[1]韩 慧,赖智勇,蒲建萍,等.头穴丛刺法联合川芎嗪对大鼠脑梗死后神经元突触重建的影响*[J].陕西中医,2020,(7):860-863.[doi:DOI:10.3969/j.issn.10007369.2020.07.006]
 HAN Hui,LAI Zhiyong,PU Jianping,et al.Effect of scalp acupuncture combined with ligustrazine on synaptic reconstruction of neurons after cerebral infarction in rats[J].,2020,(7):860-863.[doi:DOI:10.3969/j.issn.10007369.2020.07.006]
点击复制

头穴丛刺法联合川芎嗪对大鼠脑梗死后神经元突触重建的影响*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年7期
页码:
860-863
栏目:
基础研究
出版日期:
2020-07-05

文章信息/Info

Title:
Effect of scalp acupuncture combined with ligustrazine on synaptic reconstruction of neurons after cerebral infarction in rats
作者:
韩 慧1赖智勇2蒲建萍1刘玉珍1
1.四川卫生康复职业学院临床医学系(自贡 643000); 2.四川省自贡市第一人民医院神经内科(自贡 643000)
Author(s):
HAN HuiLAI ZhiyongPU Jianpinget al.
Department of Clinical Medicine Sichuan Health and Rehabilitation Vocational College(Zigong 643000)
关键词:
脑梗死 SD大鼠 头穴丛刺法 川芎嗪 神经元突触 神经可塑性
Keywords:
Cerebral infarction SD rats Scalp acupuncture Ligustrazine Neuronal synapses Neuroplasticity
分类号:
R743.34
DOI:
DOI:10.3969/j.issn.10007369.2020.07.006
文献标志码:
A
摘要:
目的:探析头穴丛刺法联合川芎嗪对大鼠脑梗死后神经元突触重建的影响。方法:行简单随机法将72只SD大鼠分组,备制大脑中动脉闭塞(MCAO)脑梗死模型,A组18只(MCAO模型对照),B组18只(头穴丛刺法),C组18只(川芎嗪),D组18只(头穴丛刺法+川芎嗪)。B组、D组取百会及穴位邻近左侧与右侧2 mm处针刺; C组、D组以盐酸川芎嗪注射液20 mg/(kg·d); A组以同剂量0.9%氯化钠溶液注射。于MCAO建模7、14、28 d比较各组星形胶质细胞、突触个数,检测突触素、GFAP的含量。结果:随时间延长,各组神经元突触、星形胶质细胞个数均有增长,突触素、GFAP表达均有提高,其中B、C、D组增长明显(P<0.05)。14 d、28 d D组神经元突触、星形胶质细胞个数及突触素、GFAP表达均显著高于A、B、C组,差异有统计学意义(P<0.05),其次B、C组14 d、28 d显著高于A组(P<0.05),B、C两组7、14、28 d均无统计学意义(P>0.05)。结论:川芎嗪联合头穴丛刺可促进MCAO脑梗死大鼠神经元突触增殖,增强突触素、GFAP表达,提高突触效能传递,为神经功能重塑提供基础,保护神经元超微结构,修复神经功能。
Abstract:
Objective:To investigate the effects of scalp acupuncture combined with ligustrazine on neuron synaptic reconstruction after cerebral infarction in rats.Methods:72 SD rats were randomly divided into groups to prepare a model of middle cerebral artery occlusion(MCAO)cerebral infarction.Group A had 18 rats(MCAO model control),group B had 18 scalp acupuncture methods,C There were 18 rats in the group(ligustrazine)and 18 rats in the group D(head acupoint plexus method+ligustrazine).Acupuncture was performed at Baihui and acupoints 2 mm to the left and right of the points in group B and group D; ligustrazine hydrochloride injection 20 mg/(kg·d)was used in groups C and D; and the same dose of 0.9% chlorine Sodium chloride solution injection.The numbers of astrocytes and synapses in each group were compared on the 7 th,14 th,and 28 d of MCAO modeling,and the contents of synaptophysin and GFAP were detected.Results:Over time,the number of synapses and astrocytes in neurons increased,and the expressions of synaptophysin and GFAP increased in all groups,and the increase in groups B,C,and D was significant(P<0.05); 14 days The number of neuron synapses,astrocytes,and synaptophysin,and GFAP expression in groups D and 28d were significantly higher than those in groups A,B,and C,with significant differences(P<0.05),followed by groups B and C 14 d and 28 d were significantly higher than those in group A(P<0.05),and there were no statistically significant differences between groups B and C on days 7,14,and 28(P> 0.05).Conclusion:Ligustrazine combined with scalp acupuncture can promote neuronal synaptic proliferation,enhance synaptophysin and GFAP expression,improve synaptic efficacy transmission in MCAO cerebral infarction rats,provide a basis for neural function remodeling,and protect the ultrastructure of neurons,repair nerve function.

