针刺阳陵泉（GB 34）对脑梗死患者被动运动即时效应的观察
[Observation on the immediate effects of acupuncture at Yanglingquan(GB 34) on passive movement in cerebral infarction patients].
作者信息
Si Wei-Jun, Zhang Hua, Wang Peng, Tan Zhong-Jian, Cui Fang-Yuan
机构信息
Department of Neurology, Dongzhimen Hospital Affiliated to Beijing University of CM, Beijing 100700, China.
出版信息
Zhongguo Zhen Jiu. 2013 Feb;33(2):131-6.
OBJECTIVE
To observe central immediate effect of acupuncture at Yanglingquan (GB 34) on passive movement of cerebral infarction paitents with hemiplegia by functional magnetic resonance imaging (fMRI) and provide reference for clinical treatment.
METHODS
With 1. 5 T MRI scanner, six cases of right cerebral infarction paitents with left hemiplegia in recovery stage were scanned during passive fingers movement before and after acupuncture at Yanglingquan (GB 34), which was controlled with sham-acupoint acupuncture to observe immediate activated part of the corresponding brain.
RESULTS
The activated areas of the passive movement in all the patients were mainly motor sensory cortex on the right side. Compared with sham-acupoint, in the left anterior insula, in ferior frontal gyrus, central gyrus, fusiform gyrus, cerebellum, acupuncture at Yanglingquan (GB 34) has better central effect. These areas were involved with several brain networks.
CONCLUSION
The acupuncture at Yan glingquan (GB 34) could promote recover of helmiplegia by regulating motor-related network.
目的
采用功能磁共振成像（fMRI）观察针刺阳陵泉（GB 34）对脑梗死偏瘫患者被动运动的中枢即时效应，为临床治疗提供参考。
方法
采用1.5 T MRI扫描仪，对6例处于恢复期的右侧脑梗死伴左侧偏瘫患者在针刺阳陵泉（GB 34）前后的被动手指运动过程中进行扫描，以假穴针刺作为对照，观察相应脑区的即时激活情况。
结果
所有患者被动运动的激活区域主要在右侧运动感觉皮层。与假穴相比，针刺阳陵泉（GB 34）在左侧前岛叶、额下回、中央回、梭状回、小脑等部位具有更好的中枢效应。这些区域涉及多个脑网络。
结论
针刺阳陵泉（GB 34）可通过调节运动相关网络促进偏瘫恢复。
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