推拿联合跑台训练对失神经大鼠不同时间神经吻合术后骨骼肌的影响  

Effects of Tuina combined with treadmill training on skeletal muscle of rats with denervation after nerve anastomosis in different time

作　　者：王春红[1] 严隽陶[1] 马书杰 陆永嘉[1] 马颖[1] 史智君 孔亚敏 陶然 WANG Chunhong;YAN Juntao;MA Shujie(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,20008)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,200080 [2]上海中医药大学康复医学院

出　　处：《中国康复医学杂志》2018年第9期1069-1073,共5页Chinese Journal of Rehabilitation Medicine

基　　金：国家自然科学基金项目(81373764);国家杰出青年科学基金项目(81603713);上海市中医康复临床基地建设项目(ZY3-LCPT-1-1008)

摘　　要：目的:探讨推拿手法联合跑台训练对失神经大鼠在不同时间行吻合术后骨骼肌随干预时长增加的变化规律。方法:160只大鼠随机分为Ⅰ期缝合组(立即缝合)80只,Ⅱ期缝合组(4天缝合)80只。Ⅰ期缝合组分干预组40只,模型组40只;Ⅱ期缝合组分干预组40只,模型组40只。对干预组大鼠给予手法-跑台干预,模型组不做干预。结果:造模类型、干预手法、干预时长三个因素的主要效应均有显著意义,各因素主效应大小顺序为造模类型、干预时长、干预手法。结论:对于坐骨神经吻合术后大鼠的肌肉湿重比造模类型起主要作用,其次为干预时长,再次为干预手法。因此,失神经后及时予以神经吻合术,以及保证一定的干预时长,对于失神经支配肌肉术后的恢复至关重要。Objective：To investigate the effect of manipulation of massage and running exercise on the change of skeletal muscle of rats＇ after the anastomosis.Method： A total of 160 rats were randomly divided into two groups. Stage Ⅰ suture group （immediate suture after transection） composed of 80 rats. Stage Ⅱ suture group （suture at fourth days after transection ） also composed of 80 rats. Each group was divided into treatment group（40 cases）and control group（40 cases）. Treatment groups accepted massage and running on treadmill every day. The control group was not treated.Result： The main effects of three factors were significant, and the order of main effects of each factor was modeling type, intervening time and intervening method. Conclusion： After sciatic nerve anastomosis in rats, the weight ratio of muscle, followed by intervening time, nerve anastomosis after denervation, as well as to ensure ery of denervated muscle after after nerve anastomosis. type of modeling played a major role in the wet and intervening manipulation again.Therefore, timely a certain intervening time, is essential for the recovery of denervated muscle after after nerve anastomosis.

关 键 词：推拿 跑台 神经外膜缝合 肌肉萎缩 肌肉湿重比 

分 类 号：R493[医药卫生—康复医学] R244[医药卫生—临床医学]