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650纳米激光针刺对骨关节炎中软骨、骨骼和骨骼肌的影响。

Effects of 650 nm laser acupuncture on cartilage, bone, and skeletal muscle in osteoarthritis.

作者信息

Seo Seung-Ho, Kang Sang-Mi, You Yang-Hee, Na Chang-Su

机构信息

College of Korean Medicine, Dongshin University, 120-9 Dongsindae-gil, Naju, Republic of Korea.

出版信息

Bone Rep. 2025 Jul 31;26:101864. doi: 10.1016/j.bonr.2025.101864. eCollection 2025 Sep.

DOI:10.1016/j.bonr.2025.101864
PMID:40799253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12340511/
Abstract

This study evaluated the therapeutic effects of 650 nm laser acupuncture at 10 mW and 20 mW in a monosodium iodoacetate (MIA) induced osteoarthritis (OA) rat model. OA was induced by intra-articular injection of MIA, and laser acupuncture was applied to GB34 and GB39 twice weekly for four weeks. Cartilage preservation was assessed by Safranin-O staining, pain by hind paw weight distribution, bone structure by micro-CT analysis of bone volume fraction, trabecular volume, and cortical thickness, and muscle condition by histology and wet weight of the gastrocnemius and quadriceps. Both laser treatments reduced cartilage degeneration and improved weight-bearing. The 10 mW group showed greater improvements than the 20 mW group, including higher proteoglycan content, better bone structural parameters, and greater muscle mass. These results indicate that 10 mW laser acupuncture is more effective than 20 mW in reducing joint damage and preserving musculoskeletal tissue. The findings support the use of low-power laser acupuncture as a non-invasive treatment for OA. The study also shows that higher laser power does not necessarily lead to better outcomes, highlighting the need for appropriate dose selection. Further studies are needed to assess long-term effects and investigate underlying mechanisms.

摘要

本研究评估了10毫瓦和20毫瓦的650纳米激光针刺对碘乙酸钠(MIA)诱导的骨关节炎(OA)大鼠模型的治疗效果。通过关节内注射MIA诱导OA,并每周两次对GB34和GB39进行激光针刺,共四周。通过番红O染色评估软骨保存情况,通过后爪重量分布评估疼痛,通过对骨体积分数、小梁体积和皮质厚度进行显微CT分析评估骨结构,通过组织学以及腓肠肌和股四头肌的湿重评估肌肉状况。两种激光治疗均减轻了软骨退变并改善了负重情况。10毫瓦组比20毫瓦组显示出更大的改善,包括更高的蛋白聚糖含量、更好的骨结构参数和更大的肌肉质量。这些结果表明,10毫瓦激光针刺在减少关节损伤和保存肌肉骨骼组织方面比20毫瓦更有效。这些发现支持将低功率激光针刺作为OA的非侵入性治疗方法。该研究还表明,更高的激光功率不一定会带来更好的结果,突出了选择合适剂量的必要性。需要进一步研究来评估长期效果并探究潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/431c378b31c2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/3b42e9428388/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/bc7413b6371c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/8fcc6b9e8b1d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/431c378b31c2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/3b42e9428388/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/bc7413b6371c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/8fcc6b9e8b1d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/12340511/431c378b31c2/gr4.jpg

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Clinical effect of acupuncture on knee osteoarthritis and its effect on p38 MAPK signaling pathway.针刺对膝骨关节炎的临床疗效及其对p38丝裂原活化蛋白激酶信号通路的影响。
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Reduction in Healthcare Resource Utilization Following Treatment With a Home-Based Footworn Device in Patients With Knee Osteoarthritis: A Retrospective Claims Analysis.
膝骨关节炎患者使用家用足部穿戴设备治疗后医疗资源利用的减少:一项回顾性索赔分析
J Health Econ Outcomes Res. 2024 May 16;11(1):134-140. doi: 10.36469/001c.117155. eCollection 2024.
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Guasha improves knee osteoarthritis by inhibiting chondrocyte apoptosis and regulating expression of autophagy-related genes and proteins in rats.刮痧通过抑制软骨细胞凋亡和调节自噬相关基因和蛋白的表达改善大鼠膝骨关节炎。
Zhen Ci Yan Jiu. 2024 Mar 25;49(3):247-255. doi: 10.13702/j.1000-0607.20230493.
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Efficacy and immune-inflammatory mechanism of acupuncture-related therapy in animal models of knee osteoarthritis: a preclinical systematic review and network meta-analysis.针刺相关疗法治疗膝骨关节炎动物模型的疗效及免疫炎症机制的临床前系统评价和网络荟萃分析。
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