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[针刺内关穴(PC 6)后大脑血氧水平低频波动幅度下相关信号变化的研究]

[Investigation on the changes of dependent signal on the amplitude of low frequency fluctuations at blood oxygen level in brain after acupuncture Neiguan (PC 6)].

作者信息

Han Yong-yan, Yin Hao, Zhou You-long, Zhang Gang, Wu Yun-hu, Xing Wei, Sun Fei, Jin Xiang-yu, Xu Hong-zhou

机构信息

The Third Affiliated Hospital of Henan Colloge of TCM, Zhengzhou, China.

出版信息

Zhongguo Zhen Jiu. 2009 Aug;29(8):647-51.

Abstract

OBJECTIVE

To investigate the relationship of the acupoint and its functional location in the brain.

METHODS

Ten healthy participants were examined with the resting state functional magnetic resonance imaging (fM-RI). The scanning includes the resting state 1 (R 1), acupuncture stimulating (AP) Neiguan (PC 6) and the resting state 2 (R 2). All data were analyzed with the amplitude of low frequency fluctuations (ALFF).

RESULTS

  1. During the R1, the regions with active signal on the ALFF contained bilateral superior frontal gyrus, medial frontal gyrus and some part of cerebellum (including right declive, culme, tonsil and left uvula), as well as left precuneus, right superiour temporal gyrus. 2) As for AP, the active regions with higher ALFF were bilateral superior frontal gyrus and right cuneus, as well as left middle frontal gyrus, declivis and right semi-lunar lobule. 3) The main difference on ALFF between R1 and AP appeared within bilateral cingulated gyrus and declivis, left lingualgurus, and cuneus, as well as right precuneus, fusiform gyrus, superior frontal gyrus, medial frontal gyrus and superior temporal gyrus, etc.

CONCLUSION

After acupuncture stimulating the left Neiguan (PC 6), the active regions on ALFF are detected on bilateral cingulated gyrus, right superior frontal gyrus and medial frontal gyrus, as well as bilateral declivis and left lingual gurus, etc. These regions have the close relationship with the mental disorder and nervous diseases, which might be the possible neural mechanism of acupuncture stimulating Neiguan (PC 6) for treating some of related mental disorder and nervous diseases.

摘要

目的

探讨穴位与其在脑内功能定位的关系。

方法

对10名健康受试者进行静息态功能磁共振成像(fM-RI)检查。扫描包括静息态1(R1)、针刺内关穴(PC6)以及静息态2(R2)。所有数据采用低频振幅(ALFF)进行分析。

结果

1)在R1期间,ALFF上有活跃信号的区域包括双侧额上回、额内侧回以及小脑的一些部分(包括右侧山坡、山顶、扁桃体和左侧蚓垂),还有左侧楔前叶、右侧颞上回。2)针刺时,ALFF较高的活跃区域为双侧额上回和右侧楔叶,以及左侧额中回、山坡和右侧半月小叶。3)R1与针刺之间ALFF的主要差异出现在双侧扣带回和山坡、左侧舌回、楔叶,以及右侧楔前叶、梭状回、额上回、额内侧回和颞上回等。

结论

针刺左侧内关穴(PC6)后,在双侧扣带回、右侧额上回和额内侧回,以及双侧山坡和左侧舌回等部位检测到ALFF活跃区域。这些区域与精神障碍和神经疾病密切相关,这可能是针刺内关穴(PC6)治疗某些相关精神障碍和神经疾病的可能神经机制。

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