首页|早期推拿后大鼠24h内疼痛变化特点的研究

早期推拿后大鼠24h内疼痛变化特点的研究

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目的 通过机械、温度伤害感受变化评价早期推拿镇痛启动后,慢性压迫性神经损伤(minor CCI)模型大鼠24 h内疼痛变化情况及疗效最优时间点,为推拿镇痛启动疗效提供支撑.方法 将49只SD大鼠随机分为7组,即假手术组、模型组、推拿后即刻组、推拿后6 h组、推拿后12h组、推拿后18 h组与推拿后24 h组.模型组和推拿各亚组建立minor CCI模型.推拿各亚组在造模后7 d进行1次三法三穴干预;模型组与假手术组进行抓握束缚.干预结束后对推拿各亚组、模型组及假手术组先后进行冷敏阈值(CST)、机械缩足反射阈值(PWMT)和热缩足反射潜伏期(TWL)测试不同性质痛觉的变化;取血清进行ELISA测试白介素-10(IL-10)和肿瘤坏死因子(TNF-α)的变化;取造模侧背根神经节(DRG)进行qPCR检测;观察TNF-α、TRPV1和TRPA1基因表达的变化.结果 行为学检测显示CST、PWMT、TWL均有不同程度的降低或延长;ELISA检测大鼠血清IL-10、TNF-α显示明显降低;qPCR检测显示TNF-α、TRPV1、TRPA1基因表达均减少,但三种检测方法结果显示指标变化显著时间点均不相同.结论 对于CST、PWMT、TWL三种不同伤害性感受阈值,推拿干预后24h内的镇痛疗效显著时间点不同;推拿可通过降低IL-10、TNF-α、TRPV1和TRPA1的表达发挥即刻镇痛和持续镇痛作用.
Study on the characteristics of pain changes in rats within 24 hours after early massage
Objective To evaluate the changes of pain within 24 hours and the optimal time point of efficacy of minor chronic constriction injury(Minor CCI)model rats after the initiation of early massage analgesia through the changes of mechanical and temperature injury perception,so as to provide support for efficacy of the initiation of massage analgesia.Methods 49 SD rats were randomly divided into 7 groups,namely the sham operation group,the model group,the immediate effect group after massage,6 hours group after massage,12 hours group after massage,18 hours group after massage and 24 hours group after massage.Minor CCI model was established in the model group and the massage subgroups.Each subgroup of massage underwent one intervention of three traditional Chinese medicine treatments methods and three points at 7 days after the modeling.Grip intervention was performed in the model group and the sham operation group.After the intervention,cold sensitivity threshold(CST),paw withdrawal mechanical threshold(PWMT)and thermal withdrawal latency(TWL)were tested for different types of pain in each subroup of massage,the model group and the sham operation group.The serum of the patients was taken,and enzyme linked immunosorbent assay(ELISA)was used to test the changes of levels of interleukin(IL)-10 and tumor necrosis factor-a(TNF-α).Model was taken and dorsal root ganglion(DRG)was measured by real-time quantitative polymerase chain reaction(Real-time qPCR).The changes of expression levels of TNF-α,TRPV1 and TRPA1 genes were observed.Results Behavioral tests showed that CST,PMWT and TWL all decreased or prolonged to varying degrees;ELISA detection showed the significant decrease in serum IL-10 and TNF-α levels in rat;qPCR detection showed that the expression levels of TNF-α,TRPV1 and TRPA1 genes decreased.But the results of three detection methods showed significant changes in indicators at different time pints.Conclusion For the three different injury sensitivity thresholds of CST,MWT,and TWL,the significant time points of the analgesic efficacy within 24 hours after massage intervention are different.Massage can exert immediate and sustained analgesic effects by reducing the expression levels of IL-10,TNF-α,TRPV1 and TRPA1.

three traditional Chinese medicine treatments methods and three pointsperipheral neuropathic painbehaviorenzyme linked immunosorbent assayanalgesia

杨震杰、萨出拉、于天源、陈金平、张润龙、张英琦、刘家玥、孙佳伟、张汉钰

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北京中医药大学针灸推拿学院,北京 102446

三法三穴 周围神经病理性疼痛 行为学 酶联免疫吸附试验 镇痛

国家自然科学基金项目国家自然科学基金项目北京自然科学基金项目

82074573822746757232278

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(7)