最新刊期

    1985年第3期
    • 针刺复合麻醉行胃切除术临床效果观察

      张仁惠, 温科辉
      1985(3): 161-164.
      摘要:我院将胃切除术病人分为针刺复合硬膜外麻醉(简称针药组)和硬膜外麻醉(简称对照组)各10例进行比较,从中探讨针刺复合麻醉下的针刺镇痛的效应。两组病例系随机交替进行。故两组性别、年龄和手术时间等均相近似(病种见表1)。除麻醉医生固定外,术者、病人以及手术方式等没有特别要求,均按常规进行。方法 (一)穴位和刺激方法穴位:至阳、脊中。刺激方法:脊中穴接正极,用G6805针The effects of combined acupuncture anesthesia in subtotal gastrectomy were observed. The atients were Prandomly divided into two groups, with 10 patients in each group. Combined acupuncture anesthesia with epidural anesthesia was used in one group(acupuncture plus epidural drug, AD) and epidural anesthesia in the other(control, C). Comparison was done betwe- en the two groups. The case, the sex and age of the patient, and the du- ration of operation were similar in the two groups. Apart from the ane- sthesiologists who were regular in the study, the patients, the operators and the operative patterns were not specially selected. The puncture sites for epidural anesthesia were at T8-T9 and the ca- theters were inserted in 3 cm upwards. The mixture of 1% lidocaine and 0.15% dicaine was used. The premedicatant was sodium luminal 0.1g. A- gain, dolantin 50-75 mg or mixture of dolantin and phenergan 2 ml was injected intravenously just before the incision. The acupuncture points used in AD group were Zhiyang and Jizhong. The total dosage of anesthetic used in each patient and the dosage used per hour were 13.9 ml and 5.3 ml respectively in the AD group and 29.1 ml and 10.4 ml in the C group. There were significant differences between the two groups (P<0.01). The differences in dosage were also found in the same age grade of the two groups(P<0.01). In the AD group, the me- an dosages were 14.6 ml in patients aged 27-45 and 13.2 ml tin those aged 46-65. In the C group, they were 28.0 ml and 29.57 ml respectively. The anesthetic effects were satisfied and were similar in the two groups. Besi- des one case of degree II in the AD group, the remainders were all belong to degree I. The dose of ephedrine used in each case was 11.5 ml in AD group and 20 ml in C group. By combined acupuncture anesthesia, not only the anesthetic effect was promoted but less dose of anesthetic was required, thence raising the safe- ty and reducing the complication during the anesthesia. which is particula- rly preferable for the severely ill patient. However, so far as the spla- nchno-dragging pain, the post-operative pain, or, air exhaust from bowels is concerned, the after-effect of acupuncture anesthesia was not fully ma- nifested in the AD group. The reasons for this may be follows: 1) the a- cupuncture points being just in the area that was blocked by epidural blo- ckade; 2) the patients, the cases being free from selection and the opera- tors and the patterns of operation being free from restriction, thus, more local anesthetics being required; 3) in some cases, the induction period be- ing not achieved thereby affecting the accumulation of acupuncture stimuli and the elaboration of acupuncture effects. We believe that is the combined acupuncture anesthesia done, the acu- puncture points snould be selected in the limbic areas outside the regional block. principally, the acupuncture sensation should be maintained throug- hout the duration and the effect of acupuncture could be elaborated fu- lly.  
        
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    • 陈修玲, 廖小平, 黄兆民, 邝允沛, 李兰芝, 王玉珍, 周裕民
      1985(3): 165-168.
      摘要:我们在1980年应用针刺颈交感神经(简称颈交)治疗脑血管疾病所致偏瘫取得疗效之后,继续又应用颈交治疗脑血管病所致偏瘫119例,同时应用体针治疗10例,单纯服药治疗22例,共计151例。并随访观察77例,现将其结果报道如下; (一)临床资料性别:男107人,占70.9 %,女44人,占29.1%。年龄:151例中发病年龄在51~70岁之间者116例,占76.8%。偏瘫原困:脑血栓形成117例,占77.5%,脑溢血32例,占21.2%。脑栓塞2例,占1.3%。以脑血栓形成者为最多。  
        
