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针刺心经神门穴、胃经足三里穴、胃经丰隆穴和肾经太溪穴对阿尔茨海默病患者大脑各部位的影响。

Effect of acupuncture given at the HT 7, ST 36, ST 40 and KI 3 acupoints on various parts of the brains of Alzheimer' s disease patients.

作者信息

Zhou Youlong, Jin Jianping

机构信息

Department of Neurology, Xuan Wu Hospital, Capital Medical University, Beijing, China.

出版信息

Acupunct Electrother Res. 2008;33(1-2):9-17.

Abstract

In this study, we explore various regions of the brains of Alzheimer' s Disease (AD) patients before and after acupuncture treatment of acupoints in the brain in order to determine the effect, if any, of acupuncture on AD. Twenty-six patients with clinically-diagnosed AD underwent functional magnetic resonance imaging (fMRI) while undergoing acupuncture at the four acupoints of Shenmen (HT 7), Zusanli (ST 36), Fenglong (ST 40) and Taixi (KI 3). fMRI Block design paradigm was chosen by electroacupumcture interval stimulation, and the data of fMRI were analyzed by Statistical Parametric Mapping (SPM 99). The result demonstrated that there were right main hemisphere activations (temporal lobe, such as hippocampal gyrus, insula, and some area of parietal lobe) and left activated regions (temporal lobe, parietal lobule, some regions of cerebellum). The activated regions induced by these acupoints were consistent with impaired areas in brain for AD patients, which were closely correlated with the cognitive function (memory, reason, language, executive, etc.). The present study provided the strong evidence that acupuncture had a potential effect on AD, and in partial revealed the mechanism.

摘要

在本研究中,我们探究了阿尔茨海默病(AD)患者在脑部穴位针刺治疗前后大脑的各个区域,以确定针刺对AD是否有影响。26例临床诊断为AD的患者在针刺神门(HT 7)、足三里(ST 36)、丰隆(ST 40)和太溪(KI 3)这四个穴位时接受了功能磁共振成像(fMRI)检查。采用电针间隔刺激选择fMRI组块设计范式,并通过统计参数映射(SPM 99)对fMRI数据进行分析。结果表明,右侧大脑半球有激活区域(颞叶,如海马回、脑岛以及顶叶的一些区域),左侧也有激活区域(颞叶、顶小叶、小脑的一些区域)。这些穴位所诱导的激活区域与AD患者大脑中的受损区域一致,且与认知功能(记忆、推理、语言、执行等)密切相关。本研究提供了有力证据表明针刺对AD有潜在影响,并部分揭示了其机制。

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