TEAS 在肝脏缺血 / 再灌注过程中对 肝功能及肝细胞形态学变化的影响
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张乐乐,男,副教授,主要研究方向是中西医结合疼痛的临床与基础研究。

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R 575

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河南省重点研发与推广专项(科技攻关)项目(222102310302);河南省医学科技攻关计划 (LHGJ20200564)


Effects of TEAS on Liver Function and Morphological Changes of Hepatocytes During Hepatic Ischemia/ Reperfusion
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    摘要:

    摘 要目的:探讨经皮穴位电刺激(TEAS)在肝脏缺血 / 再灌注(I/R)过程中对肝功能生化指标、肝细胞形态学的 影响。 方法:将 12 只雄性 SD 大鼠随机分为对照组、模型组、模型+假 TEAS 组、模型+ TEAS 组,每组 3 只。对照组仅 行开腹不使用血管夹闭处理,模型组建立非致死性肝脏节段(70 %)I/R 模型,模型+假 TEAS 组使用安慰贴片取穴向外 旁开 5 mm,不实施任何电流刺激,模型+ TEAS 组以 TEAS 干预,实验过程中 TEAS 介入共 3 次。采用全自动生化分析 仪及免疫组化技术测定各组大鼠血清谷丙转氨酶(ALT)、谷草转氨酶(AST)、肝组织乙酰转移酶(CAT)和谷胱甘肽 (GSH)等肝功能指标的变化,并对肝组织行苏木精 – 伊红(HE)染色,观察各组切片炎症细胞浸润情况。 结果:模型组、 模型+假 TEAS 组、模型+ TEAS 组大鼠的 ALT、AST 含量均高于对照组,差异具有统计学意义(P < 0.05);与模型组 相比,模型+ TEAS 组大鼠的 ALT、AST 含量均明显降低,差异具有统计学意义(P < 0.05)。模型组、模型+假 TEAS 组、 模型+ TEAS 组大鼠的 GSH、CAT 含量均低于对照组,差异具有统计学意义(P < 0.05);与模型组相比,模型+ TEAS 组大鼠的 GSH、CAT 含量均有不同程度的增高,但是各组间比较,差异无统计学意义(P > 0.05)。HE 染色显示模型+ TEAS 组的炎症细胞浸润情况明显好于模型组。 结论:TEAS 在肝脏 I/R 过程中能有效改善肝功能损伤情况,并能有效改善 在肝脏 I/R 后肝细胞的形态学变化,起到肝保护作用。

    Abstract:

    AbstractObjective To investigate the effects of transcutaneous electrical acupoint stimulation (TEAS) on biochemical indicators of liver function and hepatocyte morphology during hepatic ischemia/reperfusion (I/R). Methods Twelve male SD rats were randomly divided into control group, model group, model + false TEAS group, and model + TEAS group with 3 rats in each group. The control group received laparotomy without vascular clipping, the model group was established as a nonfatal hepatic segment (70 %) I/R model, the model + false TEAS group took comfort patch and opened it for 5 mm without any electrical stimulation, and the model + TEAS group received TEAS intervention, which was performed for 3 times during the experiment. The changes of liver function indexes such as alanine aminotransferase (ALT), aspartate aminotransferase (AST) in serum, acetyltransferase (CAT), glutathione (GSH) in liver tissues of rats in each group were determined by automatic biochemical analyzer and immunohistochemical techniques. Hematoxylin-eosin (HE) staining were performed on liver tissues. Inflammatory cell infiltration were observed in each section. Results ALT and AST contents in the model group, model + false TEAS group and model + TEAS group were higher than those in the control group, and the differences were statistically significant (P < 0.05). Compared with the model group, ALT and AST contents in the model + TEAS group were significantly decreased, and the differences were statistically significant (P < 0.05). The contents of GSH and CAT in the model group, model + false TEAS group and model + TEAS group were lower than those in the control group, and the differences were statistically significant (P < 0.05). Compared with the model group, the contents of GSH and CAT in the model + TEAS group increased to varying degrees, but there was no significant difference among all groups (P > 0.05). HE staining showed that the inflammatory cell infiltration in the Tetras + model group was obviously better than that in the model group. Conclusion TEAS can effectively ameliorate liver function injury during liver I/R and improve morphological changes of liver cells after liver I/R, thus playing a protective role in liver.

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  • 收稿日期:2023-03-10
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  • 在线发布日期: 2023-08-03
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