针刀松解法对膝骨关节炎大鼠中枢不同部位亮氨酸-脑啡肽的影响
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作者Author单位AddressE-Mail
郭长青 GUO Chang-qing 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China guochangqing66@163.com 
嵇波 JI Bo 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
陈幼楠 CHEN You-nan 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
钟鼎文 ZHONG Ding-wen 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
金燕 JIN Yan 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
刘清国 LIU Qing-guo 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
郭孟玮 GUO Meng-wei 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
张义 ZHANG Yi 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
刘乃刚 LIU Nai-gang 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
陈占禄 CHEN Zhan-lu 北京中医药大学针灸推拿学院,北京 100029 College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China  
期刊信息:《中国骨伤》2011年,第24卷,第8期,第656-658页
DOI:10.3969/j.issn.1003-0034.2011.08.010
基金项目:国家重点基础研究发展计划(973计划)(编号:2006CB504508)
中文摘要:

目的: 通过观察针刀松解法干预后膝骨关节炎(KOA)大鼠中枢不同部位亮氨酸-脑啡肽(L-ENK)的变化并与电针干预相比较,探讨针刀松解法在脊髓及脊髓以上水平的镇痛机制.

方法: 将60只健康SD大鼠随机分为空白组、模型组、电针组和针刀组.将4%木瓜蛋白酶溶液与0.3 mol/L半胱氨酸溶液按1∶1混合静置0.5 h后分别于造模第1、4、7天注射于后3组大鼠左膝关节腔,每次20 μl.造模第36天开始,相应给予针刀松解治疗或电针治疗,治疗3周后取大鼠腰膨大处脊髓及脑组织,分别测定脊髓、延髓、中脑、丘脑、海马的L-ENK含量.

结果: 造模后,模型组大鼠L-ENK含量在脊髓、中脑、海马较空白组差异均有统计学意义(P<0.01),延髓和丘脑L-ENK含量与空白组差异无统计学意义(P>0.05).针刀和电针干预后,针刀组海马中L-ENK含量较模型组升高,差异有统计学意义(P<0.05);针刀组中脑L-ENK含量较模型组降低,差异有统计学意义(P<0.05);海马中L-ENK含量针刀组较电针组高,差异有统计学意义(P<0.05);其余部位差异均无统计学意义(P>0.05).

结论: 针刀松解法对KOA大鼠中枢各水平的L-ENK有一定调节作用,其镇痛作用的发挥可能与其对中枢L-ENK的调节有关
【关键词】骨关节炎,膝  电针  脑啡呔,亮氨酸  动物实验
 
Affection of acupotomy lysis on Leu-Enkephalin(L-ENK) content in different parts of centrum of rats with knee osteoarthritis
ABSTRACT  

Objective: To study the analgesia mechanism of needle-knife lysis in spinal cord and other parts of central nervous system by comparing the changes of Leu-Enkephalin (L-ENK) content in different parts of centrium of rats undergone needle-knife lysis and electro-acupuncture respectively.

Methods: Sixty healthy SD rats were randomly devided into normal control group,model group,needle-knife lysis(NKL) group and electro-acupuncture(EA) group. 4% papain solution mixed with 0.3 mol/L cysteine solutin in the ratio of 1∶1,paused for 0.5 h,injected the mixture,20 μl each time,into the left knee joint cavities of rats in model,NKL,EA groups at the 1st,4th,7th day. After 4 weeks in NKL group and EA group were treated with needle-knife lysis and electro-acupuncture,respectively. Three weeks after treatment,samples of spinal cord of the swollen part of rat waists and rat brains were taken from and the content of L-ENK of medulla oblongata,midbrain,pituitary gland,and hippocampus were measured.

Results: L-ENK content of model group increased higher than that of normal control group in spinal cord,hippocampus and midbrain (P<0.01); there were no significant difference between normal control group and modle group on L-ENK in medulla oblongata and thalamus(P>0.05). After intervening of NKL or EA,L-ENK content of NKL group increased higher in hippocampus than that of model group and EC group(P<0.05);but L-ENK content of NKL group in midbrain was lower than that of model group(P<0.05).

Conclusion: Needle-knife lysis has characteristic of regulation for the L-ENK content in different parts of central nervous system of rats with knee osteoarthritis,and analgesic effect of needle-knife was possibly related with regulation of center L-ENK.
KEY WORDS  Osteoarthritis,knee  Electroacupuncture  Enkephalin,leucine  Animal experimentation
 
引用本文,请按以下格式著录参考文献:
中文格式:郭长青,嵇波,陈幼楠,钟鼎文,金燕,刘清国,郭孟玮,张义,刘乃刚,陈占禄.针刀松解法对膝骨关节炎大鼠中枢不同部位亮氨酸-脑啡肽的影响[J].中国骨伤,2011,24(8):656~658
英文格式:GUO Chang-qing,JI Bo,CHEN You-nan,ZHONG Ding-wen,JIN Yan,LIU Qing-guo,GUO Meng-wei,ZHANG Yi,LIU Nai-gang,CHEN Zhan-lu.Affection of acupotomy lysis on Leu-Enkephalin(L-ENK) content in different parts of centrum of rats with knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(8):656~658
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