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针刺治疗可调节无先兆偏头痛患者脑区的静息态功能连接。

Acupuncture treatment modulates the resting-state functional connectivity of brain regions in migraine patients without aura.

作者信息

Zhang Yong, Li Kuang-shi, Liu Hong-wei, Fu Cai-hong, Chen Sheng, Tan Zhong-jian, Ren Yi

机构信息

Department of Neurology and Stroke Center, Dongzhimen Hospital, the First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, 100700, China.

Department of Acupuncture, Dongzhimen Hospital, the First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, 100700, China.

出版信息

Chin J Integr Med. 2016 Apr;22(4):293-301. doi: 10.1007/s11655-015-2042-4. Epub 2015 Apr 6.

Abstract

OBJECTIVE

To investigate the modulatory effect of acupuncture treatment on the resting-state functional connectivity of brain regions in migraine without aura (MWoA) patients.

METHODS

Twelve MWoA patients were treated with standard acupuncture treatment for 4 weeks. All MWoA patients received resting-state functional magnetic resonance imaging (fMRI) scanning before and after acupuncture treatment. Another 12 normal subjects matched in age and gender were recruited to serve as healthy controls. The changes of restingstate functional connectivity in MWoA patients before and after the acupuncture treatment and those with the healthy controls were compared.

RESULTS

Before acupuncture treatment, the MWoA patients had significantly decreased functional connectivity in certain brain regions within the frontal and temporal lobe when compared with the healthy controls. After acupuncture treatment, brain regions showing decreased functional connectivity revealed significant reduction in MWoA patients compared with before acupuncture treatment.

CONCLUSIONS

Acupuncture treatment could increase the functional connectivity of brain regions in the intrinsic decreased brain networks in MWoA patients. The results provided further insights into the interpretation of neural mechanisms of acupuncture treatment for migraine.

摘要

目的

探讨针刺治疗对无先兆偏头痛(MWoA)患者脑区静息态功能连接的调节作用。

方法

12例MWoA患者接受标准针刺治疗4周。所有MWoA患者在针刺治疗前后均接受静息态功能磁共振成像(fMRI)扫描。另外招募12名年龄和性别匹配的正常受试者作为健康对照。比较MWoA患者针刺治疗前后静息态功能连接的变化以及与健康对照的差异。

结果

针刺治疗前,与健康对照相比,MWoA患者额叶和颞叶内某些脑区的功能连接显著降低。针刺治疗后,与针刺治疗前相比,MWoA患者中功能连接降低的脑区有显著减少。

结论

针刺治疗可增加MWoA患者内在脑网络中功能连接降低的脑区的功能连接。该结果为针刺治疗偏头痛的神经机制解释提供了进一步的见解。

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