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针刺和电针后马的皮肤镇痛、血流动力学及呼吸效应以及脑脊液和血浆中β-内啡肽浓度

Cutaneous analgesia, hemodynamic and respiratory effects, and beta-endorphin concentration in spinal fluid and plasma of horses after acupuncture and electroacupuncture.

作者信息

Skarda Roman T, Tejwani Gopi A, Muir William W

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus 43210, USA.

出版信息

Am J Vet Res. 2002 Oct;63(10):1435-42. doi: 10.2460/ajvr.2002.63.1435.

DOI:10.2460/ajvr.2002.63.1435
PMID:12371773
Abstract

OBJECTIVE

To determine cutaneous analgesia, hemodynamic and respiratory effects, and beta-endorphin concentration in spinal fluid and plasma of horses after acupuncture and electroacupuncture (EA).

ANIMALS

8 healthy 10- to 20-year-old mares that weighed between 470 and 600 kg.

PROCEDURE

Each horse received 2 hours of acupuncture and 2 hours of PAES at acupoints Bladder 18, 23, 25, and 28 on both sides of the vertebral column as well as sham needle placement (control treatment). Each treatment was administered in a random order. At least 7 days elapsed between treatments. Nociceptive cutaneous pain threshold was measured by use of skin twitch reflex latency (STRL) and avoidance to radiant heat (< or = 50 degrees C) in the lumbar area. Skin temperature, cardiovascular and respiratory variables, and beta-endorphin concentration in spinal fluid (CSF-EN) and plasma (plasma-EN) were measured.

RESULTS

Acupuncture and PAES significantly increased STRL and skin temperature. The CSF-EN was significantly increased from baseline values 30 to 120 minutes after onset of PAES, but it did not change after acupuncture and control treatments. Heart and respiratory rates, rectal temperature, arterial blood pressure, Hct, total solids and bicarbonate concentrations, base excess, plasma-EN, and results of blood gas analyses were not significantly different from baseline values after acupuncture, PAES, and control treatments.

CONCLUSIONS AND CLINICAL RELEVANCE

Administration of PAES was more effective than acupuncture for activating the spinal cord to release beta-endorphins into the CSF of horses. Acupuncture and PAES provided cutaneous analgesia in horses without adverse cardiovascular and respiratory effects.

摘要

目的

确定针刺和电针(EA)后马的皮肤痛觉缺失、血流动力学和呼吸效应,以及脑脊液和血浆中β-内啡肽的浓度。

动物

8匹健康的10至20岁母马,体重在470至600千克之间。

程序

每匹马在脊柱两侧的膀胱经18、23、25和28穴位接受2小时的针刺和2小时的电针刺激,以及假针刺(对照治疗)。每种治疗均以随机顺序进行。治疗之间至少间隔7天。通过使用皮肤抽搐反射潜伏期(STRL)和对腰部区域辐射热(≤50℃)的躲避来测量伤害性皮肤疼痛阈值。测量皮肤温度、心血管和呼吸变量,以及脑脊液(CSF-EN)和血浆(血浆-EN)中的β-内啡肽浓度。

结果

针刺和电针显著增加了STRL和皮肤温度。电针开始后30至120分钟,脑脊液中的β-内啡肽浓度较基线值显著升高,但针刺和对照治疗后未发生变化。针刺、电针和对照治疗后,心率、呼吸频率、直肠温度、动脉血压、血细胞比容、总固体和碳酸氢盐浓度、碱剩余、血浆β-内啡肽以及血气分析结果与基线值无显著差异。

结论及临床意义

电针刺激比针刺更有效地激活脊髓,使β-内啡肽释放到马的脑脊液中。针刺和电针为马提供了皮肤痛觉缺失,且无不良心血管和呼吸效应。

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