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目的:探讨电针对脑缺血再灌注损伤小鼠脑组织氧化应激的影响,并探明其潜在机制。方法:将45只雄性C57BL/6小鼠随机分为假手术组、模型组、电针组,采用线栓法制备小鼠脑缺血再灌注模型。电针组选取百会穴、膈俞穴、肾俞穴进行针刺治疗,每天1次,连续治疗7 d。各组小鼠进行神经功能缺损评分,HE染色观察脑组织损伤情况,试剂盒检测脑匀浆液中活性氧(ROS)、超氧化物歧化酶(SOD)、丙二醛(MDA)、谷胱甘肽(GSH)的水平,免疫组化法检测脑内Kelch样环氧氯丙烷相关蛋白-1(Keap-1)、核因子E2相关因子(Nrf2)、抗氧化反应元件(ARE)蛋白的表达。结果:电针治疗后,脑缺血再灌注损伤小鼠神经功能缺损评分与治疗前相比显著降低[(2.95±0.53)vs(1.43±0.39),n P<0.05],神经元病理损伤明显改善,与模型组相比ROS、MDA水平下降[(110.71±16.92)vs(67.91±10.31),(11.06±2.33)vs(6.29±0.57),n P<0.05],SOD、GSH水平上升[(18.27±3.14)vs(25.71±2.77),(4.20±0.58)vs(6.27±0.81),n P<0.05],Keap-1阳性表达降低[(0.623±0.087)vs(0.504±0.056),n P<0.05],Nrf2和ARE阳性表达显著增加[(0.260±0.031)vs(0.571±0.066),(0.384±0.039)vs(0.611±0.071),n P<0.05)。n 结论:电针能通过激活Keap-1/Nrf2/ARE信号通路调节脑组织氧化应激因子水平,改善脑缺血再灌注损伤小鼠神经损伤行为。“,”Objective:To investigate the effect of electroacupuncture on oxidative stress in brain tissue of mice with cerebral ischemia-reperfusion injury and to explore its underlying mechanism.Methods:Forty-five male C57BL/6 mice were randomly divided into sham operation group, a model group, and an electroacupuncture group. A mouse model of cerebral ischemia and reperfusion was prepared by the thread plug method. In the electroacupuncture group, Baihui, Geshu, and Shenshu were selected for acupuncture treatment once a day for 7 consecutive days. HE staining was used to observe the overall damage of brain tissue. The kit detected oxidative stress factor reactive oxygen species (ROS) and superoxide dismutase (SOD) , malondialdehyde (MDA) , and glutathione (GSH) levels. The expression of Kelch-like epichlorohydrin-related protein-1 (Keap-1) , nuclear factor E2-related factor (Nrf2) , and antioxidant response element (ARE) protein in the brain was detected by immunohistochemistry.Results:After electroacupuncture treatment, the neurological deficit scores of mice with cerebral ischemia-reperfusion injury were significantly reduced (n P<0.05) . Pathological phenomena were improved to some extent. The levels of ROS and MDA decreased (n P<0.05) , the levels of SOD and GSH increased (n P<0.05) , the positive expression of Keap-1 decreased (n P<0.05) , and the positive expression of Nrf2 and ARE increased significantly (n P<0.05) .n Conclusion:Electroacupuncture can regulate the level of oxidative stress factor in the brain tissue by activating the Keap-1/Nrf2/ARE signaling pathway, and improve the nerve injury behavior in mice with cerebral ischemia-reperfusion injury.