Effect of acupuncture on hemodynamics in rats with chronic myocardial ischemia during induction of anesthesia with propofol

Jianqi Wei, Huihui Liu, Cai-neng Wu
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Abstract

Objective To investigate the effect of acupuncture on hemodynamics in chronic myocardial ischemia rats during induction of anesthesia. Methods Forty five Sprague-Dawley rats, weight 200-250 g, were divided into three groups according to a random number table (n=15): a normal control group (group NC), a chronic myocardial ischemia group (group HR) and an acupuncture group (group A-HR). After acupuncture intervention of myocardial ischemia modeled animals for four weeks, the rats received induction of anesthesia with 0.1% propofol at 9 mg/kg via the jugular vein. Subsequently, the mean arterial pressure (MBP), left ventricular systolic pressure (LVSP), left ventricular end-diastolic pressure (LVEDP), the maximal rate of rise/decline of left ventricula pressure (±dp/dt), heart rate, and superoxide dismutase (SOD), malondialdehyde (MDA), creatine kinase isoenzyme (CK-MB) and the morphological changes of myocardial tissues were measured. Results Compared with those in group NC, LVSP, ±dp/dt and MBP remarkably declined in group HR (P<0.05), while LVEDP and heart rate significantly increased in group HR (P<0.05). Compared with group HR, group A-HR presented significantly increased LVSP, +dp/dt and MBP (P<0.05) and significantly decreased heart rate (P<0.05). Compared with group HR, group A-HR produced remarkable decreases in MDA and CK-MB (P<0.05) and marked increases in SOD (P< 0.05). Conclusions Acupuncture pretreatment of rats with myocardial ischemia can regulate and control hemodynamic stabilities during induction of anesthesia, which may be done through inhibiting lipid peroxidation to improves cardiac micro-circulation and reducing the injury of cardiac muscles. Key words: Acupuncture; Myocardial ischemia; Propofol; Anesthesia induction; Hemodynamics
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针刺对异丙酚麻醉诱导大鼠慢性心肌缺血血流动力学的影响
目的探讨针刺对麻醉诱导下慢性心肌缺血大鼠血流动力学的影响。方法选取体重200 ~ 250 g的Sprague-Dawley大鼠45只,按随机数字表法分为正常对照组(NC组)、慢性心肌缺血组(HR组)和针刺组(a -HR组)。针刺干预心肌缺血模型动物4周后,经颈静脉给予0.1%异丙酚9 mg/kg诱导麻醉。测定各组平均动脉压(MBP)、左室收缩压(LVSP)、左室舒张末期压(LVEDP)、左室压最大升/降率(±dp/dt)、心率、超氧化物歧化酶(SOD)、丙二醛(MDA)、肌酸激酶同工酶(CK-MB)及心肌组织形态学变化。结果与NC组比较,HR组LVSP、±dp/dt、MBP显著降低(P<0.05), LVEDP、心率显著升高(P<0.05)。与HR组相比,A-HR组LVSP、+dp/dt、MBP显著升高(P<0.05),心率显著降低(P<0.05)。与HR组比较,A-HR组MDA、CK-MB显著降低(P<0.05), SOD显著升高(P<0.05)。结论针刺预处理对心肌缺血大鼠麻醉诱导过程中血流动力学稳定性具有调控作用,其机制可能是通过抑制脂质过氧化作用改善心脏微循环,减轻心肌损伤。关键词:针灸;心肌缺血;异丙酚;麻醉诱导;血液动力学
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