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针刺对功能性消化不良脑-肠轴的调节作用:一项静息态功能磁共振成像初步研究

Brain-Gut Axis Modulation of Acupuncture in Functional Dyspepsia: A Preliminary Resting-State fcMRI Study.

作者信息

Fang Jiliang, Wang Danhong, Zhao Qing, Hong Yang, Jin Yulian, Liu Zhishun, Zhou Kehua, Jing Xianghong, Yu Xiaochun, Pan Ruiqi, Chang Andrew, Liu Hesheng, Zhu Bing

机构信息

Department of Radiology, Guang An Men Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.

Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129, USA.

出版信息

Evid Based Complement Alternat Med. 2015;2015:860463. doi: 10.1155/2015/860463. Epub 2015 Nov 8.


DOI:10.1155/2015/860463
PMID:26649064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4655049/
Abstract

Objective. To explore acupuncture effects on brain functional connectivity in patients with functional dyspepsia (FD). Methods. Eight patients in an acupuncture treatment group and ten healthy adults in the control group participated in the study. Acupuncture effectiveness was evaluated based on changes of the gastrointestinal symptoms, gastric motility measurements, and gastrin levels and comparisons with the control group when appropriate. To investigate functional connectivity changes related to FD and potential modulation after acupuncture, a set of regions of interest (ROIs) were selected according to previous fMRI reports of acupuncture. Results. Patients showed significant improvements of FD signs and symptoms after acupuncture treatments. For all of the ROIs, we identified subportions of the networks showing reduced connectivity in patients with FD. Connectivity between the ROIs and corresponding disease targets showed significant improvement after acupuncture treatment (P < 0.05) in all ROIs except for right medial temporal lobe-hippocampus and right inferior parietal lobule. Conclusion. Functional connectivity of the brain is changed in patients with FD but approximates that in healthy control after acupuncture treatment. The relief of gastrointestinal signs and symptoms by acupuncture is likely due to the normalization of brain-gut axis associated with FD.

摘要

目的。探讨针刺对功能性消化不良(FD)患者脑功能连接的影响。方法。针刺治疗组的8例患者和对照组的10名健康成年人参与了该研究。根据胃肠道症状、胃动力测量和胃泌素水平的变化评估针刺疗效,并在适当的时候与对照组进行比较。为了研究与FD相关的功能连接变化以及针刺后的潜在调节作用,根据先前关于针刺的功能磁共振成像报告选择了一组感兴趣区域(ROI)。结果。针刺治疗后患者的FD体征和症状有显著改善。对于所有ROI,我们确定了FD患者中显示连接性降低的网络子部分。除右侧颞叶内侧-海马和右侧顶下小叶外,所有ROI针刺治疗后ROI与相应疾病靶点之间的连接性均有显著改善(P < 0.05)。结论。FD患者的脑功能连接发生改变,但针刺治疗后接近健康对照组。针刺缓解胃肠道体征和症状可能是由于与FD相关的脑-肠轴正常化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/7aaacc80180d/ECAM2015-860463.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/0f4312f5b633/ECAM2015-860463.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/8ffc78c4d3bb/ECAM2015-860463.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/1f3d00623f7c/ECAM2015-860463.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/e89978f55027/ECAM2015-860463.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/7aaacc80180d/ECAM2015-860463.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/0f4312f5b633/ECAM2015-860463.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/8ffc78c4d3bb/ECAM2015-860463.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/1f3d00623f7c/ECAM2015-860463.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/e89978f55027/ECAM2015-860463.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2438/4655049/7aaacc80180d/ECAM2015-860463.005.jpg

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[1]
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[2]
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BMC Gastroenterol. 2024-1-24

[3]
Acupuncture with twirling reinforcing and reducing manipulation shows a control of hypertension and regulation of blood pressure-related target brain regions in spontaneously hypertensive rat: a preliminary resting-state functional MRI study.

Front Neurosci. 2023-5-26

[4]
Functional magnetic resonance imaging providing the brain effect mechanism of acupuncture and moxibustion treatment for depression.

Front Neurol. 2023-3-21

[5]
A protocol for the integration of multi-omics bioinformatics: Mechanism of acupuncture as an adjunctive therapy for alcohol use disorder.

Front Neurol. 2023-1-5

[6]
The Influence of Stomach Back-Shu and Front-Mu Points on Insular Functional Connectivity in Functional Dyspepsia Rat Models.

Evid Based Complement Alternat Med. 2021-9-14

[7]
The cerebral mechanism of acupuncture for chronic insomnia with gastrointestinal disorder: protocol for a randomized controlled trial.

Trials. 2021-6-7

[8]
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[9]
Effects and mechanisms of acupuncture and electroacupuncture for functional dyspepsia: A systematic review.

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[10]
Efficacy Comparison of Different Acupuncture Treatments for Functional Dyspepsia: A Systematic Review with Network Meta-Analysis.

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本文引用的文献

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Evid Based Complement Alternat Med. 2015

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Neuroimage. 2012-8-25

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Influence of acupuncture treatment on cerebral activity in functional dyspepsia patients and its relationship with efficacy.

Am J Gastroenterol. 2012-5-29

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