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    • 梅花鹿“脾俞”对激光感应性的观察

      韦旭斌, 彭望奕, 王绍维, 卫中元, 李丽平
      1985(3)
      摘要:本实验采用激光烧灼“脾俞”观察血液几项指标变化和保定宁麻醉下测定部分穴位电阻值的两种方法,从穴位局部对全身的影响与全身机能变化为穴位所感度两个角度证实了梅花鹿穴位有灵敏的感应性。用CO_2激光以16.98瓦/厘米2的功率密度和101.86焦耳/厘米2的功率密度和101.86焦耳/厘米2的刺激剂量烧灼“脾俞”,使梅花鹿静脉血中T淋巴细胞比值和嗜中性白细胞噬菌率及其吞噬指数均明显升高。在保定宁麻醉下,所观察的梅花鹿穴位电阻值均显著降低,而“抢风穴”  
        
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    • 针麻肺切除(附52例报道

      李志民
      1985(3): 169-172.
      摘要:我院按统一穴位、操作方法及评级标准进行了52例针麻肺切除手术。现根据临床资料分析讨论如下: (一)一般资料本组52例患者中,男性39例,女性13例。年龄:23~30岁14例,31~40岁17例,41~50岁13例、51~60岁7例,61岁以上1例。23~50岁者占84.6%。病种:肺结核19例,支气管扩张10例,肺肿瘤10例,肺脓疡6例,肺炎性假瘤3例,其它4例。肺切除部位:右上肺叶18例,右中肺  
        
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    • 大脑皮层体感Ⅱ区在针刺镇痛中的下行性调节

      徐维, 林郁, 陈正秋, 张燕丰
      1985(3): 173-177.
      摘要:我们曾设想大脑皮层参与疼痛和针刺镇痛过程的调节机制除通过各种信息在皮层内发生整合作用外,尚有可能通过某些信息(包括针刺信息)激活皮层后产生的下行性作用。最近我们的工作表明以γ-氨基丁酸(GABA)滤纸施加于猫的大脑皮层体感Ⅱ区(SⅡ)后,电针对丘脑束旁核(Pf)伤害性反应的抑制效应被取消。在另一批实验中以2%利多卡因滤细施加于猫的SⅡ后,电针可取消丘脑中央中核(CM)的伤害性反应。这些结果提示SⅡ可能参与针刺镇痛的下行性调节。国内有资料报道刺激家兔大脑皮层体感Ⅰ区(SⅠ)可影响丘脑Pf及In our laboratory it was reported when GABA or 2% Lidocarine was placed on SII topically the acupuncture effect on nociceptive response of pf or CM neuron was abolished or decreased. This result suggested that the corticofugal modulation from SII may play a role in acupuncture ana- lgesia. In order to get further information about this problem. In the pre- sent study the effect of acupuncture on nociceptive response of pf neuro- ns which were observed on the background of SII glutaminized topically was investigated. The experiment was carried out on cats. The methods was as same as the previous work except glutamine was placed on the SII topically. The result showed on the background of SII glutaminized topically the discharge of majority of pf neurons induced by noxious stimlation might be inhibited by electroacupuncture "Zusanli" "Huantiao". The duration of acupuncture effect maintained for 10 minites. This inhibitory duration were longer than that of saline control group, but there were no statistical signi- ficance as compared in both. It was demonstrated from this experiment at least there was a difference between GABA and glutamine. The former exe- rted a decrease effect on acupuncture analgesia, while the later just exerted an opposite effect on it. Thus it may be considered that corticofugal infl- uence activated by acupuncture is involved in the modulation of nociceptive response of pf neurons.  
        
