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中医研究院针灸研究所
纸质出版日期:1986
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黄坤厚, 戎象棣, 徐文斌, 等. 不同侧穴位电针对外周神经伤害性传入冲动影响的比较[J]. 针刺研究, 1986,(1):50-53.
THE COMPARISON OF EFFECTS OF ELECTROACUPUNCTURE (EA) AT THE ACUPOINTS OF DIFFERENT SIDES ON NOCICEPTIVE AFFERENT IMPULSES OF PERIPHERAL NERVE[J]. Acupuncture research, 1986, (1): 50-53.
临床针灸治疗有邻近、局部、远隔和循经等取穴方式。这些不同的取穴法都能取得一定的治疗效果。为了探讨远隔取穴的作用机理我们曾在家兔上已观察到对侧穴位电针对外周神经传入冲动中的C波有抑制性影响。本工作试图观察同侧邻近取穴对外周神经伤害性传入冲动的影响
并与对侧远隔取穴的影响进行比较。进一步分析邻近取穴和远隔取穴的作用机理。
The objective of this study was to make a comparison of the effects of EA betweem ipsilateral acupoints and contralateral acupoints on noci- ceptive afferent impulses of peripheral nerve
and further to analyse the mechanism of the effect of EA at acupoints on different sides. Rabbits were anesthetized with chloralose-urethan and paralyzed. The peroneal nerve was placed on two pairs of electrodes for stimulation and tecording of the compound action potentials elicited by electrical stimuli with a strength sufficient for exciting all C--fibers. Acupoints were divided into two groups: (1) "Zusanli" and "Shangjuxu"; ipsilateral to nocicepti- ve stimulation; (2) "Sanyinjiao" and "Yinlingchuan" contralateral to no- ciceptive stimulation. The changes of the amplitude of C wave were obse- rved at 5min
10min during EA and 5min
10min and 20min after ceasing EA. The results indicated that the amplitudes of C wave were significantly decreased by EA of both group acupoints (P<0.05). It suggests that EA at both "ZusanIi" "Shangjuxu" and "Sanyinjiao" "Yinlingchuan" plays a frole in resisting the nociceptive afferent impulses. After a central lesion of the sciatic nerve ipsilateral to nociceptive stimulation
there was a de- pressed trend of C potential when "Zusanli" "Sangjuxu" were stimulated by EA
but there was no similar effect of EA when "Sanyinjiao" "Yinli- ngchuan" were stimulated. It suggests that the inhibitory effect of EA ipsilaterai to nociceptive stimulation has peripheral mechanism besides ce- ntre mechanism.
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