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针刺太冲及其临近穴脑反应区功能磁共振成像比较
引用本文:方继良,金真,王寅,李科,曾亚伟,佟海滨,任燕双,高波,王映辉,程谟库. 针刺太冲及其临近穴脑反应区功能磁共振成像比较[J]. 中国医学影像技术, 2005, 21(9): 1332-1336
作者姓名:方继良  金真  王寅  李科  曾亚伟  佟海滨  任燕双  高波  王映辉  程谟库
作者单位:1. 中国中医研究院广安门医院放射科,北京,100053
2. 解放军306医院放射科,北京,100083
3. 中国中医研究院广安门医院针灸科,北京,100053
基金项目:国家中医药管理局留学人员择优项目
摘    要:目的利用功能磁共振(fMRI)观察针刺相邻穴位的大脑中枢反应,探讨穴位的相对特异性.方法用盲法随机分别针刺10例正常人左侧太冲、行间、内庭和邻近非经络假穴点,手针采用捻针和不捻针两种状态对比,利用1.9 T MRI行全脑功能成像,用SPM 99处理图像.结果发现在4穴上针刺时均产生了脑灰质结构的不同激活和抑制效应,太冲和行间激活和抑制区更相似,但太冲穴信号强度更强,内庭穴也可见较多的激活和抑制区,但与太冲穴相差较大,对照非经络假穴偶见激活灶,与太冲穴差异最大;各穴大脑抑制区也各有特点,但对照穴抑制区最为分散,并见双侧中央前回等皮层的抑制,各穴均见大脑边缘叶系统部分抑制.结论不同穴位针刺时可能对脑皮层神经活动有较相对特异的作用.同经络相似神经支配的不同穴位脑中枢效应最相似,不同经络相邻近神经节段支配区的经穴有明显差异,而相邻近神经节段的对照穴大脑反应区与各穴位差异最大.

关 键 词:穴位相对特异性  磁共振成像,功能性  
文章编号:1003-3289(2005)09-1332-05
收稿时间:2005-06-23
修稿时间:2005-07-23

Comparison of central effects of acupuncturing Taichongand nearby two acupoints by functional MRI
FANG Ji-liang,JIN Zhen,WANG Yin,LI Ke,ZENG Ya-wei,TONG Hai-bin,REN Yan-shuang,GAO Bo,WANG Ying-hui and CHENG Mo-ku. Comparison of central effects of acupuncturing Taichongand nearby two acupoints by functional MRI[J]. Chinese Journal of Medical Imaging Technology, 2005, 21(9): 1332-1336
Authors:FANG Ji-liang  JIN Zhen  WANG Yin  LI Ke  ZENG Ya-wei  TONG Hai-bin  REN Yan-shuang  GAO Bo  WANG Ying-hui  CHENG Mo-ku
Affiliation:Department of Radiology ,Guanganmen Hospital ,China A cademy of Traditional Chinese Medicine , Beijing 100053 , China;Department of Radiology , the 306th Hospital of PLA , Beijing 100083 , China;Department of A cupuncture , Guanganmen Hospital ,China A cademy of Traditional Chinese Medicine , Beijing 100053 , China;Department of Radiology , the 306th Hospital of PLA , Beijing 100083 , China;Department of Radiology , the 306th Hospital of PLA , Beijing 100083 , China;Department of Radiology ,Guanganmen Hospital ,China A cademy of Traditional Chinese Medicine , Beijing 100053 , China;Department of Radiology ,Guanganmen Hospital ,China A cademy of Traditional Chinese Medicine , Beijing 100053 , China;Department of Radiology ,Guanganmen Hospital ,China A cademy of Traditional Chinese Medicine , Beijing 100053 , China;Department of A cupuncture , Guanganmen Hospital ,China A cademy of Traditional Chinese Medicine , Beijing 100053 , China;Department of Radiology ,Guanganmen Hospital ,China A cademy of Traditional Chinese Medicine , Beijing 100053 , China
Abstract:
Keywords:Acupoint's specificity  Magnetic resonance imaging   functional  Brain
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