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电针对大鼠脊髓损伤后caspase-3、calpastatin表达及髓鞘变化的影响 被引量:12
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作者 时素华 李志刚 +5 位作者 宋金玲 郑光华 宋萌 李丽娜 许红 白丽敏 《广州中医药大学学报》 CAS 2011年第2期149-154,158,共7页
【目的】观察电针治疗对大鼠脊髓损伤(SCI)后髓鞘变化及caspase-3、calpastatin表达的影响。【方法】选取雄性SD大鼠,随机分为模型组,电针组(电针大椎、命门穴),甲基强的松龙组(西药组)及空白组4组;除空白组外,其他3组大鼠均采用改良的A... 【目的】观察电针治疗对大鼠脊髓损伤(SCI)后髓鞘变化及caspase-3、calpastatin表达的影响。【方法】选取雄性SD大鼠,随机分为模型组,电针组(电针大椎、命门穴),甲基强的松龙组(西药组)及空白组4组;除空白组外,其他3组大鼠均采用改良的Allen's打击装置(50 g/cm)复制大鼠T10~T11脊髓中度损伤模型。分别于SCI后6 h、1 d、7 d取损伤局部脊髓组织,经半定量逆转录—聚合酶链式反应(RT-PCR)法和透射电子显微镜检查,观察各组脊髓损伤早期和继发期的caspase-3、calpastatin表达及髓鞘的病理变化。【结果】(1)电针组和西药组均能显著降低脊髓损伤6 h、1 d、7 d后脊髓组织中caspase-3 mRNA表达,升高calpastatin mRNA表达,与模型组比较差异均有显著性意义(P<0.01);西药组与电针组比较差异无显著性意义(P>0.05)。(2)模型组部分髓鞘变性,板层分离或消失,并与轴索分离;部分神经组织溶解,被坏死物质所代替。电针组髓鞘致密,轴索内可见线粒体,但仍可见部分髓鞘板层分离、变性。西药组部分髓鞘变性,板层分离;部分轴突水肿、凝固变性,部分轴索内可见线粒体。【结论】电针可降低脊髓组织中caspase-3 mRNA表达,升高calpastatin mRNA表达,从而抑制细胞凋亡,减缓SCI后病理损害,保护神经细胞,修复损伤脊髓,其作用与甲基强的松龙相仿。 展开更多
关键词 脊髓损伤/针灸疗法 基因表达调控 脊髓/超微结构 大椎 命门 疾病模型 动物 大鼠
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针挑治疗颈椎病的随机对照研究 被引量:16
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作者 符文彬 张洪来 +6 位作者 朱晓平 李滋平 樊莉 米建平 李伟雄 郭元琦 蒙昌荣 《中国针灸》 CAS CSCD 北大核心 2005年第9期607-609,共3页
目的:运用随机对照临床研究方法,对针挑治疗颈椎病进行疗效评价。方法:将158例患者随机分为针挑治疗组(针挑组)56例、常规针刺对照组(针刺组)55例与局麻对照组(局麻组)47例。取穴均为颈百劳、大椎、肩井等,分别采用针挑法、常规针刺法... 目的:运用随机对照临床研究方法,对针挑治疗颈椎病进行疗效评价。方法:将158例患者随机分为针挑治疗组(针挑组)56例、常规针刺对照组(针刺组)55例与局麻对照组(局麻组)47例。取穴均为颈百劳、大椎、肩井等,分别采用针挑法、常规针刺法及局部麻醉法治疗。采用简化McGill疼痛询问量表等量化计分,结合临床症状、体征进行疗效分析。结果:针挑组痊愈率为57.1%,优于针刺组的23.6%与局麻组的14.9%(均P<0.01),针挑治疗基本无不良反应。结论:针挑疗法对于颈椎病是一种高效、安全的疗法。 展开更多
关键词 挑治 颈椎病/穴位疗法 随机对照试验 大椎 大杼
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Effect of catgut implantation at acupoints on GABA_B and mGluR1 expressions in brain stem of rats with spasticity after stroke 被引量:13
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作者 Chengmei Liu Ruiqing Li +1 位作者 Xiaolei Song Xiaodong Feng 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2014年第5期566-571,共6页
OBJECTIVE: To investigate the effect of catgut implantation at acupoints on the expressions of γ-amino butyric acid B receptor(GABAB ) and metabotropic glutamate receptor 1(mGluR1) in the brain stem of rats with spas... OBJECTIVE: To investigate the effect of catgut implantation at acupoints on the expressions of γ-amino butyric acid B receptor(GABAB ) and metabotropic glutamate receptor 1(mGluR1) in the brain stem of rats with spasticity after stroke.METHODS: In total, 60 male Sprague-Dawley rats were randomly divided into three groups: a sham group(n=10), a model group(n=25) and a treatment group(n=25). The rats in both the model group and the treatment group were subjected to middle cerebral artery occlusion to establish a model of focal cerebral ischemia. Rats with limb-spasm met the inclusion criteria. Only the left carotid artery was isolated in sham group rats. Three days after modeling, the treatment group was subjected to catgut implantation at Dazhui(GV 14), Guanyuan(CV 4), and Zhongwan(CV 12). Neurological deficit symptoms were assessed with the Zea-Longa neurological deficit score. The Modified Ashworth Scale(MAS), and isolated muscle tone were used to evaluate spasticity before and after treatment. Immunohistochemistry was applied to determine the expression of GABAB and mGluR1 in the rat brain stem after treatment.RESULTS: After treatment, neural impairment symptoms had significantly improved in the treatment group when compared to the model group(P<0.05). Both MAS and isolated muscle tone in the treatment group were significantly decreased when compared with the model group(P<0.05),and were also lower than before treatment. GABAB expression was significantly higher and mGluR1 was lower in the treatment group when compared with the model group(P<0.01 and P<0.05, respectively).CONCLUSION: Catgut implantation at Dazhui(GV 14), Guanyuan(CV 4), and Zhongwan(CV 12), can relieve limb spasticity by increasing the expression of GABAB and reducing the expression of mGluR1 in the brain stem of rats after stroke. 展开更多
关键词 STROKE Muscle spasticity Embeddingtherapy point gv 14 (dazhui) point CV 4 (Guanyu-an) point CV 12 (Zhongwan) Metabotropic gluta-mate receptor type 1
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