首页|膏摩法对膝关节纤维化模型兔抗炎作用研究

膏摩法对膝关节纤维化模型兔抗炎作用研究

Study on the anti-inflammatory effects of massage and herbal paste therapy on model of knee joint fibrosisin rabbits

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目的 探讨膏摩法对膝关节纤维化模型兔抗炎作用的影响.方法 选取30只无特定病原体(SPF)级雄性新西兰大白兔,随机分为空白对照组、模型组、推拿组、涂膏组、膏摩组,每组6只.空白对照组常规饲养,其余4组通过关节内损伤固定制造模型.造模1周后,推拿组给予手法治疗;涂膏组给予外敷膝痹膏;膏摩组给予膏摩法治疗.推拿组、涂膏组、膏摩组的干预频率为每天1次,连续治疗4周.干预4周后,比较各组外周血中白介素-1β(IL-1β)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)含量和各组瘢痕组织炎症评分.干预结束后收集各组瘢痕组织,通过苏木精-伊红(HE)染色进行病理观察.结果 与空白对照组相比,模型组外周血中IL-6、IL-1β、TNF-α含量均显著升高,差异均有统计学意义(P<0.05);与模型组比较,膏摩组IL-6、IL-1β、TNF-α含量显著降低,差异均有统计学意义(P<0.05);与推拿组比较,膏摩组IL-6、IL-1β含量明显降低,差异均有统计学意义(P<0.05),但TNF-α含量无明显变化.干预4周后,空白对照组、模型组、涂膏组、推拿组、膏摩组炎症评分分别为0、3、1、2、1分.HE染色显示,与模型组比较,涂膏组、推拿组、膏摩组纤维组织及纤维肉芽组织增生程度降低,间质急、慢性炎细胞及成纤维细胞数量减少;与推拿组比较,涂膏组、膏摩组增生性病变降低,且膏摩组低于涂膏组.结论 膏摩法能有效降低术后炎性反应,抑制瘢痕组织的过度纤维化.
Objective To investigate the effects of massage therapy on inflammation on model of knee joint fibrosisin rabbits.Methods 30 SPF-grade male new zealand white rabbits were randomly divided into blank control group,model group,massage group,topical paste group and herbal paste massage group,6 from each group.The blank control group was conventionally fed,while the other 4 groups underwent joint injury fixation to create the model.1 week after modeling,the massage group received manual thera-py;the topical paste group received external application of knee and arthralgia herbal paste,and the herbal paste massage group received herbal paste massage therapy.The intervention frequency for the massage group,topical paste group and herbal paste massage group was once daily for 4 consecutive weeks.The levels of interleukin-1β(IL-1β),interleukin-6(IL-6)and tumor necrosis factor alpha(TNF-α)in the pe-ripheral blood,and the score of inflammation in scar tissue were observed after 4 weeks of intervention;scar tissues were collected from each group after the intervention for HE staining pathological observation.Results Compared with blank control group,the levels of IL-6,IL-1β and TNF-α in were significantly higher than those of model group(P<0.05),the levels of IL-6,IL-1β and TNF-α in the group of plaster-massage were significantly lower than those in the group of massage(P<0.05),and the levels of IL-6,IL-1β in the group of plaster-massage were significantly lower than those in the group of massage(P<0.05).However,there was no significant change in TNF-α content.After 4 weeks of intervention,the in-flammation scores of blank control group,model group,plaster group,massage group and plaster group were 0,3,1,2,1 respectively.Caesalpinia sappan jing-eosin(HE)staining showed,Compared with the model group,the proliferation degree of fibrous tissue and fibrous granulation tissue,the number of inter-stitial acute and chronic inflammatory cells and fibroblasts were decreased in plaster group,massage group and plaster-massage group,the proliferative lesions in the plaster group and the plaster group were lower than those in the plaster group.Conclusion Herbal paste massage therapy can effectively reduce postoper-ative inflammatory reactions and inhibit excessive fibrosis of scar tissue.

knee and arthralgia herbal pastejoint fibrosisinflammatory factors

黄银僖、王程、摆雪、田育魁、郭蕾、方锐

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新疆医科大学第四临床医学院, 乌鲁木齐 830054

新疆医科大学附属中医医院关节外科, 乌鲁木齐 830099

膝痹膏 关节纤维化 炎症因子

新疆维吾尔自治区自然科学基金新疆维吾尔自治区科技创新团队(天山创新团队)项目新疆维吾尔自治区重点研发计划

2022D01C1722022TSYCTD00082021B03006-1

2024

新疆医科大学学报
新疆医科大学

新疆医科大学学报

CSTPCD
影响因子:0.76
ISSN:1009-5551
年,卷(期):2024.47(3)
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