中国当代医药2024,Vol.31Issue(26) :4-8.

内热针治疗兔膝骨关节炎的作用机制

Mechanism of inner heating dry needle in the treatment of knee os-teoarthritis in rabbits

杨芳洁 喻仁宇 何坚
中国当代医药2024,Vol.31Issue(26) :4-8.

内热针治疗兔膝骨关节炎的作用机制

Mechanism of inner heating dry needle in the treatment of knee os-teoarthritis in rabbits

杨芳洁 1喻仁宇 2何坚3
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作者信息

  • 1. 福建生物工程职业技术学院康复保健系,福建 福州 350000
  • 2. 福建中医药大学附属人民医院传统特色诊疗中心,福建 福州 350000
  • 3. 福建中医药大学康复医学院,福建 福州 350000
  • 折叠

摘要

目的 观察膝骨关节炎实验兔内热针治疗后的基本状态、行为学,血清P物质(SP)、膝关节液白细胞介素-8(IL-8)、白细胞介素-1β(IL-1β)的水平变化,探讨内热针对膝骨关节炎实验兔的潜在治疗机制.方法 16只新西兰兔通过随机数字表法分为空白组、模型组、塞来昔布组、内热针组,每组4只.利用木瓜蛋白酶方法诱发模型组、塞来昔布组、内热针组的膝骨关节炎模型.内热针组在内膝眼、犊鼻、阳陵泉、足三里进行治疗,自造模之日起第14、21、28、35天各进行1次,每次治疗20 min,共4次.塞来昔布组则在同一时间点灌服塞来昔布(24mg/kg),每日1次,共4次.空白组与模型组未进行任何治疗.治疗前后对实验兔进行改良Lequesne MG量表评分.治疗结束后,收集实验兔血液、膝关节液样本,通过酶联免疫吸附法(ELISA)检测各组实验兔的血清SP、膝关节液中IL-8、IL-1β表达水平.结果 模型组实验兔造模后,与空白组相比较展现出食欲下降、精神不振、活动量减少等现象,内热针组相比模型组这些症状明显得到改善;模型组、塞来西布组和内热针组在造模后Lequesne MG评分高于空白组,差异有统计学意义(P<0.05).内热针组、塞来西布组干预后Lequesne MG评分低于模型组,差异有统计学意义(P<0.05).模型组、塞来昔布组实验兔在取材后血清SP表达水平高于空白组,差异有统计学意义(P<0.05).内热针组实验兔干预后血清SP表达水平低于模型组,差异有统计学意义(P<0.05).模型组实验兔在取材后膝关节液中IL-8、IL-1β表达水平高于空白组,差异有统计学意义(P<0.05).塞来昔布组、内热针组干预后膝关节液中IL-8、IL-1β表达水平低于模型组,差异有统计学意义(P<0.05).内热针组干预后膝关节液中IL-8、IL-1β表达水平低于塞来昔布组,差异有统计学意义(P<0.05).结论 内热针治疗可能通过降低血清SP表达水平以及抑制膝关节液中炎症介质IL-8、IL-1β的表达,进而有效治疗膝骨关节炎.

Abstract

Objective To observe the basic status,behavior,serum substance P(SP),interleukin-8(IL-8),interleukin-1 β(IL-1β)levels of knee osteoarthritis experimental rabbits after treatment with inner heating dry needle.To explore the po-tential therapeutic mechanism of internal heat on experimental rabbits with knee osteoarthritis.Methods Sixteen New Zealand rabbits were divided into blank group,model group,Celecoxib group and inner heating dry needle group according to random number table method,with 4 rabbits in each group.The knee osteoarthritis models of model group,Celecoxib group and inner heating dry needle group were induced by papain method.The inner heat acupuncture group was treated in Neixiyan(EX-LE4),Dubi(ST35),Yangliangqiu(ST34)and Zusanli(ST36),once on the 14th,21st,28th and 35th day from the date of molding,each treatment was 20 minutes,a total of four times.The Celecoxib group was given Celecoxib(24 mg/kg)once daily for four times at the same time point.The blank group and the model group did not receive any treatment.The modified Lequesne MG scale was used to score experimental rabbits before and after treatment.After treatment,blood and knee fluid samples of experimental rabbits were collected,and the expression levels of IL-8 and IL-1 β in serum SP and knee fluid of experimental rabbits in each group were detected by enzyme linked immunosorbent assay(ELISA).Results Compared with the blank group,the rabbits in the model group showed decreased appetite,low spirit and reduced activity,and these symptoms were significantly improved in the internal heating dry needle group.The Lequesne MG scores of model group,Celecoxib group and internal heating dry needle were higher than that of blank group after modeling,and the differences were statistically significant(P<0.05).The Lequesne MG score of model group was higher than that of internal heating dry needle group and Celecoxib group after intervention,and the difference was statistically significant(P<0.05).The serum SP expression level of model group and Celecoxib group were higher than that of blank group,and the differences were statistically significant(P<0.05).The level of SP expression in the experimental rabbits in the internal heating dry needle group was lower than that in the model group after intervention,and the difference was statistically significant(P<0.05).The expression levels of IL-8 and IL-1β in knee fluid of model group were higher than those of blank group,and the differences were statistically significant(P<0.05).The expression levels of IL-8 and IL-1β in knee fluid of Celecoxib group and inner heating dry needle group after intervention were lower than those of model group,and the differences were statistically significant(P<0.05).The expression levels of IL-8 and IL-1β in the knee fluid of the inner heating dry needle group after intervention were lower than those of Celecoxib group,and the differences were statistically significant(P<0.05).Conclusion The treatment of inner heating dry needle may reduce the expression level of serum SP and inhibit the expres-sion of inflammatory mediators IL-8 and 1L-1β in knee fluid,so as to effectively treat knee osteoarthritis.

关键词

内热针/膝骨关节炎/实验兔/P物质/白细胞介素-8/白细胞介素-1β

Key words

Moxibustion/Knee osteoarthritis/Experimental rabbits/Substance P/Interleukin-8/Interleukin-1β

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基金项目

国家重点研发计划项目(2022YFC2009704)

国家自然科学基金资助项目(JCZX202324)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
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