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    • 蓝斑核在针刺影响海马锥体细胞自发放电中的作用

      朱笛霓, 沈晓慧, 赵建础
      1985(3): 178-183.
      摘要:不少实验报道,海马参与针刺镇痛,而针刺既可影响痛感觉,又可影响痛情绪,其中尤对病情绪反应的压抑较强,这可能与海马的机能有关。电生理实验表明,刺激蓝斑和中缝核均显著改变海马细胞放电形式,我们也曾看到,电针、刺激蓝斑及中缝背核对海马锥体细胞均有明显抑制效应,且形态学证明脑内存在从中缝核及蓝斑核投射到海马的神经通路。中缝核与蓝斑核在针刺镇痛中似存在相互拮抗的效应,而中缝核与蓝斑核之间也存在相互抑制性控制。本文试图分别通过电刺激及损毁蓝斑,以及应用某些药物的方法,来观察该核团在针刺影响海马锥体细胞自发放电活动过程中所起的作用。  
        
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    • 二尖瓣分离扩张术的针刺复合麻醉

      邵怀壁, 李刚, 宋振瑞
      1985(3)
      摘要:本文总结我院自1966年4月至1982年7月采用针刺复合麻醉行二尖瓣分离术600例的临床经验。选用手术侧合谷、内关、臂臑、医风四穴。得气后,接G6805电麻仪作针麻维持。行二尖瓣狭窄手术的病人,呼吸功能均受不同程度的影响,开胸后将会更进一步加重,本文讨论了清醒气管内插管手法和呼吸管理的必要性。术中辅以适量镇痛药和肋间神经封闭。成功率为96.1%,失败率为3.9%。选用针刺复合麻醉不仅能避免全麻药物对心肌的抑制,而且有稳定及提高循环功能的作用。本组600例中,心功能Ⅳ级者113例,瓣口在0.8厘米以下者172例,术中血压均较平  
        
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    • 孙丽华, 时利德, 刘素珍, 蔡奎, 马晓玲, 郑谦, 滕国玺
      1985(3): 184-188.
      摘要:我们以前报道过,强刺激内脏大神经时,在猫对侧丘脑后核区可找到产生诱发放电的单位,说明内脏大神经传入纤维投射到丘脑后核区。并且,用静脉注射杜冷丁(5毫克/公斤)的方法证明了该诱发放电具有内脏痛放电的性质。有关内脏大神经不同类型纤维传入冲动在猫丘脑VPL等核引起相应的诱发单位和诱发单位放电已有报道,但丘脑后核由内脏大神经传入冲动引起的诱发放电与其不同类型纤维兴奋之间的关系尚未见报道。本实验对此做了探讨。  
        
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    • 于船, 张泉鑫, 张克家
      1985(3)
      摘要:作者采用神经药理学的方法,研究了与神经介质有关的肽酶抑制剂D-苯丙氨酸和D-亮氨酸对激光穴位刺激镇痛作用的影响。实验动物为家兔和绵羊;药物经静脉注射(对照组注射同体积的生理盐水);激光刺激“百会”(He-Ne激光刺激15分钟,CO_2激光刺激3~5分钟);用K_+透入法测痛,从通电刺激开始到动物出现摆耳、摆头反应时的电流强度作为痛阈值的指标。实验结果表明,肽酶抑制剂D-苯丙氨酸或D-亮氨酸可增强和延长激光刺激家兔和绵羊穴位时提高痛阈的效应:兔增强20~30%(P<0.01),绵羊增强80%(P<0.05),CO_2激光  
        
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    • 损毁双侧伏核对电针“足三里”激活中缝大核效应的影响

