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1. 深圳市宝安人民医院康复科
2. 广东省中医院
纸质出版日期:2008
移动端阅览
陈尚杰, 刘波, 符文彬, 等. 针刺神门穴和养老穴激活不同脑功能区的功能性磁共振成像研究[J]. 针刺研究, 2008,(4):267-271.
CHEN Shang-jie, LIU Bo1, FU Wen-bin1, et al. A fMRI Observation on Different Cererbral Regions Activated by Acupuncture of Shenmen (HT 7) and Yanglao (SI 6)[J]. Acupuncture research, 2008, (4): 267-271.
目的:通过功能性磁共振成像(fMRI)来了解针刺神门穴和养老穴的脑激活区情况。方法:选取健康青年志愿者12例
采用组块模式(静息阶段与刺激阶段交替出现
重复3次
分为3个组块)
手法捻转行针针刺右侧的神门穴或养老穴(捻转角度180°
频率1.5Hz)。评价针刺的感觉
使用SPM2对扫描后图像进行后处理以观察激活图、激活区的差别
并观察安全指标。结果:针刺捻转时
操作者指下均有得气感
所有受试者也均有"酸、麻、重、胀"的得气感。在校正像情况下(组分析
FWE
0.05
K≥10)
神门穴主要激活了右侧额叶的中央后回BA2、BA1、BA43
左侧额下回BA47
其次为右侧顶叶的顶下小叶BA40、右侧额叶的额下回BA44、左侧颞叶的颞上回BA22、右侧脑岛BA40;养老穴主要激活了左顶叶的顶下小叶BA40
右侧额叶的额下回BA45、BA46
其次为左侧颞中回BA37、颞下回BA37、额上回BA10。结论:针刺神门穴和养老穴的激活脑区是不同的
可能与本经相关的经脉、脏腑联系密切相关。
Objective To observe the influence of acupuncture of Shenmen (HT 7) and Yanglao (SI 6) on neuro-images in different cerebral regions in voleenteer subjects. Methods Twelve healthy young voleenteer participants were enrolled in this research. fMRI scans were taken in random order in a block design (one for baseline and two for acupuncture stimulations). During stimulation phase
an acupuncture needle inserted in right HT7 or SI6 was twirled at an angle of 180° and a frequency of about 1.5 Hz for 35.6 ms. Main parameters for fMRI were TR/TE/FA=3 560 ms/50 ms/90°. Acupuncture sensations were evaluated by means of visual analog scale (VAS). The collected images were analyzed by using SPM 2 for exploring inter-group differences in blood oxygen level dependent (BOLD) responses. Results When manipulating the needle
both the operator and the subject had a feeling of Deqi. Increases in BOLD signal (group analysis
corrected
0.05
K≥10) were found mainly in right postcentral gyrus of frontal lobe (BA 2
BA 1
BA 43)
left inferior frontal gyrus (BA 47)
secondarily
in the right inferior parietal lobule (BA 40)
right inferior frontal gyrus (BA 44)
left superior temporal gyrus (BA 22) and right insula (BA 40) after acupuncture at HT7; and chiefly in left inferior parietal lobule (BA 40)
right inferior frontal gyrus (BA 45
BA 46)
secondarily in the left middle temporal gyrus and inferior temporal gyrus (BA 37) as well as the left superior frontal gyrus (BA 10) after acupuncture of SI6. Conclusion Acupuncture of HT7 and SI6 elicite different BOLD responses in some related cerebral regions.
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