中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2014年
10期
955-959
,共5页
张华%司卫军%谭中建%袁永娥%邹忆怀
張華%司衛軍%譚中建%袁永娥%鄒憶懷
장화%사위군%담중건%원영아%추억부
脑卒中%阳陵泉穴%针刺%弥散张量成像
腦卒中%暘陵泉穴%針刺%瀰散張量成像
뇌졸중%양릉천혈%침자%미산장량성상
stroke%Yanglingquan point%acupuncture%diffusion tensor imaging
目的:研究针刺阳陵泉穴后脑卒中患者白质结构的变化。方法6例脑卒中恢复期左侧偏瘫的患者,以假穴为对照,在针刺左侧阳陵泉前后对患者进行弥散张量成像(DTI)检查,采用西门子1.5 T磁共振仪采集数据,应用FSL软件包中的基于传导束的空间统计(TBSS)方法对针刺前后的数据进行比较。结果针刺阳陵泉穴对脑白质各向异性(FA)的影响强于假穴的区域包括左侧中央前、后回,颞中、下回,辅助运动区,额下回,内囊,穹窿和双侧顶下回。这些区域中走行的纤维束有锥体束、弓状束、胼胝体纤维和皮层间联络纤维,涉及运动代偿、体感、语言和记忆等多个功能网络。结论与假穴相比,针刺阳陵泉可使脑梗死患者的白质超微结构出现变化,主要的变化区域出现在健侧半球,与多个脑功能网络相关。
目的:研究針刺暘陵泉穴後腦卒中患者白質結構的變化。方法6例腦卒中恢複期左側偏癱的患者,以假穴為對照,在針刺左側暘陵泉前後對患者進行瀰散張量成像(DTI)檢查,採用西門子1.5 T磁共振儀採集數據,應用FSL軟件包中的基于傳導束的空間統計(TBSS)方法對針刺前後的數據進行比較。結果針刺暘陵泉穴對腦白質各嚮異性(FA)的影響彊于假穴的區域包括左側中央前、後迴,顳中、下迴,輔助運動區,額下迴,內囊,穹窿和雙側頂下迴。這些區域中走行的纖維束有錐體束、弓狀束、胼胝體纖維和皮層間聯絡纖維,涉及運動代償、體感、語言和記憶等多箇功能網絡。結論與假穴相比,針刺暘陵泉可使腦梗死患者的白質超微結構齣現變化,主要的變化區域齣現在健側半毬,與多箇腦功能網絡相關。
목적:연구침자양릉천혈후뇌졸중환자백질결구적변화。방법6례뇌졸중회복기좌측편탄적환자,이가혈위대조,재침자좌측양릉천전후대환자진행미산장량성상(DTI)검사,채용서문자1.5 T자공진의채집수거,응용FSL연건포중적기우전도속적공간통계(TBSS)방법대침자전후적수거진행비교。결과침자양릉천혈대뇌백질각향이성(FA)적영향강우가혈적구역포괄좌측중앙전、후회,섭중、하회,보조운동구,액하회,내낭,궁륭화쌍측정하회。저사구역중주행적섬유속유추체속、궁상속、변지체섬유화피층간련락섬유,섭급운동대상、체감、어언화기억등다개공능망락。결론여가혈상비,침자양릉천가사뇌경사환자적백질초미결구출현변화,주요적변화구역출현재건측반구,여다개뇌공능망락상관。
Objective To explore the effect of acupuncture at Yanglingquan (GB 34) on white matter structure of stroke patients. Meth-ods 6 stroke patients with left hemiplegia in recovery stage were recruited. The sham acupoint was as control, the diffusion tensor imaging (DTI) data in a 1.5 T SIEMENS scanner before and after acupuncture at Yanglingquan point was collected. Differences between the two con-ditions were compared with the Tract-Based Spatial Statistics (TBSS), which is one of FSL tools. Results The brain areas included left pre-central gyrus, postcentral gyrus, middle temporal gyrus, inferior temporal gyrus, supplementary motor area, inferior frontal gyrus, internal capsule, fornix and bilateral inferior parietal gyrus, in which the verum acupuncture had stronger effect on fractional anisotropy (FA) than the sham acupuncture. White matter tract such as pyramidal tract, arcuate fasciculus, corpus callosum and other inter-cortex association fi-bers passed these brain areas. The fiber tracts and brain areas were found to be involved with multiple brain networks of motor compensa-tion, somatosensory, language and cognition. Conclusion Compared with the sham point, acupuncture at Yanglingquan point can change the microstructure of stroke patients' white matter, mainly in the inaffected side and related to multiple functional networks.