推拿改善兔椎动脉型颈椎病血供时效性的实验研究
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作者Author单位AddressE-Mail
王超 Wang Chao 安徽中医药大学第二附属医院 The Second Affiliated Hospital of Anhui TCM University 114099296@qq.com 
朱俊琛* Zhu Junchen 安徽中医药大学第二附属医院 The Second Affiliated Hospital of Anhui TCM University 2006zhujc@163.com 
熊应宗 Xiong Yingzong 安徽中医药大学第二附属医院  
马幸福 Ma Xingfu 安徽中医药大学第二附属医院  
郑智文 Zheng Zhiwen 安徽中医药大学第二附属医院  
聂勇 Nie Yong 安徽中医药大学第二附属医院  
李迎春 Li Yingchun 安徽中医药大学第二附属医院  
苏毅 Su Yi 安徽中医药大学第二附属医院  
期刊信息:《中国骨伤》年,第卷,第期,第-页
DOI:
基金项目:安徽省科技攻关项目(编号:1704a0802168);安徽中医药大学自然科学研究项目(编号:2017fyyb012)
中文摘要:目的:通过建立椎动脉型颈椎病(CSA)家兔模型,观察推拿改善椎动脉血流量时效性的特点,以及基于NPY、ET-1探讨这种时效性的物质基础。方法:将50只6月龄,体质量2.0±0.5kg,雌雄各半的清洁级新西兰大耳白兔,采用随机数字表的方法随机分为空白组、模型组、推拿10分钟组、推拿20分钟组和推拿30分钟组,每组10只,除空白组外均行注射硬化剂法制备CSA家兔模型,推拿10分钟、20分钟、30分钟组行相应时长的推拿治疗,每日1次,连续10日;分别于治疗前和治疗后使用PeriFlux5000激光多普勒仪检测各组家兔椎动脉血流量,采用ELISA法检测血清中NPY、ET-1含量。结果:治疗前后椎动脉血流量变化方面,模型组(0.009±0.775)PU与推拿10分钟组(5.117±0.712)PU比较差异无统计学意义,模型组与推拿20分钟组(11.634±0.999)PU、推拿30分钟组(11.831±0.992)PU比较差异具有统计学意义(P<0.01),推拿10分钟组与推拿20分钟组、推拿30分钟组比较差异具有统计学意义(P<0.01),推拿20分钟组与推拿30分钟组比较差异无统计学意义;治疗前后NPY含量变化方面,模型组(-0.327±0.863)pg/ml与推拿10分钟组(24.518±6.027)pg/ml比较差异具有统计学意义(P<0.05),模型组与推拿20分钟组(46.141±8.196)pg/ml、推拿30分钟组(47.091±10.699)pg/ml比较差异具有统计学意义(P<0.01),推拿10分钟组与推拿20分钟组、推拿30分钟组比较差异具有统计学意义(P<0.01),推拿20分钟组与推拿30分钟组比较差异无统计学意义;治疗前后ET-1含量变化方面,模型组(0.300±1.109)pg/ml与推拿10分钟组(3.283±13.385)pg/ml比较差异无统计学意义,模型组与推拿20分钟组(36.701±8.928)pg/ml、推拿30分钟组(37.719±7.320)pg/ml比较差异具有统计学意义(P<0.01),推拿10分钟组与推拿20分钟组、推拿30分钟组比较差异具有统计学意义(P<0.01),推拿20分钟组与推拿30分钟组比较差异无统计学意义。结论:推拿治疗CSA家兔时长需要达到20分钟时才可以显著改善椎动脉血流量,但是继续延长推拿时间则无明显效果,推拿这种时效性特点的物质基础与血清中NPY和ET-1水平的变化密切相关。
【关键词】椎动脉型颈椎病  推拿    神经肽Y  血管内皮素-1
 
Experimental Study on Improvement of Blood Supply Timeliness of Rabbits with Vertebral Artery Type of Cervical Spondylosis by Massage
ABSTRACT  Objective:To observe the characteristics of timeliness in improving the blood flow of vertebral artery by massage, and discusse the material basis of this timeliness based on NPY and ET-1 by establishing a rabbit model of vertebral artery type of cervical spondylosis(CSA). Methods:50 New Zealand healthy and white rabbits(6 month old, the body mass was 2+0.5kg, and the male and female were half and half) were randomly divided into blank group, model group, massage for 10 minutes, 20 minutes, and 30 minutes group by random number table, 10 rabbits in each group, CSA rabbit model was prepared by injection of injectable sclerosing agent in addition to the blank group, massage for 10 minutes, 20 minutes, and 30 minutes to receive the corresponding duration of massage therapy, one times a day, 10 days in a row.The blood flow of vertebral artery in each group was detected by PeriFlux5000 laser doppler, and the contents of NPY and ET-1 in serum were detected by ELISA before and after treatment.Results:Changes in blood flow of vertebral artery before and after treatment: There was no significant difference between the model group(0.009 + 0.775) PU and massage for 10 minutes group(5.117 + 0.712) PU, the difference between model group and massage for 20 minutes group(11.634 + 0.999)PU and 30 minutes group(11.634 + 0.999)PU was statistically significant(P<0.01), the difference between massage for 10 minutes group and massage for 20 minutes group and 30 minutes group was statistically significant(P<0.01),there was no significant difference between massage for 20 minutes group and massage for 30 minutes group; Changes of NPY cotent before and after treatment: The difference between the model group(-0.327±0.863)pg/ml and massage for 10 minutes group(24.518±6.027)pg/ml was statistically significant(P<0.05), the difference between model group and massage for 20 minutes group(46.141±8.196)pg/ml and 30 minutes group(47.091±10.699)pg/ml was statistically significant(P<0.01), the difference between massage for 10 minutes group and massage for 20 minutes group and 30 minutes group was statistically significant(P<0.01),there was no significant difference between massage for 20 minutes group and massage for 30 minutes group; Changes of ET-1 cotent before and after treatment: There was no significant difference between the model group(0.300±1.109)pg/ml and massage for 10 minutes group(3.283±13.385)pg/ml, the difference between model group and massage for 20 minutes group(36.701±8.928)pg/ml and 30 minutes group(37.719±7.320)pg/ml was statistically significant(P<0.01), the difference between massage for 10 minutes group and massage for 20 minutes group and 30 minutes group was statistically significant(P<0.01),there was no significant difference between massage for 20 minutes group and massage for 30 minutes group. Conclusion:The time needed for massage treatment for CSA rabbits is 20 minutes, which can significantly improve the blood flow of vertebral artery. However, prolonging the time of massage has no obvious effect. The material basis of this timeliness characteristic of massage is closely related to the change of NPY and ET-1 levels in serum.
KEY WORDS  vertebral artery type cervical spondylosis  massage  rabbit  neuropeptide Y  endothelin-1
 
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