电针对内囊电毁损痉挛模型大鼠中枢单胺类神经递质含量影响的研究
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摘要
目的:本实验从大脑皮质、脊髓单胺类神经递质变化的角度,探讨针刺治疗内囊电毁损所致痉挛状态的作用机理,并为临床针刺治疗脑性损伤所致肌痉挛提供科学实验依据。
     方法:以内囊电毁损痉挛模型SD大鼠为实验对象,将SD大鼠随机分为空白组、假手术组、模型组、电针督脉组、电针患侧组和电针健侧组。电针督脉组选用“大椎”和“命门”,电针患侧组选用患侧“曲池”和“阳陵泉”,健侧组选用健侧“曲池”和“阳陵泉”进行电针治疗。选用频率100Hz连续波,强度以大鼠肢体抖动为度,每天1次,每次30 min,连续治疗3天。运用BL-420e四道生理记录仪检测痉挛模型大鼠治疗前后肌张力的变化。运用荧光分光光度检测法分析观察不同部位电针对痉挛模型大鼠大脑皮质、脊髓单胺类神经递质去甲肾上腺素(NA)、多巴胺(DA)、5-羟色胺(5-HT)含量的影响。
     结果:1.内囊电毁损后,模型组、各针刺组与空白组、假手术组比较大鼠痉挛侧上肢伸直幅度明显降低,有统计学意义(p<0.01);电针治疗后,各针刺组与模型组比较明显升高,有统计学意义(p<0.01)。2.模型组与空白组、假手术组比较大脑皮质NA、DA、5—HT含量明显降低,有统计学意义(p<0.05);各针刺组与模型组比较大脑皮质NA、DA、5—HT含量明显升高,有统计学意义(p<0.05)。3.模型组与空白组、假手术组比较脊髓NA含量明显降低,有统计学意义(p<0.05),各针刺组与模型组比较脊髓NA含量明显升高,有统计学意义(p<0.05);模型组与空白组、假手术组比较脊髓DA含量有所增高,各电针组与模型组比较脊髓DA含量有所降低,但组间差异未显统计学意义(P>0.05);模型组与空白组、假手术组比较脊髓5—HT含量有所降低,各电针组与模型组比较脊髓5—HT含量有所增高,但组间差异未显统计学意义(P>0.05)。
     结论:1.电针具有抗痉挛效应;
     2.电针抗痉挛效应可能与调节中枢神经系统大脑皮质、脊髓单胺类神经递质水平有关;
     3.在抗痉挛疗效和对中枢单胺类神经递质作用上,不同部位电针比较未见明显差异。
Objective To Study the effect of electro-acupuncture on monoamine neurotransmitter of cerebral cortex and caudex dorsalis in spasticity model rats by electrolytic damage of internal capsule, and to explore the mechanism of action of monoamine neurotransmitter and to provide experimental foundation to for acupuncture therapy of spasticity by brain injured on clinic.
     Methods Establishd electrolytic damage of internal capsule model, then randomly individed SD rats into Blank group, Sham operation group, Electro-acupuncture DU Meridian Group, Electro-acupuncture Injured Side Group and Electro-acupuncture Uninjured Side Group. Electro-acupuncture DU Meridian Group rats were treated with acupuncture on " Da zhui(DU14) and Ming men (DU4)". Electro-acupuncture Injured Side Group and Electro-acupuncture Uninjured Side Group rats were treated with acupuncture on " Qu chi(LI11) and Yang lingquan (GB34)".The treatment was once daily and 30 minutes everytime, lasting for 3 days by 100 Hz continuous wave to shake limbs lightly. Observing the influence of electric acupuncture on muscular tension of the spasmodic model rats by BL-420e 4-channels electrophysiolograph.Fluorospectrophotometry analysis technique were used to investigate the effect of electro-acupuncture on the contents of NA,DA and 5-HT in cerebral cortex and caudex dorsalis.