      刘乡, 陈振荣, 张守信
      1985(3): 189-193.
      摘要:我们以往的工作证明电针大鼠“足三里”可激活中缝大核(NRM)神经元,并抑制其伤害性反应。这种效应可被纳洛酮所翻转。NRM是下行抑制系统的主要起源部位又可看做脑内镇痛系统的最后驿站。它的活动的受脑内高位镇痛中枢的调控,在整体内发挥镇痛作用。我们以往研究了导水管周围灰质(PAG)和尾核对NRM的调控作用,看到损毁PAG和尾核头部后电针“足三里”的镇痛作用均明显减弱。代核为位于脑中线附近的结构,有吗啡受体及脑啡肽能神经纤维的分布。伏核微量注射吗啡可引起镇痛作Our previous work demonstrated that periaqueductal gray matter (PA G) and head of N. caudate participate in the effect of EA on neuron of N. raphe magnus (NRM), and the action involve in endorphin within them. N. accumbens (NAC) was a structure near the middle line of brain, in which there were some enkephalinergic fibers and opiate receptor. But it is unknown whether it participates in the effect of EA on neuron of NRM, a origin of the descending pain inhibitory system. To solve the problem the unit discharge of NRM in the rat was recorded extracellularlywith glass microelectrode, and the effect of EA on it was observed after lesion of bi- lateral NAC with electrolysis. The results were obtained as follows. 1. The effect of EA of "Zusanli" on the excitatory neurons of NRM (n=13) were observed. The increase of spontaneous discharge at o, 5 and 15 min and decrease of nociceptive response at o - 20 and 30 min a- fter EA for 5 mins was statistically significant. 2. After lesion bilateral N. accumbens, the effects of EA on the excitatory neuron in NRM (n=15) were obviously diminished. The spo- ntaneus discharge was only activated at o min, but at 5 - 30 min they all were approached the control level before EA. The nociceptive response was only lower than control at o min, and it was higher than control level at 5~30 min, even it was quite evident at 15~20 min. The data suggest N. accumbens participate in the analgesia induced by activation of EA on NRM neuron. 3. Aftter lesion of bilateral N. accumbens, the effect of injection (i.p.) of fentanyl on NRM neurons had not evident change. Nociceptive response was inhibited, and it was statistically significant at 15, 20 min. But the effect was lower than control group (7 excitatory neurons.) Sponta- neus discharge was also inhibited for a certain degree. The results showed that the influence of N. accumbens on effect of opiates was weaker than EA.  
        
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    • 于船, 张泉鑫, 陆钢
      1985(3)
      摘要:本实验采用5-HT的前体物质L-色氨酸(家兔剂量20毫克/公斤,绵羊剂量5毫克/公公);提高脑内5-HT含量的胰岛素(家兔剂量0.5单位/公斤),分别对家兔和绵羊进行静脉注射,然后用二氧化碳激光或氦氖激光刺激动物“百会”。应用钾离子透入法,观察它们对激光穴位刺激镇痛作用的影响。结果表明,L-色氨酸和胰岛素均能显著提高家兔或绵羊激光穴位刺激的镇痛效果,与对照组比较,P<0.01或P<0.05。提示5-HT能神经原及  
        
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    • 大鼠尾核头部微量注射纳洛酮和多巴胺对电针效应的影响

      朱兵, 刘乡
      1985(3): 194-198.
      摘要:尾核不但参与躯体运动的调节,也和感觉机能有关。我们以往的工作表明,刺激大鼠尾核头部能够激活大多数中缝大核(NRM)神经元的自发放电和抑制其伤害性刺激诱发的反应;在尾核头部前区微量注射吗啡也能明显地抑制NRM神经元的伤害感受性反应;电针“足三里”穴激活NRM神经元自发放电和抑制伤害感受性反应的效应在电解损毁双侧尾核头部后明显降低。这些结果均表明,尾核头部参与对疼痛的调节和控制;其效应至少有一部分是通过脑Experiments were performed on the male rats (250-350g) anesthetized with urethane (1.0g/kg i. p). The unit discharge of nucleus raphe magnus (NRM) was extracellularly recorded with glass microelectrode. The influ- ences of naloxone and DA injected in the head of caudate nucleus on effect of electroacupuncture (EA) upon NRM neurons were observed. 1. Influence of naloxone microinjected in the head of caudate nucleus on effect of EA The firing rate of major NRM neurons was not altered and nociceptive response was slightly increased by the operation itself of microinjectng na- loxone in the head of caudate nucleus (n=10). But after injection of na- loxone (5μg/ 1μl on each side, n=17) into the caudate nucleus, the effect of EA on NRM neurons was clearly attenuated. The naloxone administrarion group was compared with the control group injected saline in the caudate nucleus (n=15), the reduction of inhibition of EA on the nociceptive re- sponse was statistically significant during 1-25 min. These results suggested that the effect of EA on NRM neurons could be abolished by local injecti- on of naloxone into the head of caudate nucleus and that OLS in this re- gion was involved in the acupuncture analgesia. 2. Influence of DA microinjected in the head of caudate nucleus on effect of EA The firing rate and its nociceptive response of major NRM neurons we- re unaffected by the operation itself of microinjecting DA into the caudate nucleus (n=12). The effect of EA on NRM neurons was not evidently attenuated following local injection of DA (4μg/1μl on each side. n=16) into the caudate nucleus, but the post-effect of EA was obviously shortened by DA. Compared with control group injected saline, the difference of noci- ceptive response in both was satistically significant during 10-15 min. These result suggested that the effect of EA on NRM neurons could be shortened by local injection of DA into the head of caudate nucleus and DA in this region played some antagonism on acupuncture analgesia.  
        
