[1]于心同,杨文佳,赵 娜,等.电针对围绝经期失眠大鼠睡眠觉醒脑电图及血清性激素水平的影响[J].陕西中医,2022,(10):1326-1331,1358.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.002]
 YU Xintong,YANG Wenjia,ZHAO Na,et al.Effect of electroacupuncture on sleep arousal electroencephalogram and serum sex hormone levels in perimenopausal insomnia rats[J].,2022,(10):1326-1331,1358.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.002]
点击复制

电针对围绝经期失眠大鼠睡眠觉醒脑电图及血清性激素水平的影响
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年10期
页码:
1326-1331,1358
栏目:
基础研究
出版日期:
2022-10-05

文章信息/Info

Title:
Effect of electroacupuncture on sleep arousal electroencephalogram and serum sex hormone levels in perimenopausal insomnia rats
作者:
于心同杨文佳赵 娜陈云飞
(上海中医药大学附属岳阳中西医结合医院,上海 200437)
Author(s):
YU XintongYANG WenjiaZHAO NaCHEN Yunfei
(Yueyang Hospital of Integrated Chineseand Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
关键词:
围绝经期失眠 电针 脑电图 睡眠觉醒量 睡眠结构 血清性激素
Keywords:
Perimenopausal insomnia Electroacupuncture Electroencephalogram Sleep and week Sleep structure Serum sex hormone
分类号:
R 271.116
DOI:
DOI:10.3969/j.issn.1000-7369.2022.10.002
文献标志码:
A
摘要:
目的:观察电针对围绝经期失眠大鼠睡眠觉醒脑电图及血清性激素水平的影响。方法:取40只SD雌性大鼠,按照随机数字表法分为对照组、模型组、电针组和假电针组,每组10只。采用双侧卵巢切除术复制模型,四组大鼠均行脑电图记录电极埋置术,术后恢复10 d,按分组接受不同的干预处理。通过阴道涂片观察大鼠动情周期,利用睡眠生物解析系统客观监测大鼠24 h睡眠觉醒脑电图,ELISA法测定血清促卵泡素(FSH)、黄体生成素(LH)、雌二醇(E2)水平。结果:与对照组比较,模型组、电针组和假电针组大鼠动情周期紊乱率显著增高(P<0.05,P<0.01),模型组和假电针组大鼠血清FSH、LH水平升高(P<0.01)、E2水平降低(P<0.01),电针组大鼠血清FSH升高(P<0.05)、E2水平降低(P<0.01); 模型组和假电针组大鼠24 h睡眠觉醒昼夜节律减弱,睡眠觉醒累积量在白天和全天觉醒增多、非快速动眼睡眠(NREMs)减少(均P<0.01),NREMs在白天和夜间睡眠片段化明显,短时程次数增多(P<0.05)、长时程次数减少(P<0.05,P<0.01),白天慢波睡眠到觉醒(S-W)之间的转换增多(P<0.05,P<0.01); 与模型组比较,电针组大鼠动情周期紊乱率显著降低(P<0.05),大鼠血清FSH、LH水平降低、E2水平升高(均P<0.05),电针组大鼠24 h睡眠觉醒昼夜节律趋势接近对照组,在白天和全天觉醒减少、NREMs增多(P<0.05,P<0.01),白天和夜间短时程睡眠减少、长时程睡眠增多(P<0.05,P<0.01),白天 S-W之间的转换减少(P<0.05),睡眠维持稳定。结论:电针可改善围绝经期失眠大鼠的睡眠觉醒,通过减少觉醒时间,增加睡眠时间,并改善其睡眠结构,其机制可能与调节血清性激素水平有关。
Abstract:
Objective:To observe the effect of electroacupuncture(EA)on sleep arousal electroencephalogram(EEG)and serum sex hormone levels in perimenopausal insomnia rats.Methods:A total of 40 SD female rats were divided into four groups:control,model,EA and sham EA group according to random number table method,with 10 rats in each group.Bilateral oophorectomy was used to replicate the model.EEG recording electrode implantation was performed on all the rats in four groups.Postoperative recovery was 10 days,different intervention treatments were performed in different groups.The estrus cycle of rats was observed by vaginal smear,24-hour sleep and wakefulness EEG was monitored objectively by sleep bioanalytic system,and serum levels of FSH,LH and E2were determined by ELISA.Results:Compared with the control group,the disturbance rate of estrous cycle was significantly increased in model group,EA group and sham EA group(P<0.05,P<0.01),serum FSH and LH levels in model and sham EA group were increased(P<0.01)and E2levels were significantly decreased(P<0.01),while serum FSH levels in EA group were increased(P<0.05)and E2levels were significantly decreased(P<0.01).In the model and sham EA group,the circadian rhythm of 24-hour sleep awakening was weakened,the cumulative amount of sleep arousal increased and NREMs decreased in the daytime and the whole day(P<0.01).NREMs showed significantly sleep fragmentation in daytime and nighttime,increased frequency of short duration(P<0.05),decreased frequency of long duration(P<0.05,P<0.01),and increased conversion from slow wave sleep to wake(S-W)in daytime(P<0.05,P<0.01).Compared with the model group,the estrous cycle disturbance rate of rats in the EA group was significantly decreased(P<0.05),the levels of serum FSH and LH were decreased,and the level of E2 was increased(P<0.05).The circadian rhythm trend of 24 h sleep awakening in EA group was similar to that in the control group,awakening decreased and NREMs increased in day and whole day(P<0.05,P<0.01),short duration sleep decreased and long duration sleep increased in daytime and nighttime(P<0.05,P<0.01).During the daytime the conversion between S-W decreased(P<0.05),and the sleep remained stable.Conclusion:Electroacupuncture can improve the sleep arousal of perimenopausal rats with insomnia by reducing the wake time,increasing the sleep time,and improving the sleep structure.The mechanism may be related to the serum sex hormone levels.

