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研究生: 楊昌斌
論文名稱: 一氧化氮對肌腱損傷後復健的影響
指導教授: 謝伸裕
Hsieh, Shen-Yu
林嘉志
Lin, Chia-Chih
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2002
畢業學年度: 90
語文別: 中文
中文關鍵詞: 運動復健一氧化氮
論文種類: 學術論文
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  • 摘 要
    對需於短時間將傷害復健的運動員而言,傳統的復健療程仍太長。本實驗透過動物模式,橫向割斷大鼠的阿基里斯肌腱,3天後進行運動復健及一氧化氮(NO)處裡,為期共19天,觀察復原情形。復健方式:每天游泳一次,每次15分鐘。本實驗以36隻大鼠隨機分為六組:控制運動組、控制不運動組、SNP(NO促進劑)運動組、SNP不運動組、L-NAME(NO抑制劑)運動組、L-NAME不運動組。結果發現:依阿基里斯腱功能評估指數發現恢復快慢次序分別為SNP運動組(-0.6+3.2)、SNP不運動組(-6.3+2.7)、控制運動組(-13.7+4.2)、L-NAME運動組(-23.9+4.3)、控制不運動組(-26+3.2)、L-NAME不運動組(-33.0+6.0)。SNP運動組、控制運動組與L-NAME運動組三組間均達顯著差異水準;SNP運動組與SNP不運動組間也達顯著差異水準。結論:肌腱損傷時,給予SNP能促進NO量,配合運動復健,對受傷組織功能恢復的最有利。但如果抑制NO的合成,會延緩運動復健時肌腱功能的恢復。
    關鍵詞:NO、SNP、L-NAME、運動復健

    The Effect of Nitric Oxide on Tendon Injury Rehabilitation
    June , 2002 Graduate student:Chang-Bin Yang
    Advisor:Sandy Shen-Yu Hsieh
    Advisor:Jia-Zhi Lin
    Abstract
    Fast recovery is very important for athlete with muscular injury. However,
    Traditional method of rehabilitation usually takes a long time. This experiment used an animal model by cutting off the rat's Achilles tendon in order to observe that nitric oxide (NO) and swimming exercise have any effect on tendon healing. Thirty-six rats were randomly assigned into 6 groups:control with exercise, control without exercise, SNP(NO doner)treatment with exercise, SNP treatment without exercise, L-NAME(NOS inhibiter)treatment with exercise, L-NAME treatment without exercise. The exercise was swimming for 15 minutes each day for 19 days. The Achilles tendon recovery rate as indicated by Achilles Function Index were:SNP treatment with exercise group(-0.6+3.2),SNP treatment without exercise group(-6.3+2.7),control with exercise group(-13.7+4.2),L-NAME treatment with exercise group(-23.9+4.3),control without exercise group(-26+3.2),L-NAME treatment without exercise group(-33.0+6.0).There are significant different among SNP treatment with exercise ,control with exercise and L-NAME treatment with exercise. Significant different between SNP treatment with exercise and SNP treatment without exercise is also observed. Conclusion:With tendon injury, treating with SNP and rehabilitation exercise is the most effective method for tendon's functional recovery. However, inhibit the NO synthesis will delay the recovery process.
    Key words:NO,SNP,L-NAME, rehabilitation exercise

    目 次 第壹章 緒論 一、 前言…………………………………………………………1 二、 研究目的……………………………………………………2 三、 研究假設……………………………………………………2 四、 名詞操作性定義……………………………………………3 第貳章 相關文獻探討 一、 運動復健……………………………………………………5 二、 肌腱傷口癒合………………………………………………6 三、 一氧化氮的介紹……………………………………………9 四、 傷口癒合與NO的關係……………………………………10 第參章 研究方法與步驟 一、 實驗慨觀………………………………………………….12 二、 實驗流程………………………………………………….13 三、 實驗材料………………………………………………….14 四、 實驗方法………………………………………………….14 第肆章 結 果…………………………………………………20 第伍章 討 論…………………….………………………………..38 引用文獻………………….………………………………….45 附錄一 實驗材料………………………………………………………50 附錄二 iNOS含量分析-西方點墨法………………………………….56 附錄三 控制組之不運動組肌腱功能評估參數AFI數值原始資料…59 附錄四 控制組之運動組肌腱功能評估參數AFI數值原始資料……59 附錄五 L-NAME不運動組肌腱功能評估參數AFI數值原始資料……60 附錄六 L-NAME運動組肌腱功能評估參數AFI數值原始資料………60 附錄七 SNP不運動組肌腱功能評估參數AFI數值原始資料……….61 附錄八 SNP運動組肌腱功能評估參數AFI數值原始資料………….61 附錄九 控制組之不運動組肌腱組織增生原始資料………………..62 附錄十 控制組之運動組肌腱組織增生原始資料……………………62 附錄十一 L-NAME之不運動組肌腱組織增生原始資料………………62 附錄十二 L-NAME之運動組肌腱組織增生原始資料…………………62 附錄十三 SNP之不運動組肌腱組織增生原始資料………………….63 附錄十四 SNP之運動組肌腱組織增生原始資料…………………….63 附錄十五 控制組之不運動組體重變化原始資料……………………63 附錄十六 控制組之運動組體重變化原始資料………………………63 附錄十七 L-NAME之不運動組體重變化原始資料……………………64 附錄十八 L-NAME之運動組體重變化原始資料………………………64 附錄十九 SNP之不運動組體重變化原始資料……………………….64 附錄二十 SNP之運動組體重變化原始資料…………………………64 表 次 表一 控制運動組與控制不運動組的AFI值……………………….23表二 L-NAME運動組與L-NAME不運動組的AFI值…………………24表三 SNP運動組與SNP不運動組的AFI值……………………………25 表四 控制不運動組、L-NAME不運動組及SNP不運動組的AFI值…26 表五 控制運動組、L-NAME運動組及SNP運動組的AFI值…………28 表六 所有組別的AFI值…………………………………………….29 表七 肌腱寬度值……….………………………………………….31 表八 體重變化表…………………………………………………….32 圖 次 圖一:實驗概觀圖………………………………………………………12 圖二:實驗流程圖………………………………………………………13 圖三:阿基里斯肌腱的手術方式………………………………………15 圖四:老鼠阿基里斯肌腱功能測量模式圖……………………………17 圖五:一氧化氮合成酶含量分析統計圖………………………………20 圖六:腳印紀錄…………………………………………………………21圖七:控制運動組與控制不運動組肌腱功能評估曲線圖……………23 圖八:L-NAME運動組與L-NAME不運動組肌腱功能評估曲線圖……24 圖九:SNP運動組與SNP不運動組肌腱功能評估曲線圖……………25 圖十:控制不運動組、L-NAME不運動組及SNP不運動組的 肌腱功能評估曲線圖………………………………………….27 圖十一:控制運動組、L-NAME運動組及SNP運動組的 肌腱功能評估曲線圖……………………………………….28 圖十二:所有組別的肌腱功能評估曲線圖……………………………30 圖十三:各組左、右腳的肌腱寬…………………………………….. 31 圖十四:各組別的右腳肌腱增生率……………………………………32 圖十五:手術前及犧牲時的體重………………………………………33

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