Ma Cheng, Feng Ke-Hui, Yan Li-Ping
Jiangsu Province Key Laboratory of Acu-moxibustion, Nanjing University of Chinese Medicine, Nanjing 210029, China.
Zhen Ci Yan Jiu. 2009 Oct;34(5):324-8.
To observe the effect of electroacupuncture (EA) of "Huantiao" (GB 30) and "Weizhong" (BL 40) on the mechanical pain threshold and the long-term potentiation (LTP) of the spinal dorsal horn in rats with neuropathic pain.
Thirty SD rats were randomized into control (sham-operation), model and electroacupuncture (EA) groups, with 10 cases in each. The neuropathic pain model was established by ligature and transaction of the popliteal nerve and common peroneal nerve. EA (2 Hz, 1 mA) was applied to "Huantiao" (GB 30) and "Weizhong" (BL 40) on the affected side for 30 min, once daily for 7 days. The mechanical pain threshold of the paw was detected before and after modeling and EA. LTP of C-fiber stimulation (2 mA, 0.5 ms, 100 Hz, interval 10 s, 4 strains) evoked field potentials in spinal dorsal horn (L4/L5) was recorded in rats under anesthesia.
Compared with control group, the pain threshold of model group reduced significantly from the 1st day on after ligature and transaction of the nerve (P<0.01), while 14 days after EA, it elevated evidently in comparison with model group (P<0.01), suggesting an increase of the mechanical pain threshold after EA. Comparison of the variance rates of C-fiber induced LTP of the field potential among the 3 groups showed that the variance rate of EA group was significantly lower than that of model group (P<0.01). Self-comparison of EA group showed that after EA, the variance rate of LTP reduced significantly (P<0.01).
EA of "Huantiao" (GB 30) and "Weizhong" (BL 40) can significantly relieve neuropathic pain in rats with nerve injury, and inhibit C-fiber high-frequency-stimulation induced LTP due to central sensitization induced abnormality synaptic transmission.
观察电针“环跳”(GB 30)和“委中”(BL 40)对神经病理性疼痛大鼠机械痛阈及脊髓背角长时程增强(LTP)的影响。
将30只SD大鼠随机分为对照组(假手术)、模型组和电针组,每组10只。通过结扎和切断腘神经和腓总神经建立神经病理性疼痛模型。将电针(2 Hz,1 mA)施加于患侧的“环跳”(GB 30)和“委中”(BL 40),持续30分钟,每天1次,共7天。在建模和电针前后检测爪部的机械痛阈。在麻醉状态下记录大鼠C纤维刺激(2 mA,0.5 ms,100 Hz,间隔10 s,4串)诱发的脊髓背角(L4/L5)场电位的LTP。
与对照组相比,模型组在结扎和切断神经后第1天疼痛阈值显著降低(P<0.01),而电针14天后,与模型组相比明显升高(P<0.01),提示电针后机械痛阈升高。3组间C纤维诱发场电位LTP的变化率比较显示,电针组的变化率显著低于模型组(P<0.01)。电针组自身比较显示,电针后LTP的变化率显著降低(P<0.01)。
电针“环跳”(GB 30)和“委中”(BL 40)可显著缓解神经损伤大鼠的神经病理性疼痛,并抑制由于中枢敏化诱导的异常突触传递导致的C纤维高频刺激诱发的LTP。