参考文献/References:

[1] Schaedel Z,Holloway D,Bruce D,et al.Management of sleep disorders in the menopausal transition[J].Post Reprod Health,2021,27(4):209-214.
[2] Xu Q,Lang CP.Examining the relationship between subjective sleep disturbance and menopause:A systematic review and meta-analysis [J].Menopause,2014,21(12):1301-1318.
[3] Li L,Wu J,Pu D,et al.Factors associated with the age of natural menopause and menopausal symptoms in Chinese women[J].Maturitas,2012,73(4):354-360.
[4] Zhang JP,Wang YQ,Yan MQ,et al.Menopausal symptoms and sleep quality during menopausal transition and postmenopause[J].Chin Med J(Engl),2016,129(7):771-777.
[5] Ciano C,King TS,Wright RR,et al.Longitudinal study of insomnia symptoms among women during perimenopause[J].J Obstet Gynecol Neonatal Nurs,2017,46(6):804-813.
[6] Shin C,Lee S,Lee T,et al.Prevalence of insomnia and its relationship to menopausal status in middle-aged Korean women[J].Psychiatry Clin Neurosci,2005,59(4):395-402.
[7] Korostovtseva L,Bochkarev M,Sviryaev M.Sleep and cardiovascular risk[J].Sleep Med Clin,2021,16(3):485-497.
[8] Greenlund IM,Carter JR.Sympathetic neural responses to sleep disorders and insufficiencies[J].Am J Physiol Heart Circ Physiol,2022,322(3):h337-h349.
[9] Smith RL,Flaws JA,Mahoney MM.Factors associated with poor sleep during menopause:Results from the midlife women's health study[J].Sleep Med,2018,45:98-105.
[10] Zhou Q,Wang B,Hua Q,et al.Investigation of the relationship between hot flashes sweating and sleep quality in perimenopausal and postmenopausal women:The mediating effect of anxiety and depression[J].BMC Womens Health,2021,21(1):293.
[11] 黄旭博,周艳艳,周俊英,等.围绝经期女性失眠的治疗研究进展[J].中国民间疗法,2022,30(2):119-123.
[12] Joffe H,Petrillo LF,Koukopoulos A,et al.Increased estradiol and improved sleep,but not hot flashes,predict enhanced mood during the menopausal transition[J].J Clin Endocrinol Metab,2011,96(7):e1044-e1054.
[13] Nelson HD.Commonly used types of postmenopausal estrogen for treatment of hot flashes:Scientific review[J].JAMA,2004,291(13):1610-1620.
[14] 江卫红,徐 娟,林 敏,等.女性不同时期异常子宫出血病因分析[J].陕西医学杂志,2018,47(7):849-851.
[15] 闫 兵,马晓明,周玮欣,等.“调任通督”针刺法治疗围绝经期失眠临床疗效观察[J].湖北中医杂志,2021,43(5):40-42.
