电针电极结构对大鼠缺血性脑卒中治疗的影响

IF 3.3 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Traditional and Complementary Medicine Pub Date : 2023-11-01 DOI:10.1016/j.jtcme.2023.09.003
Chung-Hsiang Liu , Huong Thi Mai Nguyen , Der-Yen Lee , Ching-Liang Hsieh
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引用次数: 0

摘要

背景与目的本研究探讨电极结构对电针治疗缺血性脑卒中的影响。实验方法建立大鼠缺血性脑卒中模型。EA-P组将电针阳极置于病灶的BL7、BL8穴位,阴极置于非病灶半球的BL7和BL8穴位;相反地在EA-N组中。结果EA-P和EA-N组再灌注后第1天和第4天的神经功能缺损评分差异以及第4天和第1天的Rotarod测试时间差异均大于假手术组(均P<0.001),星形胶质细胞谷氨酸转运体1(GLT-1)的表达和微管相关蛋白2(MAP2)/甘油醛3-磷酸脱氢酶(GADPH)的比率在EA-P中比假手术组更高,胶质纤维酸性蛋白(GFAP)/GAPH比率更小(均P<0.05),但EA-N组中的这些比率与假手术组中的相似(均P>0.05);假手术组的血清肾上腺素和5-羟色胺水平低于正常组和EA-P组(均P<0.05),脑脊液谷氨酸水平高于假手术组(P>0.05)。结论电针通过多种途径改善神经功能。然而,将阳极放置在受损的半球上可以提供更多的神经保护。
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Effect of electrode configuration in electroacupuncture on ischemic stroke treatment in rats

Background and aim

This study investigated the effect of the electrode configuration on EA treating ischemic stroke.

Experimental procedure

An ischemic stroke rat model was established. In the EA-P group, the anodes of EA were placed on the BL7 and BL8 acupoints of the lesioned, and the cathodes were placed on the BL7 and BL8 acupoints of the nonlesioned hemispheres; by contrast, in the EA-N group.

Results

The difference in neurological deficit scores between the first and fourth days and the difference in Rotarod test time between the fourth and first days after reperfusion were greater in the EA-P and EA-N groups than in the sham group (all p < 0.001). In the lesioned hemisphere, neuronal nuclei (NeuN), γ-aminobutyric acid-A (GABA)-A, postsynaptic density 95 (PSD95), and astrocyte glutamate transporter 1 (GLT-1) expression and microtubule-associated protein 2 (MAP2)/glyceraldehyde 3-phosphate dehydrogenase (GADPH) ratios were greater and the glial fibrillary acid protein (GFAP)/GADPH ratios were smaller in the EA-P than in the sham group (all p < 0.05), but these ratios in the EA-N group were similar to those in the sham group (all p > 0.05); serum adrenaline and serotonin levels in the sham group were lower than those in the normal and EA-P groups (both p < 0.05), and cerebrospinal fluid (CSF) glutamate levels were higher in the EA-P group than in the sham group (p < 0.05).

Conclusion

EA improved neurological function through multiple pathways. However, placing the anode on the lesioned hemisphere can provide more neuroprotection.

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来源期刊
Journal of Traditional and Complementary Medicine
Journal of Traditional and Complementary Medicine Medicine-Complementary and Alternative Medicine
CiteScore
9.30
自引率
6.70%
发文量
78
审稿时长
66 days
期刊介绍: eJTCM is committed to publish research providing the biological and clinical grounds for using Traditional and Complementary Medical treatments as well as studies that demonstrate the pathophysiological and molecular/biochemical bases supporting the effectiveness of such treatments. Review articles are by invitation only. eJTCM is receiving an increasing amount of submission, and we need to adopt more stringent criteria to select the articles that can be considered for peer review. Note that eJTCM is striving to increase the quality and medical relevance of the publications.
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