常规针刺与皮部浅刺外关穴配伍内关穴功能性磁共振脑功能成像研究比较  

The fMRI Comparative Study on Cutaneous or Routine Needling in Acupoints Waiguan(SJ_5) and Neiguan(PC_6)

作　　者：吴俊贤[1] 黄泳[1] 赖新生[2] 邹燕齐[1] 唐纯志[2] 杨君军[2] 张贵锋[1] 

机构地区：[1]南方医科大学中医药学院,广东广州510515 [2]广州中医药大学针灸推拿学院,广东广州510405

出　　处：《中华中医药学刊》2009年第8期1625-1628,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(2006CB504505);国家自然科学基金重大研究计划项目(90709027)

摘　　要：目的:运用fMR I观察外关穴配伍内关穴施以常规深度针刺和皮肤浅刺时,脑功能区的激活特点。方法:8名健康志愿者,先后接受皮部浅刺和常规针刺,同时采用GE S ignal 1.5T超导磁共振成像系统进行全脑功能扫描,获得不同脑区的激活状态,采用感兴趣区(RO Is)法分析常规深度针刺与皮肤浅刺时激活几率、激活点数和激活强度的差异。结果:外关穴配伍内关穴皮部浅刺和常规针刺对不同脑区的激活几率和激活点数比较,没有显著性差异;激活强度统计比较表明,常规针刺对于右侧顶叶的激活强度高于皮部浅刺(P<0.05),其余各RO Is激活强度比较则没有显著性差异。结论:外关穴配伍内关穴皮部浅刺和常规针刺均能激活双侧脑功能区,皮部浅刺和常规针刺对脑区的激活有一定差异。Objective ： To compare the different actiwtdng effect on cerebral functional regions between cutaneous stimulatiun and routine needling in Waiguan （ SJ5 ） and Neiguan （ PC6 ） by fMRI. Methods ： Eight volunteers received 2 times stimulation of cutaneous and routine needling in SJ5 and PC6, and received the cerebral fMRI scan under the different states by GE 1.5T superconducting magnetic resonance imaging system. The cerebral activating rate,number and strength of different ROIs were compared between the two diffen.＇nt stimulating methods. Results ： Two needling methods both activated bilateral cerebral areas in different degree, and the activating rate and number had not any difference between the superficial and deep needling（ P 〉 0. 05 ） ,except that the activating strength in the right parietal lobe of the routine needling was h/gher than that of cutaneous needling（P 〈 0. 05） Conclusion ： Both the stimulations of cutaneous or routine needling in SJ5 and PC6 could activate bilateral cerebral functional regions in a certain degree, and there was a difference on cerebral activating between the two stimulations.

关 键 词：功能性磁共振成像 皮部浅刺 常规针刺 外关穴 内关穴 

分 类 号：R246[医药卫生—针灸推拿学]