不同频率电针对周围神经再生与修复影响的临床与实验研究*

Clinical and Experiment Study of Various Frequency Electronic Acupuncture on the Effect of Peripheral Nerve Regeneration and Reparation

关键词:  电针  周围神经  再生与修复  临床研究  实验研究

Key words:  electronic acupuncture  peripheral nerve  regeneration and reparation  clinical study  experiment study

摘要:

[目的]通过实验研究使电针疗法取得理想的治疗效果,促进患者的功能恢复,提高生活质量。[方法]通过大鼠坐骨神经横断的方法构建神经再生室模型,分别采用不同频率电针针刺大鼠患侧环跳、足三里、三阴交治疗,采用图像分析系统分析,观察大鼠坐骨神经再生和修复情况。实验筛选电针最佳治疗参数及治疗时机再临床应用。[结果]电针能够改善神经肌肉结构、代谢和功能,改善神经肌肉动作电位,运动神经传导速度以及肌肉收缩力,促进损伤神经再生和神经肌肉的神经再支配。[结论]变频电针能够有效促进损伤周围神经的再生和修复,与低频电针比较,以5Hz电针效果最佳,变频电针效果次之,变频Ⅱ电针效果再次之,早期治疗效果明显。

Abstract:

[Objective] To achieve satisfying curative effect of electronic acupuncture, promote functional recovery of patients and increase the life quality by using experiment study.[Methods] To explore the best treatment parameter and treatment opportunity in the clinic by experiment screening.[Results] The electronic acupuncture may improve nerves muscle structure, metabolism and function, action potention, motor nerve conduction velocity and muscle contraction force, and advance damage nerves regeneration and nerves and muscle reinnervation.[Conclusion] The transduction electronic acupuncture may efficiently promote peripheral nerve regeneration and reparation. Compared to low frequency transduction electronic acupuncture, the curative effect of SHz electronic acupuncture was the best, that of transduction electronic acupuncture was the secondary, that of transduction Ⅱ electronic acupuncture was the next in order. The early treatment had obviously curative effect.