“原络通经”针法对SAMP8小鼠病理形态学及NMDAR表达的影响

目的:观察“原络通经”针法对SAMP8小鼠海马CA-1区病理形态学及NMDAR表达的影响,探讨“原络通经”针法治疗阿尔茨海默病(AD)的潜在作用机制。方法:将30只SAMP8雄性8月龄小鼠随机分为SAMP8空白对照组、SAMP8+“原络通经”针法治疗组以及SAMP8+百会穴针刺组,将10只SAMR1小鼠作为SAMR1正常对照组。其中SAMP8+“原络通经”针法治疗组选择丰隆穴、太白穴、关元穴及百会穴针刺,SAMP8+百会穴针刺组选择百会穴针刺。SAMP8+“原络通经”针法治疗组以及SAMP8+百会穴针刺组均针刺1次/d,共干预30 d,每7 d休息1次。比较4组小鼠的学习记忆能力、海马CA-1区病理损伤程度以及NMDAR表达水平。结果:HE染色结果提示,SAMP8对照组出现核皱缩及空泡,相比于SAMP8对照组,SAMP8+“原络通经”针法治疗组和SAMP8+百会穴针刺组在干预后改善明显,未见严重的病理损伤。Western Blot检测结果提示,相比于SAMP8对照组,SAMP8+“原络通经”针法治疗组和SAMP8+百会穴针刺组的NMDAR表达水平显著降低。结论:“原络通经”针法可以改善SAMP8小鼠海马CA-1区病理损伤程度,进而对AD产生治疗效应,其机制可能与下调NMDAR表达有关。

“颈五针”穴位埋线治疗椎动脉型颈椎病疗效及对血流动力学的影响:随机临床试验

Objective:To observe the effect of catgut-embedding therapy at five neck points in the treatment of cervical spondylotic arteriopathy(CSA)and analyze its effects on the hemodynamics of patients with CSA.Methods:Using the computer randomization method,72 patients with CSA were divided into a catgutembedding therapy group(n=36,none dropped out)and a western medication group(n=36,none dropped out).In the catgut-embedding therapy group,the therapy was applied to five neck points,i.e.bilateral Jǐngjiājǐ(颈夹脊)at C5,bilateral Jǐngjiājǐ(颈夹脊)at C6,and Dàzhuī(大椎GV14)once a week.One3-week treatment session was required.In the western medication group,flunarizine hydrochloride 5 mg capsules were administered orally once daily for 3 weeks.Efficacy was assessed before and after 3 weeks treatment using a functional evaluation scale for cervical spondylotic arteriopathy(FS-CSA).Changes in vertebral-basilar arterial hemodynamics,serum nitric oxide(NO)level,and plasma endothelin(ET)level were detected.Results:Efficacy was assessed when the treatment session was completed.The total efficacy rate was significantly higher in the catgut-embedding therapy group(86.1%)than in the western medication group(61.1%;P<0.01).The after treatment FS-CSA score was reduced compared with baseline score in both groups(P<0.05),and the reduction in the catgut-embedding therapy group was superior to that in the Western medication group(P<0.05).Compared with baseline,the flow velocity and pulsatility index of the bilateral vertebral and basilar arteries increased at each period in both groups(P<0.05)except for the left systolic velocity of the vertebral artery after treatment.The increase in the catgut-embedding therapy group was greater than that in the western medication group(P<0.05).After treatment,the serum NO concentration was increased and the plasma ET concentration was reduced compared to baseline in both groups(P<0.05),while the improvements in the catgut-embedding therapy group were superior to those in the western medication group(P<0.05).Conclusion:The clinical efficacy in the catgut-embedding therapy group was superior to that in the western medication group.Catgut-embedding therapy at five neck points may effectively improve psychological and functional conditions,promote vertebral basilar arterial supply,and relieve clinical symptoms in patients with CSA.

桑枝棒法治疗血瘀型腰椎间盘突出症的可行性方案研究

探讨传统推拿流派中的桑枝棒法治疗血瘀型腰椎间盘突出症的治疗效果及可行性,同时论证中医特色辅助外治法在现代临床实践中具有发扬潜质及推广意义。方法:遴选我院推拿科于2019年9月至2020年9月期间,收治的血瘀型LDH的患者作为研究对象,运用随机数字表法分为对照组(20例)和观察组(20例)。两组均采用夹脊电针,观察组加以桑枝棒法,比较两组患者的总有效率、疼痛视觉模拟评分。结果:经过2周治疗后,对照组相较于观察组总效率具有明显偏低的倾向(P<0.05);两组VAS评分数值均P<0.05,但观察组相较于对照组更低(P<0.05)。结论:桑枝棒法治疗血瘀型LDH有效,且联合针刺具有明显的优势。同时桑枝棒法作为传统推拿流派中逐渐失传的辅助技术,具有教学、应用及推广价值。