Chen Xin, Chen Jun, Liu Bo
Guangdong Provincial Hospital of Traditional Chinese Medical, Guangzhou.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Oct;30(10):1030-5.
OBJECTIVE: To observe and analyze the changes in brain amplitude of low-frequency fluctuation (ALFF) in resting-state induced by ST36 (Zusanli) point acupuncturing (Ac), and to discuss its central modulating mechanism. METHODS: Fifteen healthy young volunteers received ST36 Ac and non-acupoints Ac respectively, the resting-state fMRI data were acquired before and 20 min after the withdrawal of AC. ALFF of encephalic regions were calculated using REST software, and one-sample t-test analysis was performed on the intragroup data acquired after Ac by statistical parametric mapping 5 (SPM5), to get the maps of ALFF changes induced by ST36 Ac and non-acupoints Ac respectively for analyzing the difference between them finally. RESULTS: ST36 Ac increased ALFF in widespread brain areas, including cerebral cortex (frontal, temporal, parietal and occipital lobe), brainstem, cerebellum, etc., with the amplitude and extent higher than those increased by non-acupoint Ac, showing statistical significance in ALEF of right cerebellar posterior lobe, fusiform gyrus, central posterior gyrus, central anterior gyrus, supramarginal gyrus, inferior parietal lobule, middle frontal gyrus (P < 0.05). Meanwhile, ALFF in brain areas of left temporal pole, superior temporal gyrus, mid-temporal gyrus, uncus, bilateral forepart of callosal gyrus, right amygdala, right inferior gyri orbitales were decreased by Ac, also showing significant difference between ST36 Ac and non-acupoint Ac (P < 0.05). CONCLUSION: ST36 Ac could induce ALFF changes in multiple functional regions of brain,and its mechanism is probably produced by modulating the respective functional center and complex network in brain to influence the target organs.
目的:观察并分析针刺足三里穴(ST36)对静息态脑低频振荡幅度(ALFF)的影响,并探讨其中枢调节机制。 方法:15名健康青年志愿者分别接受足三里穴针刺和非穴位针刺,针刺前后分别采集静息态功能磁共振成像(fMRI)数据。采用REST软件计算脑区的ALFF,运用统计参数映射5(SPM5)对针刺后采集的组内数据进行单样本t检验分析,分别得到足三里穴针刺和非穴位针刺引起的ALFF变化图,最后分析两者差异。 结果:针刺足三里穴可使包括大脑皮质(额叶、颞叶、顶叶和枕叶)、脑干、小脑等广泛脑区的ALFF升高,其幅度和范围高于非穴位针刺,右侧小脑后叶、梭状回、中央后回、中央前回、缘上回、顶下小叶、额中回的ALFF有统计学意义(P<0.05)。同时,针刺可使左侧颞极、颞上回、颞中回、钩回、胼胝体回前部双侧、右侧杏仁核、右侧眶回下部等脑区的ALFF降低,足三里穴针刺与非穴位针刺之间也有显著差异(P<0.05)。 结论:针刺足三里穴可引起脑多个功能区ALFF的变化,其机制可能是通过调节脑内各自的功能中枢和复杂网络来影响靶器官。
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