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中华针灸电子杂志 ›› 2024, Vol. 13 ›› Issue (02) : 78 -82. doi: 10.3877/cma.j.issn.2095-3240.2024.02.008

综述

针刺治疗缺血性卒中后肢体功能障碍的神经影像研究概况
田春蕾1, 李瑞雨1, 肖凌勇1, 刘艺1, 王晓璇1, 戴晓矞1,()   
  1. 1. 300381 天津中医药大学第一附属医院针灸部;300381 天津,国家中医针灸临床医学研究中心
  • 收稿日期:2024-02-27 出版日期:2024-05-15
  • 通信作者: 戴晓矞
  • 基金资助:
    天津市科技计划项目(18PTLCSY00050)

Overview of neuroimaging studies on acupuncture treatment for limb dysfunction after stroke

Chunlei Tian1, Ruiyu Li1, Lingyong Xiao1, Yi Liu1, Xiaoxuan Wang1, Xiaoyu Dai1,()   

  1. 1. Department of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China; National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
  • Received:2024-02-27 Published:2024-05-15
  • Corresponding author: Xiaoyu Dai
引用本文:

田春蕾, 李瑞雨, 肖凌勇, 刘艺, 王晓璇, 戴晓矞. 针刺治疗缺血性卒中后肢体功能障碍的神经影像研究概况[J]. 中华针灸电子杂志, 2024, 13(02): 78-82.

Chunlei Tian, Ruiyu Li, Lingyong Xiao, Yi Liu, Xiaoxuan Wang, Xiaoyu Dai. Overview of neuroimaging studies on acupuncture treatment for limb dysfunction after stroke[J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2024, 13(02): 78-82.

针刺治疗缺血性卒中肢体功能障碍疗效肯定,但其中枢作用机制目前尚不明确。磁共振成像技术可提供软组织结构、功能、代谢等丰富的图像信息,为探索针刺治疗缺血性卒中肢体功能障碍的中枢机制提供了技术支持。通过检索近5年关于针刺治疗缺血性卒中后肢体功能障碍的神经影像学方面的文献,结果发现针刺主要通过调控运动功能区的自主神经活动、促进M1区的功能连接、重构脑组织结构等方式改善患者肢体运动功能。今后研究应尝试新型影像技术及数据分析方法,并严格控制针刺变量,多角度探索针刺治疗缺血性脑卒中肢体功能障碍的中枢机制。

Acupuncture treatment has been proven effective for improving the limb function in ischemic stroke, but its central mechanism of action remains unclear. Magnetic resonance imaging offers detailed information on soft tissue structure, function, and metabolism, which can provides technical support for exploring the central mechanism of acupuncture for limb dysfunction after ischemic stroke. By reviewing the recent 5-year literature on the neuroimaging aspects of acupuncture for the treatment of limb dysfunction after ischemic stroke, it was found that acupuncture can improve the limb motor function of patients mainly by modulating the autonomic nerve activity of motor function areas, promoting the functional connectivity of M1, and restructuring the brain tissue structure. In the future studies should try new imaging techniques and data analysis methods, and strictly control the acupuncture variables to explore the central mechanism of acupuncture for limb dysfunction post-ischemic stroke from a multifaceted perspectives.

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