[16] Zhao FY,Zhang WJ,Kennedy GA,et al.The role of acupuncture in treating perimenopausal insomnia:An overview and quality assessment of systematic reviews and meta-analyses[J].Neuropsychiatr Dis Treat,2021,11(17):3325-3343.
[17] 曹 华,冯美果,侯 帅,等.电针三阴交对围绝经期失眠大鼠睡眠时相的影响及作用机制研究[J].针灸临床杂志,2019,35(8):80-83.
[18] 霍晓姣.卵巢切除模拟绝经期睡眠障碍的行为学研究[D].上海:复旦大学,2010.
[19] Yan YD,Chen YQ,Wang CY,et al.Chronic modafinil therapy ameliorates depressive-like behavior,spatial memory and hippocampal plasticity impairments,and sleep-wake changes in a surgical mouse model of menopause[J].Transl Psychiatry,2021,11(1):116.
[20] Yang SR,Hu ZZ,Luo YJ,et al.The rostromedial tegmental nucleus is essential for non-rapid eye movement sleep[J].PLoS Biol,2018,16(4):e2002909.
[21] Yi PL,Tsai CH,Lin JG,et al.Effects of electroacupuncture at anmian extra acupoints on sleep activities in rats:The implication of the caud al nucleus tractus solitarius[J].J Biomed Sci,2004,11(5):579-590.
[22] 杨海永,王东岩,董 旭,等.针刺研究中安慰针刺对照的研究现状[J].中国针灸,2020,40(3):337-341.
[23] 赵 媛,陈庆秋,蒋成刚.多导睡眠监测研究围绝经期女性失眠障碍的临床特征[J].第三军医大学学报,2021,43(19):1854-1859.
[24] 张 倩,李 哲,张 康,等.刘茂林从肝论治围绝经期失眠经验总结[J].陕西中医,2020,41(9):1304-1306.
[25] Li X,Ren Z,Ji T,et al.Associations of sleep quality,anxiety symptoms and social support with subjective well-being among Chinese perimenopausal women[J].J Affect Disord,2022,302:66-73.
[26] Bai J,Cheng C.The relationship between health-promoting behaviors,menopause syndrome,and sleep quality in Chinese middle-aged nurses:A 6cross-sectional study[J].Jpn J Nurs Sci,2022,19(1):e12443.
[27] 彭颖君,钟礼伦,黄云城,等.针灸疗法与西药对照治疗围绝经期失眠症疗效和安全性的系统评价[J].广州中医药大学学报,2021,38(4):846-854.
[28] Fu C,Zhao N,Liu Z,et al.Acupuncture improves peri-menopausal insomnia:A randomized controlled trial[J].Sleep,2017,40(11):153.
[29] Li S,Wang Z,Wu H,et al.Electroacupuncture versus sham acupuncture for perimenopausal insomnia:A randomized controlled clinical trial[J].Nat Sci Sleep,2020,12:1201-1213.
[30] Jehan S,Masters-isarilov A,Salifu I,et al.Sleep disorders in postmenopausal women[J].J Sleep Disord Ther,2015,4(5):212.
[31] 于心同,谢 晨,刘 臻,等.电针对去卵巢大鼠睡眠觉醒时程和睡眠觉醒累积量的影响[J].中医药信息,2021,38(5):32-36.

