世界中医药2024,Vol.19Issue(6) :793-801.DOI:10.3969/j.issn.1673-7202.2024.06.006

归芪活血胶囊对神经根型颈椎病大鼠炎性损伤和微循环血流的影响

Effects of Guiqi Huoxue Capsules on Inflammatory Injury and Microcirculation Blood Flow in Rats with Cervical Spondylotic Radiculopathy

嵇波 刘翼天 赵国桢 李博 方洋 石天宇 谢亚娜 张玲 郭亭廷 全烨 王一菲 吴乐
世界中医药2024,Vol.19Issue(6) :793-801.DOI:10.3969/j.issn.1673-7202.2024.06.006

归芪活血胶囊对神经根型颈椎病大鼠炎性损伤和微循环血流的影响

Effects of Guiqi Huoxue Capsules on Inflammatory Injury and Microcirculation Blood Flow in Rats with Cervical Spondylotic Radiculopathy

嵇波 1刘翼天 1赵国桢 2李博 2方洋 1石天宇 1谢亚娜 1张玲 1郭亭廷 1全烨 1王一菲 1吴乐1
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作者信息

  • 1. 北京中医药大学针灸推拿学院,北京,102401
  • 2. 首都医科大学北京中医医院,北京,100010
  • 折叠

摘要

目的:探究归芪活血胶囊(GQ)对神经根型颈椎病(CSR)大鼠的治疗效应及机制.方法:观察CSR大鼠自发痛、热痛阈、步态评分、前肢和颈部体表微循环状态、脊髓病理结构及超微结构变化、脊髓p38磷酸化情况以及血清白细胞介素-1β(IL-1β)、IL-6以及肿瘤坏死因子-α(TNF-α).结果:GQ高、中剂量在干预第14天时可显著升高CSR模型大鼠的热痛阈(P<0.05),降低其步态评分和自发痛评分(P<0.05,P<0.01);GQ各剂量均可改善CSR大鼠脊髓炎症水肿变化,显著增加尼氏(Nissl)染色阳性细胞数目(P<0.05),恢复髓鞘和线粒体正常形态,且GQ中剂量效果较明显;GQ高、中剂量可显著升高CSR大鼠颈部和前肢皮肤血流灌注量(P<0.05),对前肢远端血流灌注量的改善程度优于芬必得组(P<0.01);与模型组比较,GQ中剂量可降低CSR大鼠脊髓p38磷酸化比率.结论:GQ可以缓解CSR大鼠热痛觉过敏和步态不稳的程度,改善脊髓炎症病理变化,恢复前肢和颈部体表血流灌注量,且GQ中剂量在改善CSR大鼠炎症损伤方面更有优势.

Abstract

Objective:To explore the therapeutic effect and mechanism of Guiqi Huoxue Capsules(GQ)on cervical spondylotic ra-diculopathy(CSR)in rats.Methods:Spontaneous pain,thermal pain threshold,gait score,body surface microcirculatory status of forelimbs and neck,pathological structural and ultrastructural changes of the spinal cord,phosphorylation of p38 in the spinal cord,and serum serum interleukin-1 β(IL-1β),IL-6,and tumor necrosis factor-α(TNF-α)in CSR rats were observed.Results:High and medium-dose GQ could significantly increase the thermal pain threshold of CSR model rats after 14 days of intervention(P<0.05),reduce their gait score and spontaneous pain score(P<0.05,P<0.01).All GQ doses groups could improve spinal cord inflammatory edema in CSR rats,significantly increase the number of Nissl-stained positive cells(P<0.05),restore normal mor-phology of myelin sheaths and mitochondria.The medium-dose of GQ showed more significant effects.High and medium doses of GQ could significantly increase skin blood perfusion in the neck and forelimbs of CSR rats(P<0.05),with a greater improvement in distal forelimb blood perfusion than the ibuprofen group(P<0.01).Compared to the model group,the medium-dose GQ could reduce the phosphorylation ratio of p38 in the spinal cord of CSR rats.Conclusion:GQ can alleviate the degree of thermal hyperal-gesia and gait instability,improve the inflammatory pathological changes in the spinal cord,and restore the volume of body surface perfusion in the forelimbs and neck in CSR rats,and the medium-dose GQ is more advantageous in improving inflammatory injury in CSR rats.

关键词

归芪活血胶囊/神经根型颈椎病/疼痛/炎性损伤/体表微循环/活血通络/抗炎镇痛/p38

Key words

Guiqi Huoxue Capsules/Cervical spondylotic radiculopathy(CSR)/Pain/Inflammatory injury/Surface microcircula-tion/Activating blood and dredging collaterals/Anti-inflammatory and analgesic effects/p38

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基金项目

"重大新药创制"科技重大专项(2018ZX09201010)

北京中医药大学校级科研横向发展基金(2030071720017)

出版年

2024
世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
参考文献量29
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