针刺同一经络不同穴位的磁共振脑功能成像对比研究  

Comparative Study on Acupuncturing the Different Acupoints of the Same Meridian with Functional Magnetic Resonance Imaging

作　　者：吴志远[1] 缪飞[1] 项琼瑶[2] 郝晶[1] 葛林宝 倪根雄[1] 陈克敏[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院放射科,上海200025 [2]上海交通大学医学院附属瑞金医院针灸科,上海200025 [3]上海市针灸经络研究中心,上海201203

出　　处：《中国医学影像学杂志》2008年第2期101-105,共5页Chinese Journal of Medical Imaging

基　　金：上海市科委科技攻关项目子课题(03DZ19954-17);上海交通大学医学院博士创新基金(BXJ0715)

摘　　要：目的:应用磁共振脑功能成像技术比较针刺同一经络不同穴位所引起的不同中枢反应。材料和方法:利用BOLD技术观察分别针刺12例志愿者右侧足三里和丰隆穴时脑信号的改变,用SPM2软件分析比较激活脑区的差异。结果:针刺足三里时激活的脑区位于左侧海马回、颞中回、颞上回和右侧颞上回、缘上回。针刺丰隆穴激活的脑区位于左侧颞上回、颞中回和右侧颞上回、扣带回、额内侧回、中央旁小叶。结论:相同经络的不同穴位针刺后引起的脑激活区不完全相同,两侧颞上回和左侧颞中回可能是针刺右侧足三里和丰隆穴作用的共同神经通路。Purpose： To compare the changes in cerebral function when acupuncturing the different acupoints of the same meridian functional Magnetic Resonance Imaging （fMRI）. Materials and Methods： Using BOLD sequence to observe the changes by in brain when acupuncturing the right ST36 （Zusanli） and ST40 （Fenglong） of 12 volunteers. The data were analyzed and compared by SPM2. Results： There were certain increases of brain activities in left parahippocampal gyrus, left middle temporal gyrus, left superior temporal gyrus, right superior temporal gyrus and right supramarginal gyrus when acupunc-turing the ST36. And there were certain increases of in left superior temporal gyrus, left middle temporal gyms, right superior temporal gyrus, right cingulate gyms, right medial frontal gyrus and right paracentral lobule when acupuncturing the ST40. Conclusions： The similar but not identical physiological effects could be produced when acupuncturing the different acupoints of the same meridian. The bilateral superior temporal gyri and left middle temporal gyms may be the common neural pathway when acupuncturing the right ST36 and ST40.

关 键 词：针刺 经络 穴位功能磁共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学]