电针和圆利针治疗制动致膝关节功能障碍兔模型的治疗效果
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北京中医药大学科研基金资助项目(2012-QNJSZX010)


Comparison Research of EA and RSA Treating Knee Joint Dysfunction Caused by Knees Immobilization in Rabbit Models
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    摘要:

    目的:比较电针和圆利针治疗制动致膝关节功能障碍模型兔的疗效及机制。方法:将新西兰兔24只随机分为4组:正常组、模型组、圆利针组和电针组,每组6只,除正常组外均建立制动致膝关节功能障碍模型。造模6周后干预组接受干预。于造模后4,8,12周测量兔患侧Lequesne MG总指数;于造模后13周通过光学显微镜观察股直肌超微结构;于造模第12周通过X线对膝关节进行整体评价。结果:行为学:电针与圆利针对于关节功能障碍、局部反应、肿胀有明显的疗效(P<0.05)且2种方法差异无统计学意义(P>0.05);光镜:电针组(P<0.05)与圆利针组(P<0.01)治疗起效明显但圆利针组疗效更佳;X线:干预组结果明显优于模型组且圆利针组较佳。结论:针和圆利针对于固定制动引起的关节功能障碍均有确切疗效,但圆利针通过对受损软组织的直接干预,能更有效地治疗制动引起的关节功能障碍。

    Abstract:

    To compare curative effect and mechanism of EA therapy and RSA therapy in treating knee joint dysfunction caused by knees immobilization.Methods:Randomly divided 24 New Zealand rabbits into four groups: normal group,model group,RSA group and EA group,with 6 rabbits of each group.Make knee joint dysfunction model except for normal group.Treatment groups received treatment after 6 weeks of modeling.The Lequesne MG was evaluated at 4,8,12 weeks after modeling.HE staining was observed at 13 weeks after modeling.X-ray were used to assess the radiological changes of knee joint dysfunction model rabbits.Results:Behavioral: EA and RSA therapy can effectively relieve movement disorder (P<0.05),swelling local reaction in knee joint dysfunction model rabbits and the effects were similar within two groups (P>0.05.Light microscope: EA(P<0.05) and RAS(P<0.01) therapies could all worked effectively but RSA group behaves better than EA group.X-ray: Tow therapies could all worked effectively but RSA group is superior to EA group.Conclusion:EA and RSA therapy showed definite effect on knee joint dysfunction model rabbits caused by knees immobilization,and RSA therapy is better for its direct intervention on soft tissue.

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陈紫岳,黄怡然,李娜,夏晶,马莹,张冰月,梁亚峰,李文迅.电针和圆利针治疗制动致膝关节功能障碍兔模型的治疗效果[J].世界中医药,2017,(08).

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  • 收稿日期:2017-01-07
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  • 在线发布日期: 2017-08-28
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