经皮穴位电刺激对去势后大鼠血清骨代谢平衡的影响
Effect of transcutaneous electrical acupoint stimulation on the balance of serum bone metabolic indexes in ovariectomized rats
  
DOI:10.3969/j.issn.1006-7108.2024.01.001
中文关键词:  经皮电刺激  绝经后骨质疏松症  骨代谢  骨密度  大鼠
英文关键词:electrical stimulation  osteoporosis  bone metabolism  bone mineral density  rat
基金项目:国家自然科学基金(82171472);福建省自然科学基金(2020J01990,2020J011145);福建省科技创新联合资金项目(2020Y9136)
作者单位
郑小花1 徐颖1 林超琴1 胡德婷2 郑启斌3* 1.福建省妇幼保健院 福建医科大学妇儿临床医学院福建 福州 350001 2.中国人民解放军联勤保障部队第九〇〇医院仓山院区妇产科福建 福州 350025 3.福建医科大学附属第一医院神经脊柱外科福建 福州 350001 
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中文摘要:
      目的 观察经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS) 对去势后SD大鼠血清骨代谢指标及骨密度(bone mineral density,BMD)的影响。方法 大鼠随机分为Sham组(假手术组)、0VX 组(模型对照组)、2 Hz组(0VX+TEAS 2 Hz组)、50 Hz组(0VX+TEAS 50 Hz组),每组8只,3个月后分别检测血清骨代谢指标骨特异性碱性磷酸酶(BALP)、I型原胶原C端前肽(PICP)、I型原胶原N端前肽(PINP)、I型胶原羧基端肽(ICTP)、吡啶啉(Pyr)、脱氧吡啶啉(D-Pyr)及BMD。结果 0VX组较Sham组血清BALP、PICP、PINP、ICTP、Pyr、D-pyr均显著增高(P<0.05);与OVX组比较,2 Hz组血清BALP、PINP、PICP、ICTP、Pyr、Dpyr均显著降低,腰椎、右股骨BMD增加(P<0.05),50 Hz组血清BALP、PINP、PICP及BMD无明显变化,ICTP、Pyr、Dpyr亦均显著降低(P<0.05);与50 Hz组比较,2 Hz组腰椎BMD增高(P<0.05)。结论 经皮穴位电刺激可能通过调控骨吸收和骨形成指标,参与抗骨质疏松作用,且2 Hz电刺激频率可能较50 Hz更适用于临床骨质疏松症的防治。
英文摘要:
      Objective To observe the effects of transcutaneous electrical acupoint stimulation (TEAS) on serum bone metabolic indexes and bone mineral density (BMD) in ovariectomized SD rats. Methods Thirty-two rats were randomly divided into Sham group (sham operation group), OVX group (model control group), 2 Hz group (OVX+TEAS 2 Hz group), and 50Hz group (OVX+TEAS 50 Hz group), with 8 rats in each group. Serum bone metabolic indexes, including bone specific alkaline phosphatase (BALP), type I procollagen C-terminal propeptide (PICP), type I procollagen N-terminal propeptide (PINP), type I collagen carboxyl-terminal peptide (ICTP), pyridinoline (Pyr), deoxypyridinoline (D-Pyr), and BMD were detected 3 months later. Results Compared to those in Sham group, serum BALP, PINP, PICP, ICTP, Pyr, and Dpyr in OVX group increased significantly (P<0.05). Compared to those in OVX group, serum BALP, PINP, PICP, ICTP, Pyr, and Dpyr in 2 Hz group decreased significantly. BMD in lumbar spine and right femur increased (P<0.05). Pre-BALP, PINP, PICP, and BMD in 50Hz group had no significant changes. ICTP, Pyr, and Dpyr also decreased significantly (P<0.05). Compared to that in the 50Hz group, the lumbar BMD in the 2 Hz group was higher (P<0.05). Conclusion TEAS play a role in anti-osteoporosis, probably by regulating bone resorption and bone formation indexes. The electrical stimulation with frequency of 2Hz may be more suitable for clinical prevention and treatment of osteoporosis than with 50Hz.
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