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一项关于为期8周的针灸治疗对帕金森病患者影响的研究。

A study of the effects of 8-week acupuncture treatment on patients with Parkinson's disease.

作者信息

Yeo Sujung, van den Noort Maurits, Bosch Peggy, Lim Sabina

机构信息

College of Korean Medicine, Sang Ji University, Wonju.

Department of Meridian and Acupoint, College of Korean Medicine and Research Group of Pain and Neuroscience, WHO Collaborating Center for Traditional Medicine, East-West Medical Research Institute, Kyung Hee University, Seoul, Republic of Korea.

出版信息

Medicine (Baltimore). 2018 Dec;97(50):e13434. doi: 10.1097/MD.0000000000013434.

Abstract

BACKGROUND

Parkinson's disease (PD) is a degenerative brain disorder, resulting in decreased neural responses in the supplementary motor area, putamen, and thalamus. Previous research showed that acupuncture was able to improve the motor dysfunction. The primary aim of this study is to assess the efficacy of longer acupuncture treatment for preventing brain degeneration in patients with PD.

METHODS

Ten outpatients with PD were recruited from Kyung Hee Medical Hospital. Behavioral and neural responses were examined before and after 8 weeks of acupuncture treatment. A semi-individualized treatment approach was used; patients were treated for 15 minutes with 120-Hz electro-acupuncture at the right GB34 and Taechung (LR3), followed by manual acupuncture based on the individual symptoms of the patient.

RESULTS

Immediately after 8 weeks of acupuncture treatment, the Unified Parkinson's Disease Rating Scale (UPDRS) sub-scores and the depression scores for the patients had statistically decreased compared to the scores before acupuncture treatment; moreover, 8 weeks later, these scores remained stable. Compared to the neural responses before the acupuncture stimulation, those after the acupuncture treatment were significantly higher in the thalamus, cingulate gyrus, anterior cingulate, lingual gyrus, parahippocampal gyrus, lateral globus pallidus, mammillary body, middle temporal gyrus, cuneus, and fusiform gyrus. Finally, a positive correlation was found between the UPDRS and the mean magnetic resonance signal change for the thalamus.

CONCLUSION

This study found beneficial clinical effects of 8-week acupuncture treatment in the brains of patients with PD.

摘要

背景

帕金森病(PD)是一种退行性脑疾病,会导致辅助运动区、壳核和丘脑的神经反应减弱。先前的研究表明针灸能够改善运动功能障碍。本研究的主要目的是评估更长时间的针灸治疗对预防帕金森病患者脑退化的疗效。

方法

从庆熙医疗院招募了10名帕金森病门诊患者。在针灸治疗8周前后检查行为和神经反应。采用半个体化治疗方法;患者先在右侧阳陵泉(GB34)和太冲(LR3)接受120赫兹电针治疗15分钟,然后根据患者的个体症状进行手针治疗。

结果

针灸治疗8周后,患者的统一帕金森病评定量表(UPDRS)分项评分和抑郁评分与针灸治疗前相比有统计学意义的下降;此外,8周后,这些评分保持稳定。与针灸刺激前的神经反应相比,针灸治疗后的丘脑、扣带回、前扣带回、舌回、海马旁回、外侧苍白球、乳头体、颞中回、楔叶和梭状回的神经反应明显更高。最后,发现丘脑的UPDRS与平均磁共振信号变化之间存在正相关。

结论

本研究发现8周针灸治疗对帕金森病患者大脑有有益的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690f/6320216/082cf25ac628/medi-97-e13434-g001.jpg

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