期刊论文详细信息
BMC Neuroscience
Acupuncture regulates the glucose metabolism in cerebral functional regions in chronic stage ischemic stroke patients---a PET-CT cerebral functional imaging study
Baoci Shan1  Xinsheng Lai2  Shanshan Qu5  Huiling Xiao5  Shaoyang Cui2  Renyong Lin5  Junqi Chen5  Junjun Yang2  Wei Shen2  Yangjia Lu4  Shuxia Wang3  Chunzhi Tang2  Yong Huang5 
[1] Key Laboratory of Nuclear Analytical Techniques, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing, China;Department of Acupuncture and Massage, Guangzhou University of Traditional Chinese Medicine, Guangzhou, China;Department of Nuclear Medicine, Canton Provincial People’s Hospital, Guangzhou, China;Department of Acupuncture and Rehabilitation, Guangdong Provincial Second TCM Hospital, Guangzhou, China;School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China
关键词: Cerebral activating/deactivating effect;    PET-CT cerebral functional imaging;    Needling/sham needling;    Ischemic stroke;    Sham point;    Waiguan (TE5);   
Others  :  1170652
DOI  :  10.1186/1471-2202-13-75
 received in 2012-01-16, accepted in 2012-05-28,  发布年份 2012
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【 摘 要 】

Background

Acupuncture has been applied to aid in the recovery of post-stroke patients, but its mechanism is unclear. This study aims to analyze the relationship between acupuncture and glucose metabolism in cerebral functional regions in post-stroke patients using 18 FDG PET-CT techniques. Forty-three ischemic stroke patients were randomly divided into 5 groups: the Waiguan (TE5) needling group, the TE5 sham needling group, the sham point needling group, the sham point sham needling group and the non-needling group. Cerebral functional images of all patients were then acquired using PET-CT scans and processed by SPM2 software.

Results

Compared with the non-needling group, sham needling at TE5 and needling/sham needling at the sham point did not activate cerebral areas. However, needling at TE5 resulted in the activation of Brodmann Area (BA) 30. Needling/sham needling at TE5 and needling at the sham point did not deactivate any cerebral areas, whereas sham needling at the sham point led to deactivation in BA6. Compared with sham needling at TE5, needling at TE5 activated BA13, 19 and 47 and did not deactivate any areas. Compared with needling at the sham point, needling at TE5 had no associated activation but a deactivating effect on BA9.

Conclusion

Needling at TE5 had a regulating effect on cerebral functional areas shown by PET-CT, and this may relate to its impact on the recovery of post-stroke patients.

