| 引用本文:张建忠1，2，齐瑞1，2，李昭缘1，2，卞跃峰1，2，周茜1，3.针刺治疗脑卒中后偏瘫的功能性磁共振机制研究进展[J].世界中医药,2022,(08):. |
|
| 针刺治疗脑卒中后偏瘫的功能性磁共振机制研究进展 |
| Research on the Mechanism of Functional Magnetic Resonance on Acupuncture for Hemiplegia after Stroke |
| 投稿时间：2020-09-27 |
| DOI：10.3969/j.issn.1673-7202.2022.08.022 |
| 中文关键词: 脑卒中 偏瘫 针刺 功能性磁共振成像 神经重塑 机制 康复 综述 |
| English Keywords:Stroke Hemiplegia Acupuncture fMRI Neural plasticity Mechanism Rehabilitation Review |
| 基金项目:上海市三年行动计划子项目：非药物治疗项目[ZY（2018-2020）CCCX-2004-05]——基于机制的神经功能康复；上海市“十三五”临床重点专科（中医）建设项目（shslczdzk04601）——中医康复科；上海市卫生健康委先进适宜技术推广项目(2019SY052)——基于“镜像神经元系统”的动作观察训练技术对脑卒中患者疗效的推广研究 |
|
| 摘要点击次数: 548 |
| 全文下载次数: 0 |
| 中文摘要: |
| 针刺被广泛应用于脑卒中后偏瘫的康复治疗，基于功能性磁共振成像(fMRI)技术的研究观察到针刺阳陵泉、外关、足三里等脑卒中康复常用穴后，出现运动皮质重塑、脑区连接改变和神经网络变化等,提示针刺能够通过调节脑皮质活性，促进脑功能重组，影响患者运动功能的恢复。针刺调节脑皮质功能活性受到多种因素影响，患者病灶部位、健侧和患侧的选取以及不同取穴方案均能引起神经影像上的差异。众多研究结果在体现针刺辨证论治的个性化疗法特点的同时，也提示了基于“神经调控”开展针刺治疗的难度。 |
| English Summary: |
| Acupuncture is widely used in stroke rehabilitation.Based on the study of functional magnetic resonance imaging(fMRI)，we observed that motor cortex remodeling and changes of brain area connectivity and neural networks are observed after stimulating at Yanglingquan(GB34)，Waiguan(SJ5)，Zusanli(ST36) and other acupoints commonly used for stroke rehabilitation.These researches suggest that acupuncture can participate in the reorganization of brain function by regulating the activity of cerebral cortex and affect the effects of stroke rehabilitation.Acupuncture regulating the functional activity of cerebral cortex could be affected by many factors.The location of focus，the selection of healthy side and the selection of affected side and different acupoint selections can cause differences in neuroimaging.The results of many studies not only reflect the characteristics of personalized acupuncture treatment based on syndrome differentiation，but also indicate the difficulty of applying acupuncture by neural regulations. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
