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1. 贵州医科大学临床医学院
2. 贵州医科大学附属医院
3. 贵州省遵义市中医院
纸质出版日期:2016
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杨濛, 李丽红, 王荻, 等. 穴位药物注射治疗大鼠变应性鼻炎的疗效观察及效源因素分析[J]. 针刺研究, 2016,41(3):220-224.
YANG Meng, LI Li-hong, WANG Di, et al. Analysis on Influencing Factors of Acupoint Injection of Drugs for Improving Allergic Rhinitis in Rats[J]. Acupuncture research, 2016, 41(3): 220-224.
杨濛, 李丽红, 王荻, 等. 穴位药物注射治疗大鼠变应性鼻炎的疗效观察及效源因素分析[J]. 针刺研究, 2016,41(3):220-224. DOI: 10.13702/j.1000-0607.2016.03.006.
YANG Meng, LI Li-hong, WANG Di, et al. Analysis on Influencing Factors of Acupoint Injection of Drugs for Improving Allergic Rhinitis in Rats[J]. Acupuncture research, 2016, 41(3): 220-224. DOI: 10.13702/j.1000-0607.2016.03.006.
目的:观察穴位药物注射疗法对变应性鼻炎(AR)模型大鼠的治疗作用
探讨穴位刺激因素和药物因素在穴位药物注射疗法中的作用。方法:SD大鼠60只
随机选取8只为正常组
其余采用卵清蛋白致敏的方法复制AR模型。模型成功的大鼠保留44只
随机分为模型组、穴位注射药物组(穴药组)、穴位注射生理盐水组(穴生组)、非经非穴点注射药物组(非经非穴药组)
每组11只。穴药组将利多卡因、地塞米松和转移因子混合液注射于双侧"迎香"穴及"印堂"穴
每穴0.1mL
隔日1次
共7次;非经非穴药组将药物混合液注射于大鼠左右胁下1寸处和左臀部"后海"穴与"环跳"穴连线中点3个非经非穴点
给药剂量、时间同穴药组;穴生组将生理盐水注射于穴位
取穴、注射剂量和时间同穴药组。观察治疗前后大鼠的一般行为学变化并评分
HE染色法观察鼻黏膜组织形态学变化
采用ELISA法检测血清组胺含量。结果:模型组症状评分、血清组胺含量明显高于正常组(P<0.01);穴药组、穴生组较模型组症状评分、血清组胺含量明显降低(P<0.01)
非经非穴药组无明显变化(P>0.05)。3个治疗组间症状评分、血清组胺含量比较
穴药组明显低于穴生组、非经非穴药组(P<0.05
P<0.01)
穴生组明显低于非经非穴药组(P<0.01)。结论:穴位药物注射疗法对AR有治疗作用
能有效缓解症状
有效抑制鼻炎发生重要介质组胺的释放
减轻鼻黏膜局部炎性损伤。穴位药物注射疗法的效源根本因素来源于穴位刺激
而效源增效因素来源于药物。
Objective To observe the therapeutic effect of acupoint injection of mixture solution of lidocaine
dexamethasone(DX)and transfer factor on symptoms and serum histamine contents in allergic rhinitis(AR)rats
so as to differentiate the role of acupoint stimulation or drug factor influencing the therapeutic effect.Methods SD rats were randomized into normal(n=8)
model
non-acupoint-drug injection
acupoint-drug injection and acupoint-saline injection groups(n=11in each group).The AR model was established by intraperitoneal injection of suspension of ovalbumin(0.3mg)and aluminum hydroxide(30mg)
1mL
once every other day for 7days
followed by nose-dripping of 5% ovalbumin(50μL)for other 7days.The AR scores for rhinocnesmus severity(1-2points)
sneezing times(1-3points)and nasal discharge quantity(1-3points)were assessed by cumulative quantification scoring method."Yintang"(EX-HN 3)and bilateral"Yingxiang"(LI 20)were used for acupoint injection of mixture solution of 1% Lidocaine
DX and transfer factor(1∶1∶1
0.1mL/acupoint)
once every other day for 7days.The non-acupoints were located at the bilateral sub-costal regions and the mid-point between the left"Houhai"(GV 1)and"Huantiao"(GB 30).The same dose of saline was injected into the aforementioned acupoints for control.Serum histamine content was detected by using ELISA
and the nasal mucosal pathological changes were also observed after H.E.stain.Results After the treatment
AR modeling induced increase of symptom scores and serum histamine contents were significantly decreased in both acupoint-saline injection and acupoint-drug injection groups(P<0.01)but not in the non-acupoint-drug injection group(P>0.05)
and the effects of acupoint-drug injection were markedly superior to those of non-acupoint-drug injection group(P<0.01).Conclusion Acupoint injection of mixture solution of Lidocaine
DX and transfer factor is effective in relieving the allergic symptoms and reducing the nasal mucosa inflammation in AR rats
which may be related to its action in suppressing histamine releasing
mainly by acupoint stimulation.It suggests that the therapeutic effect mainly derives from acupoint-injection stimulation
then the injected drugs.
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