北京中医药大学学报(中医临床版)Issue(4):34-38,5.DOI:10.3969/j.issn.1672-2205.2013.04.012
中风偏瘫肢体运动功能恢复和头针疗效水平的fMRI与DTI研究*
Rehabilitation of motor function and curative effect of scalp acupuncture in patients with hemiplegia after stroke:studies on fMRI and DTI*
摘要
Abstract
Objective To study the mechanism of limb function recovery through investigating the reactions of immediate cerebral functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI) in the patients with hemiplegia after stroke and treated with scalp acupuncture. Methods The patients were treated with scalp acupuncture for clinical observation and finding out effective and ineffective phenomenons, and two patients (one had curative effect and one had not) were given scanning of fMRI and DTI on the passive movement of hemiplegia limb and scalp acupuncture actions. Results The cerebral activating areas of limb movement were similar in the two patients, while the cerebral activating effectiveness of scalp acupuncture had significant difference. The activating range was correlated to the effectiveness of scalp acupuncture. The results of DTI showed that there was difference in the injury degrees of pyramidal tract fibers. Conclusion The recovery of movement function is closely related to cerebellar function after stroke, and scalp acupuncture has some effects on movement regulation. The curative effect of scalp acupuncture is correlated to cerebral activating reaction. The position, size and symptoms of hemiplegia injury are closely related to the recovery degree and mechanism of neural function.关键词
偏瘫/头针/功能恢复/脑功能成像/弥散张量成像Key words
hemiplegia/scalp acupuncture/functional rehabilitation/cerebral functional magnetic resonance imaging/diffusion tensor imaging分类
医药卫生引用本文复制引用
崔方圆,邹忆怀,谭中建,董培,吴宇峰..中风偏瘫肢体运动功能恢复和头针疗效水平的fMRI与DTI研究*[J].北京中医药大学学报(中医临床版),2013,(4):34-38,5.基金项目
国家自然科学基金资助项目(No.81072773),北京中医药大学自主选题资助项目 ()