School of Acupuncture and Moxibustion, Beijing University of Chinese Medicine, No. 11 North 3rd Ring East Road, Chaoyang District, Beijing 100029, China.
Acupuncture & Moxibustion and Physiotherapy Department, Beijing Shuili Hospital, No. 19 Yu Yuan Tan South Road, Haidian District, Beijing 100036, China.
Evid Based Complement Alternat Med. 2014;2014:892406. doi: 10.1155/2014/892406. Epub 2014 Dec 2.
The aim of this paper was to explore the long-term effects and pain relief mechanism of acupuncture knife on third lumbar vertebrae (L3) transverse process syndrome. Forty SD rats were randomized into control, model, electroacupuncture (EA), and acupuncture knife (AK) group. Except control rats, other rats were subjected to an operation to emulate L3 transverse process syndrome. Fourteen days after the operation, EA and AK rats were given electroacupuncture and acupuncture knife treatments, respectively. Fifty-six days after the operation, enzyme-linked immunosorbent assay was used to measure substance P (SP), 5-hydroxytryptamine (5-HT), interleukin-1β (IL-1β), interleukin-10 (IL-10), tumor necrosis factor-α (TNF-α), and transforming growth factor-β (TGF-β) in peripheral blood. The tail flick test was used to observe pain threshold. We found that rats with the simulation operation had significantly higher levels of SP, 5-HT, IL-1, IL-10, TNF-α, and TGF-β, while the AK rats had lower levels. In addition, the pain threshold of AK rats was similar to that of control rats. AK pretreatment could alleviate pain through modulating inflammatory response.
本文旨在探讨针刀治疗第三腰椎横突综合征的长期疗效及镇痛机制。将 40 只 SD 大鼠随机分为对照组、模型组、电针组和针刀组。除对照组大鼠外,其余大鼠均行手术模拟第三腰椎横突综合征。术后 14 天,电针组和针刀组大鼠分别给予电针和针刀治疗。术后 56 天,采用酶联免疫吸附试验检测外周血中 P 物质(SP)、5-羟色胺(5-HT)、白细胞介素-1β(IL-1β)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)和转化生长因子-β(TGF-β)的含量。采用甩尾试验观察痛阈。结果发现,模拟手术大鼠的 SP、5-HT、IL-1、IL-10、TNF-α和 TGF-β水平显著升高,而针刀组大鼠的水平较低。此外,针刀组大鼠的痛阈与对照组相似。针刀预处理可通过调节炎症反应缓解疼痛。