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热传导干针疗法对慢性肌筋膜疼痛综合征大鼠的影响。

Effects of Heating-Conduction Dry Needling Therapy on Rats with Chronic Myofascial Pain Syndrome.

机构信息

Department of Rehabilitation Medicine, The Chinese PLA General Hospital, Beijing, China.

Department of Rehabilitation Medicine, The Chinese PLA General Hospital, Beijing, China.

出版信息

J Manipulative Physiol Ther. 2020 Jun;43(5):506-514. doi: 10.1016/j.jmpt.2019.05.008. Epub 2020 Sep 12.

Abstract

OBJECTIVE

This study aimed to investigate the effect of dry needling (DN) with 44°C heating on the pressure pain threshold (PPT) of rats with chronic myofascial pain syndrome (MPS) by regulating the transient receptor potential V1 channel.

METHODS

A total of 80 rats were divided into 5 groups: A, B, C, D, and E (16 in each group). The rats in Group A recovered naturally, while those in other groups received the DN treatment. The needles were heated to 40°C for the rats in Groups B and E and 44°C for the rats in Groups C and D. In addition, both Groups D and E received local capsaicin injection. PPTs of the gastrocnemius muscle and tolerance time of the plantar hot plate were measured before modeling, 1 day before the intervention, 24 hours after the intervention, and 7 days after the intervention.

RESULTS

PPTs of the gastrocnemius muscle for rats with MPS increased 7 days after DN and heating to 40°C. For the rats receiving DN at 44°C heating, PPTs increased 24 hours and 7 days after the intervention. Further, 44°C heating and capsaicin injection improved PPT. DN and 40°C heating followed by capsaicin injection improved PPT.

CONCLUSION

DN and 44°C heating had therapeutic effects on rats with MPS at 24 hours and at 7 days after the intervention. DN and 40°C heating had therapeutic effects 7 days after the intervention. DN and 44°C heating might exert therapeutic effects by regulating the transient receptor potential V1 channel.

摘要

目的

本研究旨在通过调节瞬时受体电位 V1 通道,探讨 44°C 加热干针(DN)对慢性肌筋膜疼痛综合征(MPS)大鼠的压力疼痛阈值(PPT)的影响。

方法

将 80 只大鼠分为 5 组:A、B、C、D 和 E(每组 16 只)。A 组大鼠自然恢复,其他组大鼠接受 DN 治疗。B 组和 E 组大鼠的针加热至 40°C,C 组和 D 组大鼠的针加热至 44°C。此外,D 组和 E 组大鼠均接受局部辣椒素注射。在建模前、干预前 1 天、干预后 24 小时和干预后 7 天测量大鼠腓肠肌 PPT 和足底热板耐受时间。

结果

DN 和 40°C 加热后,MPS 大鼠腓肠肌 PPT 在 7 天增加。44°C 加热和 DN 治疗后,大鼠 PPT 在 24 小时和 7 天增加。此外,44°C 加热和辣椒素注射可提高 PPT。DN 和 40°C 加热后注射辣椒素可提高 PPT。

结论

DN 和 44°C 加热在干预后 24 小时和 7 天对 MPS 大鼠有治疗作用。DN 和 40°C 加热在干预后 7 天有治疗作用。DN 和 44°C 加热可能通过调节瞬时受体电位 V1 通道发挥治疗作用。

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