peña G,et al. Dopamine mediates vagal modulation of the immune system by electroacupuncture[J]. Nat Med,2014,20(3):291-295.
|
[18] |
Liu S B, Wang Z F, Su Y S, et al. A neuroanatomical basis for electroacupuncture to drive the vagal-adrenal axis[J]. Nature,2021,598(7882):641-645.
|
[19] |
Li Y M, Xu G C, Hu S, et al. Electroacupuncture alleviates intestinal inflammation and barrier dysfunction by activating dopamine in a rat model of intestinal ischaemia[J]. Acupunct Med,2021, 39(3):208-216.
|
[1] |
. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(8): 723-724. |
|
|
|
|