基于功能性磁共振成像技术探讨针刺治疗中风偏瘫选穴机制的研究进展  

Research Progress of Acupoint Selection Mechanism of Acupuncture for Treatment of Postapoplectic Hemiplegia by Functional Magnetic Resonance Imaging

作　　者：康煜炜 鲁海[1,2] 胡赫其 王媛卓 张春红[1,3,4] KANG Yu-Wei;LU Hai;HU He-Qi;WANG Yuan-Zhuo;ZHANG Chun-Hong(The First Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin 300193,China;Tianjin University of Chinese Medicine,Tianjin 301617,China;Bao'an Authentic TCM Therapy Hospital,Shenzhen 518100 Guangdong,China;National Clinical Medicine Research Center of Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]天津中医药大学,天津301617 [3]深圳市宝安纯中医治疗医院,广东深圳518100 [4]国家中医针灸临床医学研究中心,天津300381

出　　处：《广州中医药大学学报》2021年第8期1621-1625,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家重点研发计划项目——政府间国际科技创新合作重点专项资助项目(编号:2018YFE0181700)。

摘　　要：功能性磁共振成像(fMRI)技术下的针刺脑研究方兴未艾。通过以针刺不同选穴为切入点,综述并探讨针刺单穴/组穴治疗中风偏瘫效应的中枢机制差异。结果发现,单穴研究以阳陵泉居多,组穴研究以阳经穴居多,在中枢效应上两者均以激活运动皮层为主,但组穴针刺引起的脑区信号改变更为广泛。The studies on acupuncture for brain by using functional magnetic resonance imaging(fMRI)technology are emerging. We took different acupoints as the breakthrough point to explore the difference in central pivot mechanism between single acupoint effect and group acupoints effect. The results showed that studies on single acupoint focused on Yanglingquan points(GB34),and studies on group acupoints focused on acupoints at Yang meridians. In the aspect of the effect of central pivot,both of them mainly activated the motor cortex,however,the changes of brain region signals induced by group acupoints were more extensive.

关 键 词：针刺 中风 偏瘫 功能性磁共振成像(fMRI) 单穴 组穴 综述 

分 类 号：R246.9[医药卫生—针灸推拿学]