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对侧电针对脑功能的影响:一项双盲、随机、试点临床试验。

Effects of contralateral electroacupuncture on brain function: a double-blind, randomized, pilot clinical trial.

作者信息

Woo Young-Min, Lee Myeong Soo, Nam Young, Cho Hye-Jin, Shin Byung-Cheul

机构信息

Department of Acupuncture and Moxibustion, National Medical Center, Seoul, Republic of Korea.

出版信息

J Altern Complement Med. 2006 Oct;12(8):813-5. doi: 10.1089/acm.2006.12.813.

Abstract

OBJECTIVES

The aim of this study was to ascertain the effects of contralateral acupuncture on brain function using blind-spot mapping.

DESIGN AND PARTICIPANTS

Forty (40) healthy volunteers in whom the right-side blind spot was larger than the left-side one-which indicates lower left-brain function-were randomly assigned into the following two groups in which electroacupuncture was applied to: (1) the contralateral ST36 acupuncture point (right side), and (2) the ipsilateral ST36 acupuncture point (left side).

OUTCOME MEASURE

Blind-spot perimetry length was the outcome measure.

RESULTS

Electroacupuncture to the contralateral side decreased the blind-spot perimetry length by 5.0 (-9.3 to 0.9) [median (interquartile range, IQR)], whereas that to the ipsilateral side increased the length by 4.5 (-3.7 to 7.8) [median, IQR]. There was significant difference in this length between the two groups (p < 0.05).

CONCLUSIONS

These results suggest that electroacupuncture application increased or decreased the brain function- as assessed by changes to the blind spot-depending on the treatment side: Contralateral-side treatment has a better effect than ipsilateral-side treatment on brain function. However, further randomized studies that include both right- and left-side-enlarged subjects with a sham needle are needed to convincingly show the effects of contralateral acupuncture on brain function.

摘要

目的

本研究旨在通过盲点映射确定对侧针刺对脑功能的影响。

设计与参与者

40名健康志愿者,其右侧盲点大于左侧(这表明左脑功能较低),被随机分为以下两组并进行电针治疗:(1)对侧足三里穴位(右侧),(2)同侧足三里穴位(左侧)。

观察指标

盲点视野计长度为观察指标。

结果

对侧电针使盲点视野计长度减少了5.0(-9.3至0.9)[中位数(四分位间距,IQR)],而同侧电针使长度增加了4.5(-3.7至7.8)[中位数,IQR]。两组之间该长度存在显著差异(p<0.05)。

结论

这些结果表明,根据治疗侧不同,电针治疗可增加或降低脑功能(通过盲点变化评估):对侧治疗对脑功能的效果优于同侧治疗。然而,需要进一步开展随机研究,纳入双侧盲点扩大的受试者并设置假针,以令人信服地证明对侧针刺对脑功能的影响。

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