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针刺督脉4穴可改善创伤性脊髓损伤后瘫痪大鼠的功能恢复。

Electro-Acupuncture at GV.4 Improves Functional Recovery in paralyzed rats after a Traumatic Spinal Cord Injury.

作者信息

Juarez Becerril Oswaldo, Salgado Ceballos Hermelinda, Anguiano Solis Candy, Alvarado Sanchez Belen, Lopez Hernandez Monica Elba, Diaz Ruiz Araceli, Torres Castillo Sergio

出版信息

Acupunct Electrother Res. 2015;40(4):355-69.

PMID:26934797
Abstract

In the present study, the effect of electro-acupuncture (EA) on the oxidative stress, the spinal cord tissue preservation and the recovery of motor function was evaluated after a traumatic spinal cord injury (TSCI). Long Evans rats were randomized into five groups: 1. Sham; 2. TSCI without treatment; 3. TSCI + EA (acupoint GV.4); 4. TSCI + EA (acupoint GV.26) and 5.TSCI + EA (GV.4 + GV.26). The EA was performed with an Electro-Acupunctoscope, AWQ-104L Digital, wave dense-dispersed, current intensity 2.5mA and frequency 2-100Hz for 30 minutes. The biochemical results showed a significant increase in the hydroxyl radical concentration in group 2 (3.1 ± 1.4 nmol) compared with groups 1 (1.8 ± 0.5 nmol) and 4 (2.4 ± 1.1 nmol) (p< 0.05), whereas in group 4 (4.8 ± 1.8 nmol), there was a significant increase in lipid peroxidation when compared with group 1 (1.7 ± 0.5 nmol) (p < 0.05). The BBB motor function score in the paralyzed hind limbs (normal BBB = 21points) was greater in groups 3 (15.2 points) and 5 (13.5 points) in comparison with groups 2 (11.4 points) and 4 (9.3 points) (p < 0.05). The quantity of preserved spinal cord tissue was greater in group 3 (6582.7± 20 μm2) than in groups 2 (5262.4 20 μm2), 4 (3995.6 ± 26μm2) and 5 (4266.7± 22 μm2). Although EA in GV.26 decreases hydroxyl radical concentration (50%), it significantly increases lipid peroxidation (45%), while stimulation of GV.4 decreases oxidative stress (15%), preserves spinal cord tissue (25%) and improves recovery of motor function in the hind limbs of rats with paralysis (18.1%) compared with untreated group. These findings suggest that EA in GV.4 may be a therapeutic alternative on TSCI.

摘要

在本研究中,评估了电针(EA)对创伤性脊髓损伤(TSCI)后氧化应激、脊髓组织保存及运动功能恢复的影响。将Long Evans大鼠随机分为五组:1. 假手术组;2. 未治疗的TSCI组;3. TSCI + EA(穴位GV.4)组;4. TSCI + EA(穴位GV.26)组和5. TSCI + EA(GV.4 + GV.26)组。使用AWQ - 104L数字式电针仪进行电针治疗,疏密波,电流强度2.5mA,频率2 - 100Hz,持续30分钟。生化结果显示,与第1组(1.8±0.5nmol)和第4组(2.4±1.1nmol)相比,第2组(3.1±1.4nmol)的羟自由基浓度显著升高(p<0.05);而与第1组(1.7±0.5nmol)相比,第4组(4.8±1.8nmol)的脂质过氧化显著增加(p<0.05)。瘫痪后肢的BBB运动功能评分(正常BBB = 21分)在第3组(15.2分)和第5组(13.5分)中高于第2组(11.4分)和第4组(9.3分)(p<0.05)。第3组(6582.7±20μm2)保存的脊髓组织数量多于第2组(5262.4±20μm2)、第4组(3995.6±26μm2)和第5组(4266.7±22μm2)。尽管针刺GV.26可降低羟自由基浓度(50%),但显著增加脂质过氧化(45%),而针刺GV.4与未治疗组相比,可降低氧化应激(15%),保存脊髓组织(25%),并改善瘫痪大鼠后肢的运动功能恢复(18.1%)。这些发现表明,针刺GV.4可能是TSCI的一种治疗选择。

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