Wang Chao, Zhu Jun-Chen, Xiong Ying-Zong, Ma Xing-Fu, Zheng Zhi-Wen, Nie Yong, Li Ying-Chun, Su Yi
The Second Affiliated Hospital of Anhui TCM University, Hefei 230061, Anhui, China.
The Second Affiliated Hospital of Anhui TCM University, Hefei 230061, Anhui, China;
Zhongguo Gu Shang. 2018 Aug 25;31(8):769-774. doi: 10.3969/j.issn.1003-0034.2018.08.016.
Establishing a rabbit model of vertebral artery type of cervical spondylosis(CSA) and to observe the characteristics of timeliness in improving the blood flow of vertebral artery by massage, and discusse the material basis of this timeliness based on NPY and ET-1.
Fifty New Zealand healthy and white rabbits, 6-month-old, the body mass of (2.0±0.5) kg, with half males and half females, were randomly divided into blank group, model group, three massage groups(including massage for 10 min, 20 min, and 30 min group by random number table), 10 rabbits in each group. In addition to the blank group, CSA rabbit model was made by injection of sclerosing agent in other groups. The rabbits of massage for 10 min, 20 min, and 30 min groups received the massage therapy of corresponding duration, one times a day, continuous 10 days. The blood flow of vertebral artery in each group was detected by PeriFlux5000 laser doppler, and the contents of NPY and ET-1 in serum were detected by ELISA before and after treatment.
Changes in blood flow of vertebral artery before and after treatment:there was no significant difference between model group and massage for 10 min group;there was significant difference between model group and massage for 20, 30 min groups(<0.01); there was significant difference between massage for 10 min group and massage for 20, 30 min groups(<0.01); there was no significant difference between massage for 20 min group and massage for 30 min group. Changes of NPY content before and after treatment: there was significant difference between model group and massage for 10 min group(<0.05); there was significant difference between model group and massage for 20, 30 min groups(<0.01); there was significant difference between massage for 10 min group and massage for 20, 30 min groups(<0.01); there was no significant difference between massage for 20 min group and massage for 30 min group. Changes of ET-1 content before and after treatment:there was no significant difference between model group and massage for 10 min group;there was significant difference between model group and massage for 20, 30 min groups(<0.01); there was significant difference between massage for 10 min group and massage for 20 min, 30 groups (<0.01); there was no significant difference between massage for 20 min group and massage for 30 min group.
Massage needed 20 min for rabbits with CSA can only significantly improve the blood flow of vertebral artery. However, prolonging the time of massage has no obvious effect. The material basis of this timeliness characteristic of massage is closely related to the change of NPY and ET-1 levels in serum.
建立兔椎动脉型颈椎病(CSA)模型,观察按摩改善椎动脉血流的时效性特点,并基于神经肽Y(NPY)和内皮素-1(ET-1)探讨该时效性的物质基础。
选取50只6月龄、体质量为(2.0±0.5)kg的健康新西兰白兔,雌雄各半,随机分为空白组、模型组、3个按摩组(按随机数字表法分为按摩10 min组、按摩20 min组、按摩30 min组),每组10只。除空白组外,其他组采用注射硬化剂法制备CSA兔模型。按摩10 min组、按摩20 min组、按摩30 min组的兔分别接受相应时长的按摩治疗,每日1次,连续10 d。采用PeriFlux5000激光多普勒仪检测各组兔椎动脉血流情况,治疗前后采用酶联免疫吸附测定法(ELISA)检测血清中NPY和ET-1含量。
治疗前后椎动脉血流变化:模型组与按摩10 min组比较差异无统计学意义;模型组与按摩20、30 min组比较差异有统计学意义(P<0.01);按摩10 min组与按摩20、30 min组比较差异有统计学意义(P<0.01);按摩20 min组与按摩30 min组比较差异无统计学意义。治疗前后NPY含量变化:模型组与按摩10 min组比较差异有统计学意义(P<0.05);模型组与按摩20、30 min组比较差异有统计学意义(P<0.01);按摩10 min组与按摩20、30 min组比较差异有统计学意义(P<0.01);按摩20 min组与按摩30 min组比较差异无统计学意义。治疗前后ET-1含量变化:模型组与按摩10 min组比较差异无统计学意义;模型组与按摩20、30 min组比较差异有统计学意义(P<0.01);按摩10 min组与按摩20、30 min组比较差异有统计学意义(P<0.01);按摩20 min组与按摩30 min组比较差异无统计学意义。
对CSA兔按摩20 min才能显著改善椎动脉血流,延长按摩时间效果不明显。按摩这一时效性特点的物质基础与血清中NPY和ET-1水平变化密切相关。