     Results 1. After electrolytic damage of internal capsule ,Comparing with Blank group and Sham operation group, the extend amplitude of injured upper arm of rats in Model group and three electric acupuncture groups were decreased obviously (P < 0.01);After being treated,Comparing with Model group, the extend amplitude of injured upper arm of rats in three electric acupuncture groups were increased obviously (P < 0.01). 2. Comparing with Blank group and Sham operation group,the contents of NA,DA and 5-HT in the cerebral cortex of Model group were decreased obviously (P < 0.05);After being treated, comparing with Model group, the contents of NA,DA and 5-HT in the cerebral cortex of three electric acupuncture groups were increased obviously (P < 0.05).3. Comparing with Blank group and Sham operation group , the contents of NA in the caudex dorsalis of Model group were decreased obviously (P < 0.05) ,After being treated, compared with Model group , the contents of NA in the caudex dorsalis of three electric acupuncture groups were increased obviously (P < 0.05); Compareing with Blank group and Sham operation group, the contents of DA in the caudex dorsalis of Model group were increased,After being treated, compared with Model group , the contents of DA in the caudex dorsalis of three electric acupuncture groups were decreased; but not obvious varieties (P>0.05);Comparing with Blank group and Sham operation group , the contents of 5-HT in the caudex dorsalis of Model group were decreased,After being treated, comparing with Model group, the contents of DA in the caudex dorsalis of three electric acupuncture groups were increased, but not obvious varieties (P>0.05).
     Conclusion 1. Spasticity could be resisted by electro-acupuncture. 2. The effect of resisting spasticity by electro-acupuncture may relate to accommodate the contents of NA, DA and 5-HT in cerebral cortex and caudex dorsalis. 3. Comparing Electro-acupuncture DUMeridian Group, Electro-acupuncture Injured Side Group and Electro-acupuncture Uninjured Side Group each other, we founded the extend amplitude of injured upper arm of rats in three electric acupuncture groups did not have obvious difference., after being treated and the contents of NA,DA and 5-HT incerebral cortex and caudex dorsalis.did not have obvious varieties.
引文
[1]Marra GA,d'AleoG,Di Bella P,Bramanti P.Intrathecal baclofen therapy in patients with severe spasticity.Acta Neurochir Suppl.2007;97(1):173-80.
    [2]王瑞华.痉挛状态的药物康复.中国康复理论与实践,2007,13(1):23-25
    [3]窦祖林,范建中.痉挛—评估与治疗.北京:人民卫生出版社,2004,5-7
    [4]俞红五,韩为,等.中风偏瘫痉挛状态治疗研究进展.中医药临床杂志,2006,18(2):181-183
    [5]Suheda Ozcakir MD,Koncuy Sivrioglu,MD.Botulinum Toxin in Poststroke Spasticity.Clinical Medicine & Research.2007;5(2):132-138
    [6]卫波.脊髓损伤后肌痉挛机制与治疗.中国康复理论与实践.2006,12(7):559-562
    [7]孟兆祥摘,高云校.痉挛.国外医学·物理医学与康复学分册,2003,23(2):49-51
    [8]Patricia B.Jozefczyk,MD.Therapeutics in the Management of Spasticity.Neurorehabilitation and Neural Repair,1999;13(1):5-14
    [9]Disa K.Sommerfeld,PT,MSc;Elsy U.-B.Eek,PT,MSc,Spasticity After Stroke:Its Occurrence and Association With Motor Impairments and Activity Limitations.Stroke,2004;35:135
    [10]Hefferan MP,Kucharova K,Kinjo K,etc.Spinal astrocyte glutamate receptor 1overexpression after ischemic insult facilitates behavioral signs of spasticity and rigidity J Neurosci.2007;27(42):11179-91.
    [11]徐鹏,赵毅,张新.脑瘫患儿脑脊液氨基酸类神经递质的变化.吉林大学学报,2004,30(1):117
    [12]宋凡.脊髓损伤后痉挛状态的机理研究进展.1997,(2):34-35
    [13]金莅颖,赵树安,等.脑干网状结构的生理机能与其相关病变.现代康复,2000,4(5):729-731
    [14]周绍慈,等.神经生理学概论.上海:华东师范大学出版社,1994,89-92
    [15]李春艳.替扎尼定治疗脑卒中患者偏瘫痉挛的疗效观察.中国实用医药杂志,2007,2(7):91-93
    [16]王国华.脑卒中后肌痉挛治疗的研究进展.甘肃中医,2007,20(10):49-51
    [17]林茜,林秀瑶.针刺对脑卒中后痉挛性偏瘫的影响.实用中医药杂志,2007,23(9):596-597
    [18]沈甜.针灸治疗脑卒中肌张力增高的研究进展.甘肃中医,2003,16(10):5-7
    [19]刘伍立,针刺治疗脑卒中后痉挛瘫痪的思路与方法.中国针灸,2003,23(6):361-362
    [20]陈敬君.针刺手三阴经穴治疗脑卒中后偏瘫上肢拘挛的疗效观察.中国临床康复,2002,6(1):118
    [21]熊革,罗永湘.大鼠中枢神经毁损方法的研究与比较.同济医科大学学报,1999,28(2):149
    [22]Wirght J,Rang M.The spastic mouse and the research for an animal model of spasticity in human beings.Clin Orthop,1990,12:253-255.