参考文献/References:

[1] 房昌运,吴旭升,张 航,等.内源性神经干细胞促进缺血性脑卒中后神经修复的研究进展[J].生理学报,2019,71(3):454-462.
[2] Ji YQ,Zhang R,Teng L,et al.Study of neuron-protective effect and mechanism of neuregulin1β against cerebral ischemia reperfusion-induced injury in rats[J].Zhonghua Yi Xue Za Zhi,2017,97(27):2128-2134.
[3] 彭 艳,白 雪,杨思进,等.加味益气聪明汤对VD大鼠行为学变化及海马神经元突触结构的影响[J].陕西中医药大学学报,2017,40(4):105-109.
[4] 周军怀.川芎嗪注射液联合补阳还五汤治疗急性脑梗死的临床观察[J].陕西中医,2016,37(8):1005-1006.
[5] 吉王琦,黄 陶,韩 易,等.养血化瘀汤联合马来酸桂哌齐特对急性脑梗死患者的脑保护作用及血清TNF-α、sICAM-1等表达的影响[J].陕西中医,2018,39(2):172-174.
[6] 高长玉,吴成翰,赵建国,等.中国脑梗死中西医结合诊治指南(2017)[J].中国中西医结合杂志,2018,38(2):136-144.
[7] 周志梅,买 雷,李艳红,等.消栓肠溶胶囊治疗脑梗死疗效及对患者NIHSS评分的影响[J].陕西中医,2019,40(6):696-699.
[8] 荣铁成,刘红杰,忻菲菲,等.急性缺血性中风早期中医药康复疗法临床观察[J].河北医药,2019,41(14):2196-2198.
[9] 杜 韬,张 威.眼针八区八穴对急性脑梗死Keap1-Nrf2/ARE信号传导通路的影响[J].中华中医药学刊,2018,36(8):1837-1840.
[10] 中华中医药学会内科分会.疏血通注射液治疗缺血性脑血管病临床应用专家共识[J].中医杂志,2018,59(2):175-180.
[11] 张 芳,张 波,钱发才,等.益血方对急性脑梗死大鼠血管新生的作用及对促血管生成因子HIF-1α和Ang-2表达的影响[J].中国中医急症,2019,28(6):1007-1010.
[12] 刘 峥,杜 秋,夏 勤.高效液相色谱串联质谱法分析穴位注射川芎嗪治疗缺血性脑中风的优势[J].中国医院药学杂志,2018,38(12):1285-1289.
[13] 徐 飞,王玉珏,张可兴,等.头穴丛刺针法对Aβ1-42致阿尔茨海默病大鼠学习记忆能力及胆碱能系统的影响[J].中国药物依赖性杂志,2018,27(3):202-205.
[14] 王建勋,孙丕云,周金龙,等.针刺百会穴与皮质γ-氨基丁酸能神经元缺血后功能障碍的相关性研究[J].针灸临床杂志,2018,34(6):58-62.
[15] 黄 金,李瑞青,吴明莉,等.电针神庭、百会穴对脑缺血再灌注大鼠学习记忆能力及自噬相关蛋白表达的影响[J].中华中医药学刊,2019,37(4):838-841.
[16] 李晓娜,孙 莉,靳国恩,等.盐酸川芎嗪对低压低氧环境下大鼠海马形态学及GABAB1R与FOXP2表达的影响[J].华西药学杂志,2018,33(3):254-258.
[17] 孙向峰,侯 梅,苑爱云,等.丰富环境对缺氧缺血性脑损伤新生大鼠学习记忆、海马区脑源性神经生长因子和突触素蛋白表达的影响[J].中华实用儿科临床杂志,2017,32(4):296-299.
[18] Ekingen E,Yilmaz M,Yildiz M,et al.Utilization of glial fibrillary acidic protein and galectin-3 in the diagnosis of cerebral infarction patients with normal cranial tomography[J].Niger J Clin Pract,2017,20(4):433-437.