【 授权许可】

   
2012 Huang et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Ernst E, Lee M: Acupuncture during stroke rehabilitation. Stroke 2010, 41:e549.
  • [2]Fu W, Guo Y, Chen X, Jiang G, He Q, Zhu X, Wu X, Luo H, Li L: Comprehensive therapeutic protocol of electro-acupuncture combined with Chinese herbs and rehabilitation training for treatment of cerebral infarction: a multi-center randomized controlled trial. Zhongguo Zhen Jiu 2010, 30:6-9.
  • [3]Kim M, Choi T, Lee M, Lee H, Han C: Contra lateral acupuncture versus ipsilateral acupuncture in the rehabilitation of post-stroke hemiplegic patients: a systematic review. BMC Complement Altern Med 2010, 10:41. BioMed Central Full Text
  • [4]Wu P, Mills E, Moher D, Seely D: Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke 2010, 41:e171-e179.
  • [5]Yam W, Wilkinson J: Is acupuncture an acceptable option in stroke rehabilitation? A survey of stroke patients. Complement Ther Med 2010, 18:143-149.
  • [6]Zhang N, Liu G, Yao Q, Li W, Huang Y, Wang A, Li Y, Gu C, Huang T, Luo J, Liu W, Zhang L: Effects of warming-reinforcing acupuncture combined with rehabilitation training on the early motor function of hemiparalysis patients caused by ischemic brain stroke: a randomized and controlled study. Zhongguo Zhen Jiu 2010, 30:441-445.
  • [7]An Y, Moon S, Min I, Kim D: Changes in regional cerebral blood flow and glucose metabolism following electro-acupuncture at LI 4 and LI 11 in normal volunteers. J Altern Complement Med 2009, 15:1075-1081.
  • [8]Biella G, Sotgiu M, Pellegata G, Paulesu E, Castiglioni I, Fazio F: Acupuncture produces central activations in pain regions. Neuroimag 2001, 14:60-66.
  • [9]Dougherty D, Kong J, Webb M, Bonab A, Fischman A, Gollub R: A combined 11 C diprenorphine PET study and fMRI study of acupuncture analgesia. Behav Brain Res 2008, 193:63-68.
  • [10]Huang Y, Li D, Tang A, Li Q, Xia D, Xie Y, Gong W, Chen J: Effect of scalp acupuncture on glucose metabolism in brain of patients with depression. Zhongguo Zhong Xi Yi Jie He Za Zhi 2005, 25:119-122.
  • [11]Jeun S, Kim J, Kim B, Park S, Lim E, Choi G, Choe B: Acupuncture stimulation for motor cortex activities: a 3 T fMRI study. Am J Chin Med 2005, 33:573-578.
  • [12]Jia S, Wang Q, Xu W: Study on influence of acupunctural signal on energy metabolism of human brain by positron emission tomography. Zhongguo Zhong Xi Yi Jie He Za Zhi 2002, 22:508-511.
  • [13]Maenaka T, Tano K, Nakanishi S, Tsukada H, Ishida T: Positron emission tomography analysis of the analgesic effects of acupuncture in rhesus monkeys. Am J Chin Med 2006, 34:787-801.
  • [14]Wang F, Jia S: Effect of acupuncture on regional cerebral blood flow and cerebral functional activity evaluated with single-photon emission computed tomography. Zhongguo Zhong Xi Yi Jie He Za Zhi 1996, 16:340-343.
  • [15]Huang Y, Chen J, Htut W, Lai X, Wik G: Acupuncture increases cerebral glucose metabolism in human vascular dementia. Int J Neurosci 2007, 117:1029-1037.
  • [16]Huang Y, Jiang X, Zhuo Y, Tang A, Wik G: Complementary acupuncture treatment increases cerebral metabolism in patients with Parkinson's disease. Int J Neurosci 2009, 119:1190-1197.
  • [17]Sato M, Inubushi M, Shiga T, Hirata K, Okamoto S, Kamibayashi T, Tanimura K, Tamaki N: Therapeutic effects of acupuncture in patients with rheumatoid arthritis: a prospective study using 18 F-FDG-PET. Ann Nucl Med 2009, 23:311-316.
  • [18]Zeng F, Song W, Liu X, Xie H, Tang Y, Shan B, Liu Z, Yu S, Liang F: Brain areas involved in acupuncture treatment on functional dyspepsia patients: a PET-CT study. Neurosci Lett 2009, 456:6-10.
  • [19]Gong P, Zhang M, Jiang L: Research on effect of acupuncture at Sanyinjiao on brain function by means of positron emission tomographic imaging. Zhongguo Zhong Xi Yi Jie He Za Zhi 2006, 6:119-122.
  • [20]Huang Y, Lai X, Tang A: Comparative study of the specificities of needling acupoints DU20, DU26 and HT7 in intervening vascular dementia in different areas in the brain on the basis of scale assessment and cerebral functional imaging. Chin J Integr Med 2007, 13:103-108.
  • [21]Li X, Liu X, Song W, Tang Y, Zeng F, Liang F: Effect of acupuncture at acupoints of the Shaoyang Meridian on cerebral glucose metabolism in the patient of chronic migraine. Zhongguo Zhen Jiu 2008, 28:854-859.
  • [22]Moncayo R, Rudisch A, Diemling M, Kremser C: In-vivo visualisation of the anatomical structures related to the acupuncture points Dai mai and Shen mai by MRI: a single-case pilot study. BMC Med Imaging 2007, 7:4. BioMed Central Full Text
  • [23]Park S, Shin A, Jahng G, Moon S, Park J: Effects of scalp acupuncture versus upper and lower limb acupuncture on signal activation of blood oxygen level dependent (BOLD) fMRI of the brain and somatosensory cortex. J Altern Complement Med 2009, 15:1193-1200.
  • [24]Shapo G, Ma L, Liu C: Effects of acupuncture at Weizhong (BL40) on brain function with PET/CT. Zhongguo Zhong Xi Yi Jie He Za Zhi 2006, 26:969-972.
  • [25]Yin L, