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Study progress on the mechanism of acupuncture for primary dysmenorrhea 被引量:7
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作者 Qiao-yan SONG You-long ZHOU +3 位作者 Bin ZHOU Xiao-yan CHEN Ru-ya ZHANG Yun-jie CHEN 《World Journal of Acupuncture-Moxibustion》 CSCD 2021年第3期227-232,共6页
Through searching the literature on the mechanism of acupuncture for primary dysmenorrhea in the last 15 years,this paper summarizes systematically the current study progress on the analgesic mechanism of acupuncture ... Through searching the literature on the mechanism of acupuncture for primary dysmenorrhea in the last 15 years,this paper summarizes systematically the current study progress on the analgesic mechanism of acupuncture for primary dysmenorrhea,from the perspectives of animal experiment and human trials.In terms of research methods,the behavioral observation,evaluation of central and peripheral biochemical indexes,and molecular biological techniques were mainly used in the animal experiments;whilst the clinical symptoms and evaluation of peripheral serum biochemical indexes were focused on in human trials.As for the research results,the animal experiments showed that acupuncture may play an analgesic role by regulating endocrine,promoting the release of central and peripheral neurotransmitters,regulating immune function,and relieving uterine smooth muscle spasm.However,the human trials have found that acupuncture can produce analgesic effects by regulating serum prostaglandin and ovarian hormone levels,promoting the release of peripheral β-endorphin,improving the uterine artery flow status,and relieving uterine smooth muscle spasm.Although different research methods were used in animal and human studies,the similar results were obtained in acupuncture regulating endocrine levels,promoting release of peripheral neurotransmitters,and alleviating uterine smooth muscle spasms.In addition,at present stage,animal experiments are more than human trials in numbers,and there are relatively few studies on the central mechanism of acupuncture analgesia in human trials.Therefore,in view of this phenomenon,this paper proposes to use functional magnetic resonance imaging(fMRI) technology to explore the central mechanism of acupuncture analgesia in human body,so as to provide a new idea for further exploring the mechanism of acupuncture analgesia in treating primary dysmenorrhea. 展开更多
关键词 ACUPUNCTURE ANALGESIA Experiments Functional magnetic resonance imaging(fMRI) Primary dysmenorrhea(pdm) Trials
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电针对原发性痛经大鼠子宫组织NLRP3炎性小体和焦亡蛋白GSDMD的影响 被引量:6
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作者 汪少华 刘余 +4 位作者 薛晓 潘思安 袁菡钰 李娟 岳增辉 《中国针灸》 CAS CSCD 北大核心 2023年第3期309-316,共8页
目的:观察电针对原发性痛经(PDM)大鼠核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)及其下游gasderminD(GSDMD)蛋白的影响,探讨电针治疗PDM的可能机制。方法:将40只健康未孕雌性SD大鼠随机分为对照组、模型组、电针组和布洛芬组,各10只。... 目的:观察电针对原发性痛经(PDM)大鼠核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)及其下游gasderminD(GSDMD)蛋白的影响,探讨电针治疗PDM的可能机制。方法:将40只健康未孕雌性SD大鼠随机分为对照组、模型组、电针组和布洛芬组,各10只。采用苯甲酸雌二醇和缩宫素制备PDM模型,除对照组外,各组大鼠连续皮下注射苯甲酸雌二醇10 d,第11天注射缩宫素。电针组大鼠在造模同时于“关元”“三阴交”行电针干预,予密波,频率50Hz,每天1次,每次20 min,连续干预10d。布洛芬组造模同时进行布洛芬灌胃,每只大鼠灌胃给药0.8 mL(布洛芬溶液浓度为1.25 mg/mL),连续灌胃10 d。造模后,观察大鼠扭体反应;干预后,HE染色法观察大鼠子宫组织形态并评定子宫病理损伤评分,ELISA法检测大鼠血清前列腺素E2(PGE2)、前列腺素F2α(PGF2α)含量及PGF2α/PGE2值,Western blot法检测大鼠子宫组织NLRP3、凋亡相关斑点样蛋白(ASC)、半胱氨酸天冬氨酸蛋白酶-1(caspase-1)、GSDMD、GSDMD-N和炎性因子[白介素(IL)-1β、IL-18]蛋白表达。结果:模型组大鼠子宫内膜上皮细胞有大量空泡样变性、死亡,固有层大量螺旋小动脉充血,中性粒细胞浸润;电针组大鼠子宫内膜上皮细胞有少量空泡变性、死亡,固有层少量螺旋小动脉充血,少量中性粒细胞浸润;布洛芬组大鼠子宫内膜上皮细胞有非常少量的变性、死亡,固有层未见明显动脉充血,偶见中性粒细胞浸润。与对照组比较,模型组大鼠扭体次数增加(P<0.01),扭体反应评分、血清PGF2α含量和PGF2α/PGE2值升高(P<0.01),PGE2含量降低(P<0.01)。与模型组比较,电针组和布洛芬组大鼠扭体次数减少(P<0.05),扭体潜伏期延长(P<0.01),扭体反应评分、血清PGF2α含量和PGF2α/PGE2值降低(P<0.05,P<0.01),PGE2含量升高(P<0.01)。与对照组比较,模型组大鼠子宫组织NLRP3、ASC、caspase-1、GSDMD、GSDMD-N、IL-1β、IL-18表达升高(P<0.01); 展开更多
关键词 原发性痛经 电针 NLRP3炎性小体 焦亡 组织损伤
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