Liu Chung-Hsiang, Liao Wen-Ling, Su Shan-Yu, Chen Wei-Liang, Hsieh Ching-Liang
Department of Neurology, China Medical University Hospital, Taichung 40447, Taiwan.
Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan.
Evid Based Complement Alternat Med. 2021 Jul 9;2021:5564494. doi: 10.1155/2021/5564494. eCollection 2021.
This study investigated the effect and mechanism of electroacupuncture (EA) on the contralesional hemisphere in rats with ischemic stroke. EA of 2 Hz was applied on the contralesionally Luoque (BL8) and Tongtian (BL7) acupoints of the scalp to investigate the neurological status and mechanism in ischemia-reperfusion injury rats. The differences in the neurological deficit score and Rotarod test time between days 3 and 15 after reperfusion were significantly lower in the sham group (0.00 (-1.00, 0.00) and 3.53 (-0.39, 7.48) second, respectively) than in the EA group (-4.00 (-4.00, -3.00) and 44.80 (41.69, 54.13) second, respectively, both < 0.001). The ratio of infarction volume was 0.19 ± 0.04 in the sham group greater than 0.07 ± 0.04 in the EA group ( < 0.001). On day 15, in the cerebral cortex of the lesioned hemisphere, the gamma-aminobutyric acid (GABA)-A/actin ratio in the normal group (1.11 ± 0.36) was higher than that in the sham group (0.38 ± 0.07, < 0.05) and similar to that in the EA group (0.69 ± 0.18, > 0.05); the difference between the EA and sham groups was significant ( < 0.05). EA of 2 Hz on the BL8 and BL7 acupoints on the contralesional scalp can improve motor function and also can reduce infarction volume, and this effect of EA, and that GABA-A, plays at least a partial role in ischemia-reperfusion injury rats.
本研究探讨了电针(EA)对缺血性脑卒中大鼠对侧半球的影响及其机制。将2Hz的电针刺激应用于头皮对侧的络却(BL8)和通天(BL7)穴位,以研究缺血再灌注损伤大鼠的神经功能状态及其机制。再灌注后第3天和第15天,假手术组的神经功能缺损评分和转棒试验时间差异(分别为0.00(-1.00,0.00)和3.53(-0.39,7.48)秒)显著低于电针组(分别为-4.00(-4.00,-3.00)和44.80(41.69,54.13)秒,均P<0.001)。假手术组的梗死体积比为0.19±0.04,大于电针组的0.07±0.04(P<0.001)。在第15天,在损伤半球的大脑皮质中,正常组的γ-氨基丁酸(GABA)-A/肌动蛋白比值(1.11±0.36)高于假手术组(0.38±0.07,P<0.05),与电针组(0.69±0.18,P>0.05)相似;电针组与假手术组之间的差异具有统计学意义(P<0.05)。对侧头皮BL8和BL7穴位给予2Hz电针可改善运动功能,并可减少梗死体积,电针的这种作用以及GABA-A在缺血再灌注损伤大鼠中至少起部分作用。