腹泻型肠易激综合征中针刺效应的脑功能交互作用

Brain Functional Interaction of Acupuncture Effects in Diarrhea-Dominant Irritable Bowel Syndrome.

作者信息

Ma Kai, Liu Yongkang, Shao Wei, Sun Jianhua, Li Jing, Fang Xiaokun, Li Jing, Wang Zhongqiu, Zhang Daoqiang

机构信息

MIIT Key Laboratory of Pattern Analysis and Machine Intelligence, College of Computer Science and Technology, Nanjing University of Aeronautics and Astronautics, Nanjing, China.

Department of Radiology, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

Front Neurosci. 2020 Dec 15;14:608688. doi: 10.3389/fnins.2020.608688. eCollection 2020.

Abstract

Acupuncture is a traditional Chinese medicine treatment that has widely been used to modulate gastrointestinal dysfunction caused by irritable bowel syndrome (IBS) and to alleviate the resulting pain. Recent studies have shown that gastrointestinal dysfunction caused by IBS is associated with dysregulation of the brain's central and peripheral nervous system, while functional magnetic resonance imaging (fMRI) helps explore functional abnormality of the brain. However, previous studies rarely used fMRI to study the correlations between brain functional connection, interaction, or segregation (e.g., network degree and clustering coefficient) and acupuncture stimulation in IBS. To bridge this knowledge gap, we study the changed brain functional connection, interaction, and segregation before and after acupuncture stimulation for diarrhea-dominant IBS (IBS-D) with the help of complex network methods based on fMRI. Our results indicate that the abnormal functional connections (FCs) in the right hippocampus, right superior occipital gyrus, left lingual gyrus, left middle occipital gyrus, and the cerebellum, and abnormal network degree in right middle occipital gyrus, where normal controls are significantly different from IBS-D patients, are improved after acupuncture stimulation. These changed FCs and the network degree before and after acupuncture stimulation have significant correlations with the changed clinical information including IBS symptom severity score ( = -0.54, = 0.0065) and IBS quality of life ( = 0.426, = 0.038). We conclude that the changes of the brain functional connection, interaction, and segregation in the hippocampus, middle and superior occipital gyrus, cerebellum, and the lingual gyrus may be related to acupuncture stimulation. The abnormal functional connection, interaction, and segregation in IBS-D may be improved after acupuncture stimulation.

摘要

针灸是一种传统的中医疗法,已被广泛用于调节由肠易激综合征(IBS)引起的胃肠功能障碍,并缓解由此产生的疼痛。最近的研究表明,IBS引起的胃肠功能障碍与大脑中枢和外周神经系统的失调有关,而功能磁共振成像(fMRI)有助于探索大脑的功能异常。然而,以往的研究很少使用fMRI来研究IBS中脑功能连接、相互作用或分离(如网络度和聚类系数)与针灸刺激之间的相关性。为了填补这一知识空白,我们借助基于fMRI的复杂网络方法,研究了腹泻型IBS(IBS-D)患者针灸刺激前后脑功能连接、相互作用和分离的变化。我们的结果表明,右侧海马体、右侧枕上回、左侧舌回、左侧枕中回和小脑的异常功能连接(FCs),以及右侧枕中回的异常网络度,在正常对照与IBS-D患者之间存在显著差异,针灸刺激后得到改善。这些针灸刺激前后FCs和网络度的变化与包括IBS症状严重程度评分(r = -0.54,P = 0.0065)和IBS生活质量(r = 0.426,P = 0.038)在内的临床信息变化具有显著相关性。我们得出结论,海马体、枕中回和枕上回、小脑以及舌回的脑功能连接、相互作用和分离的变化可能与针灸刺激有关。针灸刺激后IBS-D中异常的功能连接、相互作用和分离可能会得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e551/7770184/d5810fd71af2/fnins-14-608688-g0001.jpg

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