针刺飞扬穴治疗腰椎间盘突出疼痛的疗效

发布时间：2018-11-05 07:37

【摘要】：目的应用血氧水平依赖功能磁共振成像技术(Bold-f MRI)观察针刺右侧足太阳膀胱经飞扬穴脑部激活信号改变情况,探讨针刺飞扬穴治疗腰椎间盘突出引起疼痛的机制。方法应用3.0T TX磁共振扫描仪,收集针刺18名健康志愿者右侧飞扬穴Bold信号数据,使用SPM12软件对收集的图像数据进行后处理及统计学分析。结果针刺飞扬穴引起正激活脑区为双侧颞上回、小脑,左侧顶叶、中央后回,右侧丘脑、岛叶、额下回、中脑、额中回;负激活脑区为左侧边缘叶、前扣带回、中脑、梭状回、中央后回,右侧杏仁核、海马回、额叶、小脑后叶、枕叶。结论针刺飞扬穴引起的激活脑区情况与其临床主治有一定相关性;针刺飞扬穴治疗腰椎间盘突出引起疼痛的机制可能与其调节下丘脑、中脑、海马回、杏仁核及扣带回等多个脑区神经元活动有关。
[Abstract]:Objective to observe the changes of brain activation signal at Feiyang point at right foot and bladder by using blood oxygen level dependent functional magnetic resonance imaging (Bold-f MRI), and to explore the mechanism of acupuncture at Feiyang point in the treatment of pain caused by lumbar intervertebral disc herniation. Methods the 3. 0T TX magnetic resonance scanner was used to collect the Bold signal data of 18 healthy volunteers at right Feiyang acupoint. The image data were processed and statistically analyzed by SPM12 software. Results Acupuncture at Feiyang point caused positive activation of bilateral superior temporal gyrus, cerebellum, left parietal lobe, posterior central gyrus, right thalamus, insular lobe, inferior frontal gyrus, midbrain and middle frontal gyrus. The negative activated brain region is left marginal lobe, anterior cingulate gyrus, midbrain, fusiform gyrus, posterior central gyrus, right amygdala, hippocampal gyrus, frontal lobe, posterior cerebellar lobe and occipital lobe. Conclusion the activation of brain area caused by acupuncture at Feiyang point is related to the main clinical treatment. The mechanism of acupuncture on pain caused by lumbar disc herniation may be related to the regulation of neuron activity in hypothalamus, midbrain, hippocampal gyrus, amygdala and cingulate gyrus.
【作者单位】：黑龙江中医药大学附属第一医院;黑龙江中医药大学;哈尔滨医科大学;
【基金】：国家自然科学基金面上项目(81373714) 黑龙江省自然科学基金面上项目(D201214,H2016081) 黑龙江中医药大学研究生创新科研项目(036) 哈尔滨市科技创新人才优秀学科带头人基金项目(2016RAXYJ096) 教育部2009年度立项“春晖计划”项目(No.Z2009-1-15030)
【分类号】：R246.9

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