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1. 福建中医药大学
2. 宁夏医科大学总医院
纸质出版日期:2015
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许建峰, 吴强, 林瑞珠, 等. 急性肠黏膜损伤导致躯体穴区敏化的电生理学特征[J]. 针刺研究, 2015,40(3):180-185.
XU Jian-feng, WU Qiang, LIN Rui-zhu, et al. Electrophysiological Characteristics of Sensitized Acupoints after Acute Intestinal Mucosal Injury in Rats[J]. Acupuncture research, 2015, 40(3): 180-185.
许建峰, 吴强, 林瑞珠, 等. 急性肠黏膜损伤导致躯体穴区敏化的电生理学特征[J]. 针刺研究, 2015,40(3):180-185. DOI: 10.13702/j.1000-0607.2015.03.002.
XU Jian-feng, WU Qiang, LIN Rui-zhu, et al. Electrophysiological Characteristics of Sensitized Acupoints after Acute Intestinal Mucosal Injury in Rats[J]. Acupuncture research, 2015, 40(3): 180-185. DOI: 10.13702/j.1000-0607.2015.03.002.
目的:观察急性肠黏膜损伤引起的体表敏化点-区的动态分布
测定其敏化程度的改变
总结穴位敏化的特征。方法:SD大鼠40只随机分为对照组(10只)、模型组(20只)和模型恢复组(10只)。模型组和模型恢复组采用2.5%芥子油直结肠灌注造成急性肠黏膜损伤模型
然后尾静脉注射伊文思蓝(EB)
观察由急性肠黏膜损伤引起的体表EB渗出点-区的动态分布。在此基础上
分离坐骨神经
刺激EB渗出点-区(敏化态穴区)
测定其引起坐骨神经C类纤维动作电位发放刺激的阈值
和模型组的非EB渗出区域(穴区非敏化态)、非穴位区域及对照组进行比较。结果:急性肠黏膜损伤导致的渗出点主要分布在"膝前""足三里-上巨虚"区域。刺激这些区域引起坐骨神经干C类纤维动作电位发放的阈值较非敏化部位以及对照同部位显著降低(P<0.01
P<0.05)。敏化的"膝前""足三里-上巨虚"接受2倍阈值刺激引发C类纤维动作电位发放个数多于敏化态的非穴位区域(P<0.01
P<0.05)。结论:穴位敏化后刺激阈值明显降低
敏化的穴位呈现小刺激大反应的特征。
Objective To observe the dynamic distribution of the extravasated Evans Blue(EB)dye points at the skin after acute colorectal mucosal injury(AIMI)so as to reveal characteristics of acupoint sensitization.Methods Forty adult male SD rats were randomly divided into control(n=10)
AIMI(n=20)and AIMI-recovery(n=10)groups.According to the reaction state(EB-dye extravasation)
each group was further divided into resting state(control)
sensitized state(appearance of extravasated EB points)
recovery state(disappearance of the extravasated EB points)
non-sensitization(NS
no extravasated EB points)state and NS recovery state.The AIMI model was induced by perfusion of 2.5% mustard oil into the colorectum via a thin tube.Evans blue dye was injected into the caudal vein 4hafter AIMI modeling.The distribution of plasma extravasated EB dye points at the skin of the lower limbs was observed.The C-fiber discharge of the separated ipsilateral sciatic nerve was induced by electrical stimulation of the EB-extravasated acupoints and non-acupoint at the threshold and double-fold threshold using an electric stimulator and recorded using a bioelectric amplifier-computer system.Results In AIMI rats
the extravasated EB-dye points were found to overlap the"Xiqian"and"Zusanli"(ST 36)-"Shangjuxu"(ST 37)regions.Moreover
the thresholds of C-fiber discharges induced by electrical stimulation of"Xiqian"and"Zusanli"(ST 36)-"Shangjuxu"(ST 37)regions were significantly lower than those of the regions without extravasated EB dye acupoint and non-acupoint(P<0.01
P<0.05).The numbers of C-fiber discharges evoked by 2-fold threshold electro-stimulation at the "Xiqian"and "Zusanli"(ST 36)-"Shangjuxu"(ST 37)regions were obviously more than those of stimulation of non-acupoint which were experiencing sensitized state(P<0.01
P<0.05).Conclusion In rats with acute colorectal mucosal injury
electrical stimulation of the acupoints where the extravasated EB-dye points appear may produce an obvious increase of C-fiber discharges under lower electro-stimulation threshold
suggesting a larger action of the sensitized acupoint.
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