    [23]诸葛启钏.大鼠脑立体定位图谱.北京:人民卫生出版社,2005,172-175
    [24]李忠仁,等.实验针灸学.北京:中国中医药出版社,2003,329-331
    [25]余万桂,张道明.莲心碱对大鼠局灶性脑缺血的保护作用.长江大学学报,2006,3(3):213-214
    [26]韩群英,荆志伟.脑瘫康胶囊对痉挛性脑瘫大鼠模型细胞因子及肌张力的影响.中国中医药信息杂志,2005,12(8):31-32
    [27]訾明言.痉挛性瘫痪评定方法研究进展.中国康复,2006,21(1):50-52
    [28]王永炎,李明富.中医内科学.上海:上海科学技术出版社,2002,124-125
    [29]陈立典,等.偏瘫的现代评价与针刺治疗的研究.中国针灸,1996,(10):17-19
    [30]郭泽新,汪润生.缓解中风偏瘫痉挛状态刺灸法探讨.江苏中医,1995,16(8):29
    [31]岳增辉.经筋论治脑卒中后痉挛状态.中医文献杂志,2001,(2):20-21
    [32]B.Grosswendt.Ionisation cluster-size formation by electrons:from macroscopic to nanometric target sizes.Radiation Protection Dosimetry 2006 122(1-4):437-445
    [33]sMedenica-Milanovic,S Ristic,V Turuntas,M Miric,and M Kulic.Registration and analysis of bioelectric activity of sensory-motor cortex during the electrical stimulation of nucleus caudate in rats.Bosn J Basic Med Sci,May 1,2007;7(2):155-61
    [34]Cathy M.Stinear,P.Alan Barber.Functional potential in chronic strokepatientsdependsoncorticospinaltractintegrity.Brain.2007,130(1):170-180
    [35]吴江,贾建平,等.神经病学.北京:人民卫生出版社.2006,39-40
    [36]俞雅珍,邓亚仙.电损毁致大鼠痉挛性脑性瘫痪动物模型制备及其鉴定.实用儿科临床杂志.2007,22(12):928-929
    [37]白丽敏,李亚东,等.神经解剖学.北京:中国中医药出版社,2003,50-52
    [38]陆彦青,庄礼兴.经筋刺法治疗中风后痉挛性偏瘫.针灸临床杂志,2007,23(8):1-3
    [39]谭涛,王世成,等.经筋刺法及理筋手法对颈椎病手术后上肢屈肌痉挛患者肌电F波的影响.中国针灸,2006,26(10):725-728
    [40]M Mukherjee,LK McPeak,JB Redford,C Sun,and W Liu,The effect of electro-acupuncture on spasticity of the wrist joint in chronic stroke survivors.Arch Phys Med Rehabil,2007;88(2):159-66.
    [41]张闻东,陈幸生等.针刺督脉为主治疗中风后肢体痉挛的临床研究,上海针灸杂志,2005,24(5):11-13
    [42]孔立红,毛娟娟.浅谈大椎在脑缺血疾病中的治疗作用.针灸临床杂志,2006,22(7):60-61
    [43]李万瑶.蜂针补肾壮阳的常用穴—肾俞、命门.蜜蜂杂志,2004(9):32
    [44]萧佐桃,唐众瑞.论“命门”学说.中医药导报,2006,12(5):1
    [45]王国祥,刘殿玉.针刺对痉挛性偏瘫患者脊髓运动神经元兴奋性的影响.中国运动医学杂志,2005,24(2):222-224
    [46]于秀梅.巨刺治疗脑血管病后痉挛性瘫痪疗效观察.刺灸聚英,2006,22(11):20-30
    [47]方平西.缪剌法与巨刺法的临床应用.安徽卫生职业技术学院学 报,2007,6(5):63-64
    [48]刘伍立,赵艳玲等.针刺阳陵泉缓解痉挛状态及对脑脊液γ—氨基丁酸的影响.中国针灸,1998,10(9):517-518
    [49]苏国龙,李万瑶.曲池穴及其应用.蜜蜂杂志,2003(3):31
    [50]杨静,熊利泽,等.不同刺激参数及其组合对电针诱导大鼠脑缺血耐受效应的影响.中国针灸,2004,24(3):208-301
    [51]李忠仁,等.实验针灸学.北京:中国中医药出版社,2003,241-242
    [52]白丽敏,李亚东,等.神经解剖学.北京:中国中医药出版社,2003,131-136
    [53]刘体伟,李世昌.肌肉痉挛发生机制的探讨.辽宁体育科技,2006,28(4):24-25
    [54]陈党红,黄培新.脑卒中后肌张力增高临床研究现状.中国中医急症.2005,4(14):362-364
    [55]林茜,林秀瑶.针刺对脑卒中后痉挛性偏瘫的影响.实用中医药杂志,2007,23(9):596-597
    [56]N.J.O'Dwyer L.Ada and P.D.Neilson.Spasticity and muscle contracture following stroke.Brain,1996,119(5):1737-1749
    [57]唐仲良,潘建粹,等.神经系统生理学,上海:上海复旦大学出版社,1991,154-1158
    [58]马丙祥,李华伟,等.三甲痉瘫康颗粒对痉挛性脑性瘫痪大鼠肌张力的影响.中国临床康复,2004,8(33):7501
    [59]P Popik.M Krawczyk,K Golembiowska,G Nowak,etc.Pharmacological profile of the "triple" monoamine neurotransmitter uptake inhibitor,DOV 102,677.Cell Mol Neurobiol,2006,26(4-6):857-73.
