《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (10): 938-941.

• 基础研究 • 上一篇    下一篇

电针夹脊穴对脊髓损伤大鼠皮层体感诱发电位的影响

王振宇;孙忠人;刘睿姝   

  1. 黑龙江中医药大学针灸临床神经生物学实验室,黑龙江哈尔滨市 150040
  • 收稿日期:2009-07-06 出版日期:2009-10-01 发布日期:2009-10-01
  • 通讯作者: 孙忠人

Effects of Jiaji Electroacupuncture on Cortical Somatosensory Evoked Potentials in Rats with Spinal Cord Injury

WANG Zhen-yu,SUN Zhong-ren,LIU Rui-shu   

  1. Institute of Acupuncture-Moxibustion of Heilongjiang University of Chinese Medicine, Harbin 150040, Heilongjiang, China
  • Received:2009-07-06 Published:2009-10-01 Online:2009-10-01

摘要: 目的 探讨电针夹脊穴对脊髓损伤(SCI)大鼠皮层体感诱发电位(CSEP)的影响及其对神经功能恢复的促进作用。方法 实验于2008年11月~2009年2月在黑龙江中医药大学实验动物中心完成。①制备SD大鼠T10脊髓平面的Allen's打击损伤模型,打击力度为50 g·cm。50只实验动物用随机数字表法分为假手术组(A组)、单纯损伤组(B组)、甲基强的松龙(methylprednisolone, MP)治疗组(C组)、MP+造模6 h电针治疗组(D组)、MP+造模2周电针治疗组(E组),10只/组。C、D、E组于损伤后30 min内首次按30 mg/kg,随后按5.4 mg/kg·h给予MP,每1 h给药1次,连续给23次;B组给予同C组等量的生理盐水,D、E组分别于损伤后6 h和2周开始给予电针治疗,持续到第8周。②针刺方法:在T8和T12棘突下缘两侧4 mm处取穴,0.25 mm×25 mm毫针垂直刺入5 mm,使针尖触及椎板,采用KWD-808Ⅱ型脉冲电针仪,二组导线分别上下连接针柄,正极在上,负极在下,规律交流脉充电波,给予“疏密波”,疏波频率2 Hz,密波频率100 Hz,交替持续时间1.5 ms,波宽0.4 ms,强度2 mA,持续30 min,1次/d。A、B、C组按照D组同样方法固定但不进行针刺治疗。③观察指标:1、2、4、6和8周BBB行为学评分;2、4、6、8 周CSEP;每周1次。结果 50只大鼠全部进入结果分析。所有大鼠在术前和A组术后BBB行为学评分和CSEP潜伏期检查结果均正常,组间无显著性差异(P>0.05);SCI大鼠各周BBB评分均小于A组,CSEP潜伏期长于A组,差异有显著性(P<0.05);1周时:4组动物运动功能均<7分,差异无显著性(P>0.05);2周时:C、D和E组评分>B组(P<0.05),但治疗组间差异无显著性(P>0.05);SCI大鼠CSEP潜伏期明显延长,但组间无显著性差异(P>0.05);4~8周时:各组SCI大鼠中D组评分最多并且潜伏期最短(P<0.05);4周时:评分E组、C组>B组,潜伏期E组、C组P<0.05),C组和E组间无显著性差异(P>0.05);6周时:评分E组>C组>B组,潜伏期E组P<0.05);8周时:评分E组>C组、B组,潜伏期E组P<0.05),但B组和C组无显著性差异(P>0.05)。结论 电针夹脊穴对脊髓损伤大鼠神经功能的恢复有促进作用,先期电针干预的效果好于后期。

关键词: 夹脊电针, 脊髓损伤大鼠, 皮层体感诱发电位, BBB行为学评分

Abstract: Objective To explore the effects of Jiaji electroacupuncture on the cortical somatosensory evoked potentials(CSEP) and promotion of the function recovery in rats with spinal cord injury(SCI).Methods The experiment was performed in the Medical Experimental Center of Heilongjiang University of Chinese Medicine from November 2008 to February 2009. ①Allen's injury model of T10 spinal cord was established in SD rats with strike force of 50 g·cm. Fifty SD rats were divided into sham operated group (group A), only SCI group (group B), MP treatment group (group C), MP treatment+6 hours after SCI electroacupuncture treatment group (group D) and MP treatment+2 weeks after SCI electroacupuncture treatment group (group E) by means of random number table, ten rats in each group. For groups C, D and E first administration of MP (30 mg/kg) was taken within half hour after SCI, followed by 23 successive administration of MP(5.4 mg/kg·h) for every each hour. Equal amount of normal saline was given group B as that for group B. For groups D and E, electroacupuncture treatment was began 6 hours and 2 weeks after SCI respectively. ② Acupuncture method: The filiform needles of 0.25 mm×25 mm were vertically inserted into the acupoints 5 mm deeply, which were located at 4 mm away from the bilateralis of the lower margin of T8 and T12spinous process. KWD-808Ⅱ Electroacupuncture instrument was adopted with dilatational wave of AC PULSE current. The current intensity was 2 mA and the frequency was 2/100 Hz. Needles were kept in muscles for 30 minutes once a day, until the 8th week. ③Observation index: BBB score was used once a week at 1st, 2nd, 4th, 6th, 8th weeks and CSEP was observed once a week at 2nd, 4th, 6th, 8th weeks after SCI. Results 50 SD rats were all involved in the result analysis. The BBB score and the latency period of P1 in CSEP in each group were normal, there was no significant difference among them(P>0.05); The BBB score was less and the latency period was longer in SCI groups than that in group A, the difference was significant(P<0.05); At 1st week after SCI: The score was less than 7 in SCI groups (P>0.05); At 2nd week: the score in groups C, D and E was more than that in group B (P<0.05),but there was no significant difference among groups C, D and E (P>0.05); There was no significant difference among the latency period of SCI groups (P>0.05); From 4th to 8th weeks the score was the most and the latency period was the shortest in group D among SCI groups (P<0.05); At 4th week: The score was more and the latency period was shorter in groups E and C than that in group B (P<0.05), but there was no significant difference between groups C and E (P>0.05); At 6th week: The score was more and the latency period was shorter in group E than that in groups C and B (P<0.05), the score was the fewest and the latency period was longest in group B among SCI groups (P<0.05); At 8th week: The score was more and the latency period was shorter in group E than that in groups C and B (P<0.05), but there was no significant difference among group C and B (P>0.05).Conclusion The Jiaji electroacupuncture has promotion of the function recovery in rats with SCI and the effects of early electroacupuncture intervention are better than the later stage.

Key words: Jiaji electroacupuncture, rats with spinal cord injury, cortical somatosensory evoked potentials (CSEP), Basso-Beattie-Bresnahan score(BBB)