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中国中医科学院针灸研究所
纸质出版日期:2007
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刘俊岭, 陈淑萍, 高永辉, 等. 重复电针镇痛效应的观察及其对血浆β-EP、ACTH及COR变化的影响[J]. 针刺研究, 2007,(5):306-312.
LIU Jun-ling, CHEN Shu-ping, GAO Yong-hui, et al. Observation on the Analgesic Effect of Repeated Electroacupuncture and Its Relation to Changes of Plasma β-EP,ACTH and COR Levels[J]. Acupuncture research, 2007, (5): 306-312.
刘俊岭, 陈淑萍, 高永辉, 等. 重复电针镇痛效应的观察及其对血浆β-EP、ACTH及COR变化的影响[J]. 针刺研究, 2007,(5):306-312. DOI:
LIU Jun-ling, CHEN Shu-ping, GAO Yong-hui, et al. Observation on the Analgesic Effect of Repeated Electroacupuncture and Its Relation to Changes of Plasma β-EP,ACTH and COR Levels[J]. Acupuncture research, 2007, (5): 306-312. DOI:
目的:观察不同时程电针(EA)镇痛的累积效应
及其与血浆促肾上腺皮质激素(ACTH)、β-内啡肽(EP)及皮质醇(COR)含量变化的关系。方法:Wistar雌鼠110只
随机分为正常对照组(n=10)、CCI组(n=10)、CCI+EA组(n=30)、去卵巢(OVX)+CCI组(n=30)、OVX+CCI+EA组(n=30)
后3组又各分为EA 2次(2 t)、2周(2 w)和3周(3 w)亚组(时程)
各10例。上述后3组动物去除双侧卵巢45 d后进行水迷宫测试
检查动物学习记忆能力。结扎坐骨神经造成慢性疼痛模型。电针双侧"足三里"-"阳陵泉"穴(2/15 Hz
1 mA
30 min)
1次/d
不同组分别电针2 t、2 w、3 w。用辐射热刺激测定大鼠缩腿潜伏期(PWL)作为痛阈
用健侧和患侧PWL的差值做组间比较。深度麻醉断头采血
用放射免疫法测定ACTH、β-EP及COR的含量。结果:与正常对照组比
CCI各组PWL差值均明显较大(P<0.05);与CCI组比较
CCI+EA组3 w时段差异有显著性意义(P<0.05)
接近正常对照组。与OVX+CCI组比较
OVX+CCI+EA组2 w、3 w的PWL差值均明显减小(P<0.05)
疼痛减轻。CCI+EA和OVX+CCI+EA两组比较
前者多数时程的PWL差值显著低于后者(P<0.05)
说明没有去卵巢大鼠电针的镇痛效果明显较优。在单纯CCI模型上
CCI后
血浆-βEP、ACTH及COR含量均没有明显改变;给予电针后
-βEP、ACTH的水平没有明显改变
COR含量明显增加(P<0.05)。在OVX+CCI复合动物模型上
血浆-βEP的浓度2 w和3 w时均明显高于正常对照组(P<0.05)
ACTH含量没有明显变化
COR含量减低或明显增加(P<0.05);与OVX+CCI组比
OVX+CCI+EA组电针2 t2、w组其-βEP浓度明显下降(P<0.05)
3 w也有所减少
ACTH的水平电针2 t和3 w明显增加(P<0.05)
2 w组明显下降(P<0.05)
COR的浓度2 w明显降低(P<0.05)。说明在单纯CCI模型上
当出现明显针刺镇痛效应时
仅血浆COR的浓度增加;在OVX+CCI复合动物模型上
当出现明显针刺镇痛累积效应时
血浆-βEP的水平下降或明显下降
COR的浓度降低
血浆ACTH含量的增、减变化不规律。结论:血浆-βEP和COR参与针刺镇痛的累加效应;神经记忆力的减退在一定程度上减弱针刺镇痛的累积效应;血浆-βEP和COR水平变化与大鼠痛行为学改善没有明确的相关关系趋势。
Objective: To observe the regularity of electroacupuncture(EA) analgesia and to analyze its relation to hypothalamus-pituitary-adrenal cortex axis function in chronic constrictive injury(CCI) and ovariectomy(OVX) rats.Methods: A total of 110 Wistar rats anesthetized with mixture solution of 1.5% chloralose(50 mg/kg) and 25% urethrane(420 mg/kg
i.p.) were randomized into control(n=10)
CCI(n=10)
CCI+EA(n=30)
OVX+CCI(n=30)
OVX+CCI+EA(n=30) groups
and the later 3 groups were further divided into 2 times(2 t)
2 weeks(2 w)and 3 w time courses
with 10 cases in each.Forty-five days after OVX
Morris water maze test was conducted to evaluate the OVX rats' memory-learning ability.Chronic pain model was established by ligating the right sciatic nerve with a piece of suture.EA(2/15 Hz
1 mA) was applied to bilateral "Zusanli"(ST 36)-"Yanglingquan"(GB 34) for 30 min
once daily for 2 t
2 w
3 w respectively.The paw withdrawal latency(PWL) was detected to be used as the pain threshold.Under deep anesthesia
the rat was decapitated for collecting blood samples.Plasma adrenocorticotropic hormone(ACTH)
β-endorphine(EP)
cortisone(COR) contents were detected using radioimmunoassay.Results: In comparison with control group
PWL difference values(PWLDV) of CCI+EA
OVX+CCI and OVX+CCI+EA groups increased significantly(P<0.05)
suggesting a marked decrease of pain threshold.Compared with CCI group
PWLDV of CCI+EA group at 3 w decreased significantly(P<0.05)
being close to normal control group(P>0.05).Compared with OVX+CCI group
PWLDV of OVX+CCI+EA at 2 w and 3 w lowered significantly(P<0.05)
suggesting an evident pain relief.In comparison with CCI+EA group
PWLDV of OVX+CCI+EA group at most time courses were considerably higher(P<0.05)
showing a better cumulative analgesic effect in CCI rats without OVX.In CCI group
plasma β-EP increased slightly
ACTH had no clear changes
and COR lowered lightly at 2 t.No significant differences were found between control and CCI+EA groups in β-EP and ACTH levels at 2 w and 3 w(P>0.05)
only COR levels of CCI+EA group at 2 w and 3 w increased significantly(P<0.05).Compared with control group
β-EP levels of OVX+CCI group at 2 w and 3 w increased significantly(P<0.05);plasma ACTH had no marked changes(P>0.05);COR contents of OVX+CCI group decreased evidently at 2 t and increased markedly at 2 w(P<0.05).Compared with OVX+CCI group
in OVX+CCI+EA group
β-EP levels of 2 t and 2 w decreased significantly(P<0.05);ACTH levels increased evidently at 2 t and 3 w
and decreased markedly at 2 w(P<0.05);and COR level at 2 w decreased significantly(P<0.05).It indicated that when cumulative EA analgesia appeared
in CCI animals
only plasma COR level increased pronouncedly
while in OVX+CCI rats
both plasma β-EP and COR contents decreased evidently.Conclusion: Both plasma β-EP and COR are involved in the accumulative analgesic effect of EA in the rat
and decline of learning memory ability may weaken the analgesic effect of EA to a certain degree
but no clear correlation tendency is found between changes of plasma β-EP and COR and the improvement of pain behavior.
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