Lin Dong, Huang Xiao-Zhen, Zhuang Wan-Yu, Yu Yun-Ying, Wu Qiang
College of Acupuncture and Moxibustion, Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China.
Studio of Professor WU Bing-huang, the Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou 350009.
Zhen Ci Yan Jiu. 2018 Mar 25;43(3):180-4. doi: 10.13702/j.1000-0607.170373.
To evaluate the influence of superficial needling on electroencephalogram (EEG) in patients with insomnia by using nonlinear kinetics measure.
Six patients (3 male and 3 female) suffering from insomnia for more than a month were recruited in the present study. EEG data before and during superficial acupuncture stimulation of Shangen point (the midpoint between the bilateral inner canthus) was recorded using an electroencephalograph for analyzing the correlation dimensionality (D 2) and approximate entropy (ApEn) of different cerebral regions.
During superficial needling, the D 2 data of the right-forehead (Fp 2), anterior area of the left temple (F 7) and the anterior region of the right temple (F 8) were significantly increased (<0.05), and ApEn data at the right anterior forehead(Fp 2), left occipital region (O 1), and F 8 region markedly decreased relevant to pre-acupuncture (<0.05). Both paring test and trend analysis of D 2 data showed no significant changes. Only an obvious increase of D 2 was found in the Fp 2 region, suggesting a coherence of EEG activities in stability and synchronization during acupuncture treatment. Clustering analysis of D 2 data of various cerebral regions displayed a relatively concentrated tendency, particularly in the Fp 2, the right forehead (F 4) and F 8 regions. Factor analysis of ApEn data showed a significant change in Fp 2, F 8, O 1 and right occipital (O 2) regions. It suggests that during superficial needling stimulation of Shangen point, the EEG signals were lowered in complexity, and improved in synchronization, stabilization and ordering, favoring sleep at last.
Superficial needling of Shangen point can make the EEG signals synchronized in insomnia patients, suggesting an improvement of sleeping.
采用非线性动力学测量方法,评估浅刺对失眠患者脑电图(EEG)的影响。
本研究招募了6例(3男3女)失眠超过1个月的患者。使用脑电图仪记录在浅刺山根穴(双侧内眦中点)刺激前和刺激过程中的EEG数据,以分析不同脑区的关联维数(D2)和近似熵(ApEn)。
浅刺过程中,右前额(Fp2)、左颞前部(F7)和右颞前部(F8)的D2数据显著增加(<0.05),与针刺前相比,右前额前部(Fp2)、左枕区(O1)和F8区的ApEn数据显著降低(<0.05)。D2数据的配对检验和趋势分析均未显示出显著变化。仅在Fp2区域发现D2明显增加,表明针刺治疗期间EEG活动在稳定性和同步性方面具有一致性。不同脑区D2数据的聚类分析显示出相对集中的趋势,特别是在Fp2、右前额(F4)和F8区域。ApEn数据的因子分析显示Fp2、F8、O1和右枕区(O2)区域有显著变化。这表明在浅刺山根穴刺激过程中,EEG信号的复杂性降低,同步性、稳定性和有序性提高,最终有利于睡眠。
浅刺山根穴可使失眠患者的EEG信号同步化,提示睡眠得到改善。