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针刺刺激对大脑激活及戒酒自我效能的影响:功能磁共振成像研究

The Effects of Acupuncture Stimulation for Brain Activation and Alcohol Abstinence Self-Efficacy: Functional MRI Study.

作者信息

Yang Chae Ha, Choi Seong Hun, Kim Ju Sang, Ryu Yeon Hee, Lim Young Jin, Kim Moon Seup, Sohn Jeong Woo, Oh Sung Suk, Kim Cheongtag, Lee Mi Young

机构信息

Department of Physiology, College of Oriental Medicine, Daegu Haany University, Daegu, Republic of Korea.

Department of Anatomy and Histology, College of Oriental Medicine, Daegu Haany University, Daegu, Republic of Korea.

出版信息

Evid Based Complement Alternat Med. 2017;2017:2850124. doi: 10.1155/2017/2850124. Epub 2017 Feb 9.

Abstract

We attempted to investigate whether acupuncture stimulation at HT7 can have an effect on brain activation patterns and alcohol abstinence self-efficacy. Thirty-four right-handed healthy subjects were recruited for this study. They were randomly assigned into two groups: the HT7 (Shenmen) group and the LI5 (Yangxi) group. Acupuncture stimulation was performed using a block paradigm during fMRI scanning. Additionally, the Korean version of Alcohol Abstinence Self-Efficacy Scale (AASES) was used to determine the effect of acupuncture stimulation on self-efficacy to abstain from alcohol use. According to the result of fMRI group analysis, the activation induced by HT7 stimulation was found on the bilateral postcentral gyrus, inferior parietal lobule, inferior frontal gyrus, claustrum, insula, and anterior lobe of the cerebellum, as well as on the left posterior lobe of the cerebellum ( < 0.001, uncorrected). According to the AASES analysis, the interaction effect for gender and treatment was marginally significant ((1, 30) = 4.152, = 0.050). For female group, the simple main effect of treatment was significant ((1, 11) = 8.040, = 0.016), indicating that the mean change score was higher in the HT7 stimulation than in the LI5 stimulation. Therefore, our study has provided evidence to support that HT7 stimulation has a positive therapeutic effect on the alcohol-related diseases.

摘要

我们试图研究针刺心经7穴(神门)是否会对大脑激活模式和戒酒自我效能产生影响。本研究招募了34名右利手健康受试者。他们被随机分为两组:心经7穴(神门)组和大肠经5穴(阳溪)组。在功能磁共振成像扫描期间,采用组块范式进行针刺刺激。此外,使用韩国版戒酒自我效能量表(AASES)来确定针刺刺激对戒酒自我效能的影响。根据功能磁共振成像组分析结果,发现心经7穴刺激诱发的激活出现在双侧中央后回、顶下小叶、额下回、屏状核、岛叶和小脑前叶,以及小脑左后叶(<0.001,未校正)。根据AASES分析,性别与治疗的交互作用接近显著(F(1, 30) = 4.152,p = 0.050)。对于女性组,治疗的简单主效应显著(F(1, 11) = 8.040,p = 0.016),表明心经7穴刺激的平均变化得分高于大肠经5穴刺激。因此,我们的研究提供了证据支持心经7穴刺激对酒精相关疾病具有积极的治疗作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b294/5322448/734699fe3249/ECAM2017-2850124.001.jpg

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