相似文献/References:

[1]郭 辉,裴 育,熊伟华,等.血府逐瘀汤联合阿替普酶静脉溶栓对急性脑梗死患者 神经功能及日常生活能力的影响*[J].陕西中医,2019,(2):214.
 GUO Hui,PEI Yu,XIONG Weihua,et al.Effect of Xuefu Zhuyu decoction combined with intravenous thrombolysis on the neurological function and activities of daily living in patients with acute cerebral infarction[J].,2019,(7):214.
[2]陈 晨.补阳还五汤对急性脑梗死患者血管内皮生长因子、血管生成素2及神经功能影响的研究*[J].陕西中医,2019,(1):28.
[3]王艳民.开窍活血汤对脑梗死患者血清前白蛋白、MCP1及MMP9的影响*[J].陕西中医,2019,(1):34.
[4]贾东佩,李春雷△.调神通络针刺法对脑梗死后血管性痴呆患者血清BDNF、VEGF、MMP9的影响*[J].陕西中医,2019,(1):119.
 JIA Dongpei,LI Chunlei..Effect of Tiaoshen Tongluo acupuncture in patients with vascular dementia after cerebral infarction and its effects on serum BDNF, VEGF and MMP9[J].,2019,(7):119.
[5]周志梅,买 雷,李艳红.消栓肠溶胶囊治疗脑梗死疗效及对患者NIHSS评分的影响*[J].陕西中医,2019,(6):696.
 ZHOU Zhimei,MAI Lei,LI Yanhong..Effect of Xiaoshuan enteric-coated capsule on patients with cerebral infarction and its influence on NIHSS score of patients[J].,2019,(7):696.
[6]项广宇.化痰通络方治疗短暂性脑缺血发作后脑梗死疗效及对患者氧化应激和血清相关细胞因子水平的影响*[J].陕西中医,2019,(7):864.
[7]陈 静,陈 炜,伍 媛,等.小续命汤及其组分治疗急性脑梗死研究进展*[J].陕西中医,2019,(12):1818.
[8]赵月臣,马 兰.痰瘀阻络方联合丁苯酞治疗脑梗死急性期疗效及对患者脑血流灌注及血清6-k-PGF1a、Hcy、sICAM-1水平影响*[J].陕西中医,2020,(2):174.
 ZHAO Yuechen,MA Lan..Effect of phlegm stasis blocking collateral combined with butylphthalide on cerebral blood flow perfusion and serum 6-k-PGFla,Hcy and sICAM-1 level in patients with acute cerebral infarction[J].,2020,(7):174.
[9]黄英媛,宋振华△,徐焕杰,等.补阳还五汤联合梅花针叩刺治疗脑梗死偏瘫疗效研究*[J].陕西中医,2020,(6):815.[doi:DOI:10.3969/j.issn.10007369.2020.06.033]
 HUANG Yingyuan,SONG Zhenhua,XU Huanjie,et al.Clinical effect of Buyang Huanwu decoction combined with plum flower needle tapping on cerebral infarction hemiplegia[J].,2020,(7):815.[doi:DOI:10.3969/j.issn.10007369.2020.06.033]
[10]夏道宽,蒋同伯,杨道海,等.温针灸对脑梗死恢复期气虚血瘀型患者炎性因子、神经因子及高凝状态的影响[J].陕西中医,2020,(10):1485.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.041]
 XIA Daokuan,JIANG Tongbo,YANG Daohai,et al.Warm acupuncture and moxibustion for inflammatory factor and nerve factor in patients with cerebral infarction recovery Qixu Xueyu type and the effects of hypercoagulability[J].,2020,(7):1485.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.041]

备注/Memo

备注/Memo:
*四川省科技厅课题(3054010434)
更新日期/Last Update: 2020-07-09