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中国人民解放军总医院神经内科,北京,100853
纸质出版日期:1997
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于生元, 匡培根, 张凤英, 等. 偏头痛患者脑脊液(CSF)及血浆中强啡肽A_(1~13)异常及天容穴治疗的影响[J]. 针刺研究, 1997,(4):250-254.
Effects of Tianrong Acupoint Therapy on Concentrations of Dny A_(1~13) in CSF and Plasma of Patients with Migraine[J]. Acupuncture research, 1997, (4): 250-254.
采用RIA对22例无先兆偏头痛病人和10例对照者的CSF和血浆中强啡肽(DYN)A1~13含量进行了比较研究。发现无先兆偏头痛病人发作期CSF及血浆中DYNA1~13含量均显著低于对照组(P<0.01),重度头痛组病人CSF中DYNA1~13含量低于中度头痛组(P<0.05),提示内源性阿片系统与偏头痛病理生理机制有关;天容穴治疗30分钟后,发现病人血浆中DYNA1~13含量较治疗前显著增高(P<0.05)。其中头痛完全缓解组病人血浆中DYNA1-13含量较治疗前显著增加(P<0.01),而有效组及无效组未发现显著变化。提示天容穴治疗可能通过促进体内DYNA1~13的生成和/或释放发挥其镇痛作用。
The concentrations of dynorphin(DYN)A1-13 in CSF and plasma were determined by RIA in mi-graine patients during attacks(n = 22) and controls(n = 10). The concentration of DYN A1-13 in CSF and plasma in patients with migraine without aura during attacks was significantly decreased compared with their controls (both P < 0. 01). The concentrations of CSF DYN A1-13 in the patients with severe lieadache was significantly decreased compared with those found. in the patients with moderate headache(P <0. 05). These data provide new evidence suggesting the involvement of the endogenous oplate peptides in the pathophysiology of migraine headache and suggest plasma and CSF DYN A1-13 levels could serve as a biological marker for this condition. After 30 min. of Tianrong acupoint thera-py
the concentrations of DYN A1-13 (P <0. 05 ) in plasma of migraine patients were significantly in-creased compared with before treatment. In the group of headache disappeared
the concentrations of plasma DYN Al M1-13 were significantly increased (P < 0. 01 ) after Tianrong acupoint therapy
but no significant changes were found in effective and ineffective groups. These suggest the analgesic proper-ties of the treatment may be ascribed to an involvement of the endogenous opiates system.
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