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    • 针刺镇痛对大鼠纹状体及脊髓内单胺类递质的影响

      钱曾年, 顾振纶, 潘建新
      1985(3): 199-201.
      摘要:在针麻原理研究中,已证明针刺镇痛与中枢神经递质有关,其中对5-羟色胺(5-HT)能神经系统的关系更为密切。然而在针刺镇痛后对动物各脑区5-HT含量的影响,各家报道并不完全一致。已有报道在电针后可使小白鼠皮层及丘脑中5-HT含量升高,为进一步阐明针刺镇痛与中枢5-HT能神经元系统的关系,本文用荧光法测定大白鼠针刺镇痛后纹状体及脊髓中5-HT及5-羟吲哚醋酸(5-HIAA)含量的变化,同时也观察了对去甲肾上腺素(NE)及多巴胺(DA)含量的影响。兹将初步结果报道如下:It is well established that the effect of acupuncture analgesia was relevant to the transmitters of CNS, especially to the serotoninergic neuronal system in the brain However, the reports about the effect of acupuncture on the serotonin (5-HT) levels in brain areas were varied. In order to further expose the relationship between acupuncture analgesia and serotninergic neuronal system in CNS, the present study estimates the changes of 5-HT and 5-hydroindole acetic acid (5-HIAA) levels in the striata and spinal cords in rats during acupuncture. At the same time we also observed the changes of levels of norepinephrine (NE) and dopamine (DA). Rats of either sex, weighing between 160-200g, were used. Electro- acuupuncture wes applied to the points on the upper and lower lips of rats corresponding to "Renzhong" and "Chengjing" in man respectively. The analgesia effects of electro-acupuncture were estimated the changes of pain threshlod by tial flick method. Rats were killed by decapitation, the striata and spinal cords were rapidly removed and then 5-HT, 5-HIAA, NE and DA measured were immediately by means of fluorometeric method. The results were obtained as follows: 1. Elevation of pain threshold in rats after electro-acupuncture was 341.02% (N=12. P<0.001). 2. The levels of 5-HT and 5-HIAA in striata of rats with electroacu- puncture increased by 14.70%. (N=11, P<0.05), 41.04% (N=7, P<0.01) as compared with the control group, and those in spinal cords were 18.13% (N =11, P>0.05) and 21.70%, (N=11 P<0.05), respectively. 3. The levels on NE in both tissues did not change significantly, while those of DA in striata, increased but there was no ststistical significance. The results suggest that both ascending and descending 5-HT pathways play an important role in the acupuncture analgesia.  
        
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    • 电针足三里穴对脊髓背角内P物质致痛效应的影响

      黎春元, 朱丽霞, 吉长福
      1985(3): 202-206.
      摘要:有关针刺镇痛原理的许多研究工作均已说明针刺穴位可激活机体的抗癌系统,释放有关递质参与痛觉的调制。那么,在针刺镇痛过程中,痛觉通路上的致癌物质受到何种影响?有何变化?对此了解较少。 P物质是初级传入神经末梢在脊髓背角释放的一种神经递质,有工作表明它主要分布于细的初级传入神经内,特别是C类纤维的末梢,因而它与伤害性感受可能有着密切的关系。为进一步研究针刺镇痛的脊髓机理,我们观察了电针足三里穴对脊髓背角内微电泳导入P物质产生的致痛效应的影响。  
        
