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电针对脊髓损伤大鼠通过刺激上行外周神经传导改善神经元功能。

Electroacupuncture improves neuronal function by stimulation of ascending peripheral nerve conduction in rats with spinal cord injury.

机构信息

Laboratory of Physiology II, School of Veterinary Medicine, Azabu University, Fuchinobe, Sagamihara, Kanagawa 229-8501, Japan.

Veterinary Clinic of Neurology, 892-1 Tanaka-machi, Isesaki, Gunma 372-0814, Japan.

出版信息

J Tradit Chin Med. 2019 Aug;39(4):509-515.

PMID:32186098
Abstract

OBJECTIVE

To establish a method of transient sciatic nerve blockade and to examine the involvement of the ascending peripheral nerve pathway in the therapeutic effect of electroacupuncture at Zusanli (ST 36) in rats with spinal cord injury (SCI).

METHODS

We examined the transient effect of daily lidocaine administration into the posteromedial part of the greater trochanter on sciatic nerve function using electrophysiological examination and histopathology of the sciatic nerve. Rats were divided into three groups: an SCI group (SCI without treatment), an SCI with electroacupuncture treatment (SCI-EA) group, and an SCI with nerve block and electroacupuncture (SCI-NB-EA) group (nerve block was achieved by lidocaine administration to transiently block the ascending peripheral nerve pathway). Behavioral tests and electrophysiological examinations were performed to evaluate recovery of neurological function.

RESULTS

Sciatic nerve conduction was normal immediately before daily lidocaine administration. Histopathological analysis also indicated normal sciatic nerve, confirming that lidocaine nerve blockade was suitable and reversible for transiently eliminating nerve transmission. Neurological function in the SCI-EA group was superior to that in the SCI group, while no differences were found between the SCI and SCI-NB-EA groups.

CONCLUSION

Electroacupuncture treatment can promote recovery of neurological function. Facilitation of nerve conduction may play an important role in this recovery.

摘要

目的

建立一种瞬态坐骨神经阻滞方法,并研究在上行周围神经通路参与下电针对脊髓损伤(SCI)大鼠足三里(ST36)的治疗作用。

方法

我们通过坐骨神经功能的电生理检查和坐骨神经组织病理学检查,检查了每日将利多卡因注入大转子后内侧部分对坐骨神经功能的瞬态影响。大鼠分为三组:SCI 组(无治疗的 SCI)、SCI 加电针治疗组(SCI-EA 组)和 SCI 加神经阻滞和电针治疗组(SCI-NB-EA 组,通过向坐骨神经上行通路给予利多卡因来实现神经阻滞)。进行行为测试和电生理检查,以评估神经功能恢复情况。

结果

在每日给予利多卡因之前,坐骨神经传导正常。组织病理学分析也表明坐骨神经正常,证实利多卡因神经阻滞适合且可逆地消除神经传递。SCI-EA 组的神经功能优于 SCI 组,而 SCI 和 SCI-NB-EA 组之间无差异。

结论

电针治疗可促进神经功能恢复,神经传导的易化可能在这种恢复中起重要作用。

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