相似文献/References:

[1]贺韵涵,李晓峰,符 涛,等.针刺干预对肌萎缩侧索硬化症模型小鼠脑及脊髓中IBA-1和TNF-α表达的影响*[J].陕西中医,2020,(3):292.
 HE Yunhan,LI Xiaofeng,FU Tao,et al.Effects of acupuncture on the expression of IBA-1 and TNF-α in the brain and spinal cord in mice with smyotrophic lateral sclerosis disease[J].,2020,(10):292.
[2]黄 建,杨丽薇,邓国忠.高频电针结合臭氧对膝骨关节炎患者血清IL-1及TNF-α表达的影响*[J].陕西中医,2020,(7):966.[doi:DOI:10.3969/j.issn.10007369.2020.07.039]
 HUANG Jian,YANG Liwei,DENG Guozhong..Effect of high frequency electroacupuncture combined with ozone on serum IL-1 and TNF-α expression in patients with knee osteoarthritis[J].,2020,(10):966.[doi:DOI:10.3969/j.issn.10007369.2020.07.039]
[3]孟晓鹏,杨 欢,王瑞辉△.电针对创伤性颅脑损伤大鼠脑组织细胞凋亡及p-GSK-3β、GLUT1蛋白表达的影响*[J].陕西中医,2020,(8):1032.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.005]
 MENG Xiaopeng,YANG Huan,WANG Ruihui..Effects of electroacupuncture on apoptosis of brain tissue and expression of p-GSK-3β、GLUT1 protein in rats with traumatic brain injury[J].,2020,(10):1032.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.005]
[4]李 丹,罗朝斤,黄 程.火针与电针配合康复训练治疗脑卒中后偏瘫痉挛临床研究*[J].陕西中医,2020,(8):1155.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.038]
 LI Dan,LUO Chaojin,HUANG Cheng..Fire-needle acupuncture or electroacupuncture combined with rehabilitation training on hemiplegia spasm after stroke[J].,2020,(10):1155.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.038]
[5]肖风娟,姚艳玲,王丽芬.电针联合生化汤加减治疗药物流产不全临床研究[J].陕西中医,2021,(4):520.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.031]
 XIAO Fengjuan,YAO Yanling,WANG Lifen.Clinical efficacy of electroacupuncture combined with Shenghua decoction in the treatment of incomplete abortion[J].,2021,(10):520.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.031]
[6]张良兵,操礼琼,董 巍.电针联合有氧运动对脑梗死后缺血半暗带cAMP/PKA通路的影响[J].陕西中医,2021,(7):827.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.003]
 ZHANG Liangbing,CAO Liqiong,DONG Wei.Effect of electroacupuncture combined with aerobic exercise on cAMP/PKA pathway in ischemic penumbra after cerebral infarction[J].,2021,(10):827.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.003]
[7]徐进友,罗 玺.轻中度腕管综合征中医治疗及相关电生理学研究进展[J].陕西中医,2021,(7):980.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.045]
[8]李 娜,王瑞辉,郭 婕,等.电针对创伤性颅脑损伤大鼠炎症因子表达及神经功能的影响[J].陕西中医,2021,(10):1358.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.008]
[9]耿久军,高杨阳,曹 斌,等.电针治疗卒中后吞咽障碍疗效Meta分析[J].陕西中医,2021,(12):1814.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.042]
[10]张容超,吴 涛,刘 奇,等.电针对颅脑损伤大鼠脑组织中PI3K/AKT通路关键蛋白的影响[J].陕西中医,2022,(3):279.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.002]
 ZHANG Rongchao,WU Tao,LIU Qi,et al.Effect of electroacupuncture on key proteins of PI3K/AKT signaling pathway in brain tissue of rats with traumatic brain injury[J].,2022,(10):279.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.002]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81503631); 上海市卫生健康委员会科研项目(20204Y0311); 上海市针灸临床医学研究项目(20MC1920500)
更新日期/Last Update: 2022-10-09