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    • 于耀才, 石玲
      1985(3)
      摘要:本文报道的50例中,初产13例,经产37例。年龄在15~45岁。孕周是27~35周。宫高为25~36厘米。治疗方法采用艾条温和灸双侧至阴穴,取仰卧位,每日一次,每次15分钟。共总有效率为93.03%,无效率为6.97%。认为灸至阴穴纠正胎位异常的效果是确切的,多半灸1~5次即可纠正。此法适用于世界各个国家和民族,对降低臀位产或横位产的发生率效果可靠安全。主张以妊娠28~34周  
        
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    • 痛阈与穴位处皮肤内胆碱酯酶阳性神经成分的关系

      林子明, 罗秋云, 曹福元, 梁勋厂, 茹立强, 艾民康
      1985(3): 207-211.
      摘要:穴位处痛阈的高低与该处皮肤组织内神经成份的数量及种类究竟有无关系?穴位皮肤局部神经成份及数量与该处电针诱导后对提高全身痛阈有无关系?假若穴位局部应用交感神经化学切断剂后对穴位处痛阈有无影响?这些问题都值得探讨。材料和方法本实验共选用21只雄性大白鼠。 (一)选用雄性大白鼠6只,用WQ-PE型痛阈测量仪于安静、稳压的情况下,每次按序测量相当于“足三里”、“环跳”、“涌泉”、“劳宫”、“承浆”和“人中”等六个The relationship between the pain threshold and acetylcholinesterase(A- ChE) or cholinesterase(ChE) positive nerves in the skin at acupoints of ma- le ratswas observed by means of histochemical methods. It was found that the more the AChE positive nerves including the endings, small trunks and ne- rves surrounding the arteriole in the skin at acupoint, the lower the local pain thresholds of the acupoint (measured at the acupoint-skin). After the acupoints were electro-acupunctured for 30 minutes, although there was a marked rise of general pain threshold measured at the rats' tail, the elevated level after needling the acupoints containing more AChE-positive nerve endings was lower than that after needling those containing less nervous elements. The results may imply that to elevate the general pain threshold of the rat does not need to choose the acupoint which is rich in AChE posi- tive nerves. If the sympathetic nerves in the skin of acupoint has been in- jured by 6-OHDA, a marked decrease of local pain threshold of skin can be estimated. This indicates that the peripheral sympathetic nerve may have certain effect on the afferent conduction of painful information.  
        
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    • 5-羟色胺在低频和高频电针镇痛中都起重要作用

      张敏, 韩济生
      1985(3): 212-215.
      摘要:我们在1975年首先报道,给家兔脑室注射5-羟色胺(5-HT)合成阻断剂对氯苯丙氨酸(PCPA)使间脑和低位脑干5-HT含量分别降低79.2%和48.5%,电针镇痛效果减弱63%。1976年又报道给大鼠腹腔注射pCPA300mg/kg使脑干、间脑、端脑5-HT含量分别降低73.2%、77.2%和85.1%,电针镇痛效果降低79%,上述效应并可为腔室注射5-羟色胺酸所翻转,从而认为中枢5-羟色胺在电针镇痛中起着重要作用。这一结论得到其后很多工作的支持。  
        
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    • 腹腔注射6-羟多巴胺对电针镇痛作用的影响

      叶智文, 娄艾琳, 郑肖钊, 彭俊云, 程兰英, 白呼群, 孙东, 左和鸣
      1985(3): 216-220.
      摘要:以往的临床和实验研究观察到针刺效果的优劣与交感神经的功能状态以及血中5羟色胺(5-HT)的含量有密切关系。为了进一步探讨外周交感神经在针刺镇痛中的作用及其途径,我们利用腹腔内注射6羟多巴胺(6-OHDA)损毁外周交感神经纤维末梢。减弱其功能活动,观察对针刺镇痛作用的影响并同时检查了血中5-HT和5羟吲哚醋酸(5-HIAA)的含量以及胃壁APUD细胞5-HT荧光强度的变化。从中分析外周交感神经的功能状态与外周5-HT的关系。  
        
