中国神经再生研究(英文版) ›› 2014, Vol. 9 ›› Issue (3): 293-300.doi: 10.4103/1673-5374.128227

• 原著:脑损伤修复保护与再生 • 上一篇    下一篇

针刺缺血性脑卒中患者外关穴与非穴脑功能区激活有差异——一项基于fMRI的研究

  

  • 收稿日期:2013-11-02 出版日期:2014-02-15 发布日期:2014-02-15

Acupuncture at Waiguan (SJ5) and sham points influences activation of functional brain areas of ischemic stroke patients: a functional magnetic resonance imaging study

Ji Qi1, Junqi Chen2, Yong Huang1, Xinsheng Lai3, Chunzhi Tang3, Junjun Yang4, Hua Chen5, Shanshan Qu1   

  1. 1 School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong Province, China
    2 Department of Rehabilitation, The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong Province, China
    3 School of Acupuncture-moxibustion and Tuina, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, China
    4 School of Chinese Medicine, Hong Kong Baptist University, Hong Kong Special Administrative Region, China
    5 School of Biomedical Engineering, Southern Medical University, Guangzhou, Guangdong Province, China
  • Received:2013-11-02 Online:2014-02-15 Published:2014-02-15
  • Contact: Yong Huang, M.D., School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong Province, China, nfhy@fimmu.com. Xinsheng Lai, M.D., School of Acupuncture-moxibustion and Tuina, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China, lai1023@163.com.

摘要:

目前能够追踪到的经穴特异性的研究,大部分是探讨生理状态下针刺对患者脑功能的影响的差异,本次实验重点关注病理状态下针刺对患者脑功能的影响。实验将16例缺血性脑卒中患者随机分为真穴组和非穴组,分别接受右侧外关穴、非穴针刺。功能磁共振脑功能成像结果显示:真穴组的右侧顶叶(Brodmann area 7、19)、右侧颞叶(Brodmann area 39)、右侧边缘叶(Brodmann area 23)和双侧枕叶(Brodmann area 18)都有激活点,而双侧额叶(Brodmann area 4、6、45)、右侧顶叶(Brodmann area 1、5)及左侧颞叶(Brodmann area 21)存在负激活现象;非穴组右侧顶叶楔前叶(Brodmann area 7)有正激活点,负激活则主要体现在左侧额叶额上回(Brodmann area 10)。相对于针刺非穴,针刺脑卒中患者外关穴,能显著负激活健侧Brodmann area 5脑功能区。结果说明,针刺外关穴治疗脑卒中过程中患者感觉相关的体感联合皮质区(Brodmann area 5)的特异性变化可能与针刺治疗脑卒中的中枢机制相关。

关键词: 神经再生, 针灸, 外关穴, 脑损伤, 缺血性脑卒中, 功能磁共振成像, Brodmann area, 非穴, 国家重点基础研究发展计划(973计划)