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1. 中国中医科学院针灸研究所
2. 中国中医科学院针灸研究所,北京,100700
纸质出版日期:2006
移动端阅览
刘俊岭, 陈淑萍, 高永辉, 等. 不同强度、不同频度电针对慢性痛大鼠镇痛作用的比较[J]. 针刺研究, 2006,(5):280-285.
LIU Jun-ling, CHEN Shu-ping, GAO Yong-hui, et al. Comparison of Analgesic Effects of Electroacupuncture at Different Stimulating Intensities and Different Treatment Intervals[J]. Acupuncture research, 2006, (5): 280-285.
刘俊岭, 陈淑萍, 高永辉, 等. 不同强度、不同频度电针对慢性痛大鼠镇痛作用的比较[J]. 针刺研究, 2006,(5):280-285. DOI:
LIU Jun-ling, CHEN Shu-ping, GAO Yong-hui, et al. Comparison of Analgesic Effects of Electroacupuncture at Different Stimulating Intensities and Different Treatment Intervals[J]. Acupuncture research, 2006, (5): 280-285. DOI:
目的:对比不同强度、不同频度电针的镇痛效应。方法:健康雌性Wistar大鼠70只
随机分为模型组(n=10)、1 mA电针组(n=30)和5 mA电针组(n=30)
后两组又各分为每天1次(1 t/d)、隔2日1次(1 t/3 d)和每周1次(1 t/w)组
每组各10例。于鼠右侧臀部分离坐骨神经后
在该神经分叉的近心端松松做4个结扎
造成慢性压迫性损伤(CCI)疼痛模型。手术后5 d开始用辐射热测痛仪的光源分别照射大鼠两侧足底部
测定大鼠双侧缩腿的潜伏期(paw withdrawal latency
PWL)
用患-健侧PWL的差值作为疼痛反应的变化值。电针双侧“足三里-阳陵泉”
通电刺激30 min
频率为2/15 Hz
不同组的强度分别为1 mA和5 mA;3个电针组每天、每3 d和每周各电针1次。结果:①当用1 mA的刺激强度时
与模型对照组比
3个电针组从电针后第1天(第1次电针)起各组PWL的差值均明显减低(P<0.05);3个电针组之间比
1 t/3 d组和1 t/w组PWL的差值明显高于1 t/d组(P<0.05)
说明3种频度的电针都有显著的镇痛作用
而1 t/d的镇痛效果最佳。②采用5 mA电针时
与模型组比
1 t/d组和1 t/w组第1次电针至第21天
PWL的差值也明显减低(P<0.05)
说明较高强度的电针治疗
每天和每周各1次的治疗频度亦表现出有良好的镇痛效应;而1 t/3 d组和模型对照组比较没有明显差异(P>0.05)。③给予1 t/d和1 t/3 d电针治疗频度
1 mA和5 mA刺激强度的镇痛效应比较
前者PWL的差值降低明显较快(P<0.05)
而每周1次两种强度电针的PWL差值无显著性差异(P>0.05)。说明在大鼠CCI模型上给予1 t/d和1 t/3 d的治疗频度时
低强度电针的镇痛效果显著优于高强度电针;每周1次治疗时
1 mA和5 mA的镇痛效果无明显差异。结论:在结扎坐骨神经造成CCI疼痛大鼠上
1)1 mA和5 mA两种强度的电针都有不同程度的镇痛作用
低强度电针的镇痛作用明显优于高强度电针;2)低强度电针时
每天1次、隔2日1次和每周1次等3种治疗频度比较
每天1次治疗的镇痛效果最好
而较高强度电针时
每天1次、每周1次治疗均有明显的镇痛效果
两者之间无显著性差异。
Objective: To compare the analgesic effects of electroacupuncture(EA) at different stimulating intensities and different treatment intervals so as to explore a suitable set of therapeutic parameters for chronic pain.Methods: A total of 70 Wistar rats were randomized into model(n=10)
1 mA-EA(n=30) and 5 mA-EA(n=30) groups which of the later two groups were further divided into 1 time(t)/day(d)
1 t/3 d and 1 t/week(w) EA subgroups
with 10 cases in each subgroup.Chronic constrictive injury(CCI) pain model was established by loosely ligating the sciatic nerve near the proximal side of the bifid site.Paw withdrawal latency(PWL) was detected once every other day by using radiant heat source to radiate the rat's bilateral hind-paws.The difference values between the affected limb and the healthy limb were used to judge changes of the pain threshold.EA (2/15 Hz
1 mA
5 mA) was respectively applied to bilateral "Zusanli"(ST 36)-"Yanglingquan"(GB 34) for 30 min
once everyday
every 3 days and every week in different subgroups.Results: 1) When 1 mA stimulating current was used
in comparison with model group
the mean difference values of PWL in 1 t/d-EA
1 t/3 d-EA and 1 t/w-EA subgroups from the 1
s
t day to 21st day to 21
s
t day after EA were significantly lower(P
<
0.05);while comparison among the 3 EA subgroups showed that the mean difference values of PWL in 1 t/3 d and 1 t/w subgroups were significantly higher than those of 1 t/d group(P
<
0.05)
indicating that 1 t/d-EA
1 t/3 d-EA and 1 t/w-EA at the lower intensity all had a marked analgesic effect and that of 1 t/d-EA was the best.In addition
the accumulative effect in 1 t/3 d and 1 t/w subgroups was apparent along with the increase of the therapeutic times.2) When 5 mA stimulating current was used
compared with model group
the mean difference values of PWL in 1 t/d-EA subgroup and in 1 t/w-EA subgroup from the 1st day after EA were significantly lower(P
<
0.05);while comparison among the 3 EA subgroups showed that the mean difference values of PWL in 1 t/3 d and 1 t/w subgroups were significantly higher than those of 1 t/d group(P
<
0.05)
indicating that 1 t/d-EA
1 t/3 d-EA and 1 t/w-EA at the lower intensity all had a marked analgesic effect and that of 1 t/d-EA was the best.In addition
the accumulative effect in 1 t/3 d and 1 t/w subgroups was apparent along with the increase of the therapeutic times.2) When 5 mA stimulating current was used
compared with model group
the mean difference values of PWL in 1 t/d-EA subgroup and in 1 t/w-EA subgroup from the 1
s
t day to 21st day to 21
s
t day were significantly lower(P
<
0.05)
displaying that at the higher stimulating current
1 t/d-EA and 1 t/w-EA subgroups had apparent analgesic effects
while 1 t/3 d-EA had no marked analgesic effect.3) When EA treatment was given once everyday
the mean difference values of PWL in 1 mA group decreased significantly faster(P
<
0.05)
meaning that the analgesic effect of lower stimulating intensity EA was significantly better than that of higher stimulating intensity in CCI rats.Conclusion: In the treatment of neurogenic pain with EA
both lower and higher stimulating intensities have an apparent analgesic effect
the effect of lower intensity is remarkably superior to that of higher intensity;when lower intensity EA is applied
the analgesic effect of 1 t/d is the best
and the accumulative effect is definite;when the higher intensity EA applied
the analgesic effect of 1 t/d and 1 t/w is the best.
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