    [60]顾平.大鼠单胺类神经递质的分布.感染学杂志,2005,15(1):66
    [61]P.J.Harvey,X.Li,Y.hi and D.J.Bennett.Endogenous Monoamine Receptor Activation Is Essential for Enabling Persistent Sodium Currents and Repetitive Firing in Rat Spinal Motoneurons.J Neurophysiol 2006,96:1171-1186
    [62]邹晓静,施静,等.电针对脑缺血再灌注大鼠大脑皮层去甲肾上腺素及细 胞凋亡的影响.针刺研究,2005,30(4):203-207
    [63]贺桂琼,孙善全.脊髓内去甲肾上腺素能纤维的来源.解剖学杂志,2003,26(1):40-45
    [64]蒋文华,刘才栋,等.神经解剖学.上海:复旦大学出版社,2002,421-424
    [65]关新民,韩济生,等.医学神经生物学.北京:人民卫生出版社,2002,90-95
    [66]李云庆,王亚云,等.神经解剖学.西安:第四军医大学出版社,2006,121
    [67]芮德源,陈立杰,等.临床神经解剖学。北京:人民卫生出版社,2007,279-280
    [68]金莅颖,赵树安,等.脑干网状结构的生理机能与其相关病变.现代康复,2000,4(5):729-731
    [69]孙久荣,等.神经解剖生理学.北京:北京大学出版社,2004,248-249
    [70]柏李.脊髓伤害性信息传递下行抑制的中枢起源.河南医学研究,1993,2(2):180-181
    [71]关新民,韩济生,等.医学神经生物学.北京:人民卫生出版社,2002,110-111
    [72]杨超,谭蔚锋.痉挛状态的口服药物治疗.中华物理医学与康复杂志,2003,25(2):122-125
    [73]张长杰编译,王培生校.痉挛性肌张力增高的药物治疗.国外医学·物理医学与康复学分册,2003,23(2):73-76
    [74]Yoshiko Watanabe,Takashi Nakayama,Daisuke Nagakubo,Kunio Hieshima,Zhe Jin,Fuminori Katou,Kenji Hashimoto and Osamu Yoshie,Dopamine Selectively Induces Migration and Homing of Naive CD8 T Cells via Dopamine Receptor D3.The JournaI of Immunology,2006,176:848-856.
