First affiliated hospital, Heilongjiang University of Chinese Medicine, Harbin, China.
Heilongjiang University of Chinese Medicine, Harbin, China.
Brain Behav. 2021 Apr;11(4):e02057. doi: 10.1002/brb3.2057. Epub 2021 Feb 9.
The study aimed to explore the cerebral areas with changes in regional homogeneity (ReHo) and amplitude of low-frequency fluctuation (ALFF) values induced by effective acupuncture on the Taibai (SP3) point.
In the study, 15 healthy right-handed volunteers (seven males and eight females, 20-35 years old) were enrolled. The average ages of the subjects were 28.0 ± 4.24 years for males and 27.4 ± 3.65 years for females. A 3.0T magnetic resonance imaging (MRI) system was used to perform resting-state functional MRI scan after sham and effective acupuncture on the SP3 point. The differences in cerebral ReHo and ALFF values between posteffective acupuncture and postsham acupuncture were compared using the SPM 12 software.
ReHo values of bilateral BA18, cuneus, and BA17, along with BA41, BA22, postcentral gyrus, and BA7 on the right side, were decreased by effective SP3 acupuncture. The ALFF values of bilateral BA 30 and left parahippocampal area were increased, whereas the values of bilateral BA18, BA19, cuneus, posterior cingulate gyrus, and BA7, along with the right superior occipital lobule, postcentral gyrus, and left precuneus, were decreased.
The most dominant cerebral areas affected by SP3 acupuncture were bilateral visual-related cortices (lingual gyrus, cuneus, and calcarine), along with the unilateral postcentral gyrus and superior parietal lobule. These findings may be potential explanations for the available clinical reports concerning the efficacy of SP3 acupuncture. Further clinical and experimental studies on SP3 acupuncture are required.
本研究旨在探讨有效针刺太冲穴(SP3)后局部一致性(ReHo)和低频振幅(ALFF)值变化的脑区。
本研究纳入 15 名健康右利手志愿者(男性 7 名,女性 8 名,20-35 岁)。受试者平均年龄为男性 28.0±4.24 岁,女性 27.4±3.65 岁。采用 3.0T 磁共振成像(MRI)系统对 sham 针刺和有效针刺 SP3 点后进行静息态功能 MRI 扫描。使用 SPM 12 软件比较有效针刺后和 sham 针刺后的脑 ReHo 和 ALFF 值的差异。
有效针刺 SP3 后双侧 BA18、楔前叶和 BA17,以及右侧 BA41、BA22、中央后回和 BA7 的 ReHo 值降低。双侧 BA30 和左侧海马旁回的 ALFF 值增加,而双侧 BA18、BA19、楔前叶、后扣带回和 BA7,以及右侧顶叶上回、中央后回和左侧楔前叶的 ALFF 值降低。
SP3 针刺最主要影响的脑区为双侧与视觉相关的皮质(舌回、楔前叶和距状回),以及单侧中央后回和顶叶上回。这些发现可能为现有关于 SP3 针刺疗效的临床报道提供潜在解释。需要进一步开展关于 SP3 针刺的临床和实验研究。