Wang J Q, Mao L, Han J S
Department of Physiology, Beijing Medical University, People's Republic of China.
Int J Neurosci. 1992 Jul-Aug;65(1-4):117-29. doi: 10.3109/00207459209003283.
The analgesic effects induced by two different kinds of peripheral conditioning stimulations, electroacupuncture (EA) and transcutaneous electrical nerve stimulation (TENS), were compared in the rat using the latency of radiant heat-evoked tail flick reflex as nociceptive index. The parallel elevations of withdrawal latency of tail flick were produced by EA and TENS administrations at the acupoints of S36 and Sp6 with low intensity (1-2-3 mA) and one of three different frequencies (2, 15 and 100 Hz). Analgesic effects of EA or TENS were characterized by slow-on and slow-off nature, and a significant linear correlation was found between both at any one of three frequencies. Systemic naloxone hydrochloride (2 mg/kg) almost completely and partially antagonized 2 and 15 Hz EA- or TENS-induced analgesia, respectively, but failed to affect those induced by 100 Hz EA or TENS. Tolerance to EA stimulation with one of three frequencies reduced the corresponding frequency TENS-induced analgesia and vice versa. These data indicate that: (a) there is no significant difference in producing antinociception for two different peripheral conditioning stimulations when applied at the same sites and (b) the common neural mechanisms most likely process the analgesic effects of EA and TENS. The involvement of (an) endogenous opiate mechanism in the management of different frequency EA and TENS analgesia is discussed in detail.
在大鼠中,以辐射热诱发的甩尾反射潜伏期作为伤害性指标,比较了两种不同的外周条件刺激——电针(EA)和经皮电刺激神经(TENS)——所诱导的镇痛效果。在S36和Sp6穴位以低强度(1 - 2 - 3毫安)和三种不同频率(2、15和100赫兹)之一进行EA和TENS处理,可使甩尾的撤针潜伏期平行升高。EA或TENS的镇痛效果具有起效慢和消退慢的特点,并且在三种频率中的任何一种频率下,两者之间均存在显著的线性相关性。全身性盐酸纳洛酮(2毫克/千克)几乎完全和部分拮抗了分别由2赫兹和15赫兹EA或TENS诱导的镇痛作用,但未能影响由100赫兹EA或TENS诱导的镇痛作用。对三种频率之一的EA刺激产生的耐受性降低了相应频率TENS诱导的镇痛作用,反之亦然。这些数据表明:(a)当在相同部位应用时,两种不同的外周条件刺激在产生抗伤害感受方面没有显著差异;(b)共同的神经机制很可能参与了EA和TENS的镇痛作用。本文详细讨论了内源性阿片机制在不同频率EA和TENS镇痛管理中的作用。