    [75]李凡,舒斯云,等.多巴胺受体的结构和功能.中国神经科学杂志,2003,19(6):405-408
    [76]陈燕,任志华,等.中枢多巴胺D1和D2受体在运动调控中的作用.上海交通大学学报,2007,27(8):1033-1035
    [77]肖成华,苗绘,等.成年与老年大鼠中脑黑质致密部多巴胺能神经元形态 学研究.徐州医学院学报,2007,27(11):701-704
    [78]蒋文华,刘才栋,等.神经解剖学.上海:复旦大学出版社,2002,424-426
    [79]OLEH HORNYKIEWICZ.DOPAMINE(3-HYDROXYTYRAMINE) AND BRAIN FUNCTION.Pharmacological Reviews,1966,(18)925-964,
    [80]李焰生,黄坚.神经远动元疾病.上海:第二军医大学出版社,2002,7
    [81]孙久荣,等.神经解剖生理学.北京:北京大学出版社,2004,250-252
    [82]郑眩,马文领,等.5-羟色胺及其受体在运动病中作用.中国公共卫生,2007,23(4):495-496
    [83]Klaus B.Fink and Manfred G(o|¨)thert.5-HT Receptor Regulation of Neurotransmitter Release.Pharmacol Rev.2007,59:360-417
    [84]谭婷,陈鹏,等.5-羟色胺对脑缺血再灌注损伤的保护机制.世界最新医学信息文摘,2004,12(3):1376-1377
    [85]蒋文华,刘才栋,等.神经解剖学.上海:复旦大学出版社,2002,426-428
    [86]傅洛安,易声禹.等,成年大鼠脑内5-羟色胺能神经纤维向胎脑皮层移植物内投射的研究.中华器官移植杂志,1999,20(1):13-14
    [87]谢玉丰.中缝核的细胞学构筑和纤维联系.菏泽医专学报,2000,12(4):82-84
    [88]李云庆,高蓉,等.大鼠运动核内5-羟色胺1A、2A、5A受体的定位分布.神经解剖学杂志,1999,15(2):121-126
    [89]孙久荣,等.神经解剖生理学.北京:北京大学出版社,2004,254-256
    [90]A·布劳德,等.临床神经解剖学.北京:科学出版社,1989,295-299
    [91]SahgalV,etal_Quartenmry.Quarternary and monoamine imbalance after transaction(A possible mechanism of spasticity)Lancaster:MTP Press,1982.103
    [1]凌峰.脑血管病理论与实践.北京:人民卫生出版社,2006,273-274
    [2]徐秋琴,俞月萍.大鼠局灶性脑缺血模型的研究进展.中国临床神经外科杂志,2004,9(6):475-477
    [3]Qureshi AI,Ling GS,Khan J,et al.Quantinative analysis of injured,necrotic,and apoptotic cells in a new experimental model of intraccerebral hemorrhage.Crit Care Med,2001,29(1):152-157.
    [4]张祥建,刘春燕,等.大鼠自体动脉血脑出血动物模型的建立.脑与神经疾病杂志,2003,11(6):341-344
    [5]张花先,黎杏群,等.采用Ⅶ型胶原酶建立出血性中风中经络大鼠模型.湖南中医学院学报,2004,14(1):36-39
    [6]许东,文玉军,等.胶原酶注入小鼠尾状核建立脑出血模型.中国实验动物学报,2006,14(1):36-39
    [7]李俐涛,尹静,等.脑出血模型.河北医科大学学报,2006,27(5):496-498
    [8]周爽,方邦江,等.一种高血压性脑出血动物模型的建立及评价.医学理论与实践,2004,17(2):127-129
    [9]梁翠宏,田铧.常用缺血模型研究进展,2006,14(1):38-40
    [10]TAMURA A.GRAHAM D I,MCCULLOCH I et al.Focal cerebral ischemia in the rat description of technique and carly neuropathological consequences following middle cerebral artery occlusion[J].J Cereb Blood Flow Metab,1981,1(1):53-60
    [11]MHAIRI M I,New models of focal cerebral ischem ia[J].Br Clin Phamacol 1992,34(4):302-308
    [12]YANG Y,YANG T,LIQ,ctal.A new reproducible focal cerebral ischem ia model by introduction of polyvirnylsiloxane into the middle cerebral artery.a comparison study[J].J Neurosci Methods,2002,118(2):199-206
    [13]徐秋琴,俞月萍.大鼠局灶性脑缺血模型的研究进展.中国临床神经外科杂志.2004,9(6):475-476
    [14]崔龙,李忠仁.“同身寸”法估算大鼠局灶性脑缺血模型线栓深度.南京中医药大学学报,2005,21(1):40-42
    [14]B.Grosswendt.Ionisation cluster-size formation by electrons:from macroscopic to nanometric target sizes.Radiation Protection Dosimetry 2006 122(1-4):437-445
    [15]s Medenica-Milanovic,S Ristic,V Turuntas,M Miric,and M Kulic.Registration and analysis of bioelectric activity of sensory-motor cortex during the electrical stimulation of nucleus caudate in rats.Bosn J Basic Med Sci,May 1,2007;7(2):155-61
    [16]YAO H,SUGIMORI H,FUKDA K,et al Photothrombotic middle cerebral arietry occlusion and reperfusion laser system in spontaneously hypertensive rats,Stroke,2003,34(11):2716-2721
    [17]王国华,姜正林.局灶性脑缺血的实验研究进展.第二军医大学,2006,27(10):1145-1147
    [18]陈静,李树清.局灶性脑缺血动物模型及其评价.昆明医学院学报,2006,(5):110-114
    [19]苗明三,孙丽敏.脑卒中的动物模型研究樶要.中医药学刊,2003,21(6):933-935

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