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    • 针刺家兔“足三里”捻转强度对小肠运动的影响

      于致顺, 于跃才, 孙申田, 姜松林, 朱成贤, 王新梅
      1985(3)
      摘要:针刺家兔“足三里”穴,采取不同捻转程度,用霍耳原理以观察小肠运动,从而证明手法的作用。实验分重捻转组(约200次/分,持续5分钟);轻捻组(30~40次/分、持续5分钟)和留针不捻组(刺入后不捻转,留针5分钟)。对照分假设针刺组,肾上腺组(0.04毫克/公斤,耳静脉注射)。每次实验在波形稳定后10~20分左右给予刺激。效应以针前5分钟与捻转或留针过程中对比,变化少于20%者为无效应。实验结果:假设针刺组无效应(t=1.24,P>0.4);药物组则与药物作用完全一致。  
        
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    • 强暗示下对250例患者循径感传现象的观察

      原存信, 阎长瀛
      1985(3): 221-225.
      摘要:我国循经感传研究的大量资料证明,循经感传现象是客观存在的。但是,循经感传目前尚无可靠的客观指标,其研究方法是靠受试者主观感觉诉说,人们在研究循经感传“气至病所”等课题时,就是在尽量避免对受试者的暗示或启发的情况下进行的。暗示或启发对循经感传有无影响?这是循经感传、经络实质研究中急需解决的一个重要而又严峻的问题。然而,国内对这方面的研究课题都不多见。我们在强暗示下观察了250例患者十二经循经感传现象。现将观察方法及其结果总结如下。  
        
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    • 电刺激穴位诱发内脏神经反射电活动的分析

      华兴邦, 何志娟, 朱玲英, 闻春年
      1985(3)
      摘要:在38只家兔上应用电刺激穴位诱发躯体内脏反射的方法研究电针刺激参数、穴位与这种反射的关系,以及延脑中枢机能状态对这种反射的影响。在清醒、肌松、人工呼吸的动物上,于左侧腹膜外分离出内脏神经节后支,引导传出放电,在“足三里”穴区插入一对毫针,应用不同强度、频率、串长的方波刺激穴位,应用生理记录仪记录血压、神经反射放电及其积分脉冲数,同时触发双线示波器摄影,根据记录测定反射的潜伏期、兴奋期反应、抑制期,结果如下: 1.电刺激穴位引起内脏神经反射电活动是由兴奋期及抑制期二相组成,反射潜伏期在  
        
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    • 论腧穴的相对特异性

      陈克勤
      1985(3): 226-234.
      摘要:由于针灸对有机体的影响,在一般情况下具有良好的双向调整作用,加之腧穴的特异性是相对的,所以往往针灸同一腧穴对多种病症有效,一种病症可以用不同的腧穴来治疗。另外,近年来在针灸临床(包括针刺麻醉)工作中,发现针灸、针麻的处方、配穴很杂乱,一种病症或一种手术,可取十几个,甚至几十个穴位。鉴于以上情况,有必要对腧穴特异性研究方面的一些资料进行介绍,以便引起有关同道们的注意,并应在此基础上更进一步的通过研究,筛选出疗效卓著,作用明显的穴位来,为逐步实现“效佳”“精简”“标准化”“规范化”的针灸处方提供科学根据。  
        
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    • 针灸针麻科研论证会情况

      艾迪特
      1985(3): 235-241.
      摘要:为了促进针灸针麻研究工作进一步深入,保持我国的中医特色、实现中医现代化和在世界上的领先地位。对今后三、五年内研究的设想和如何落实等问题,全国针灸针麻科研协作办公室于今年六、七月先后在北京、桂林两地召开了针灸临床研究、针麻原理及经络研究等四个科研论证会。与会的专家和代表均对各专业的发展情况进行了回顾,提出了目前存在和应注意的问题,并对各专业“七·五”期间的规划提出了一些建议。现将各专题会议的情况分述如下。  
        
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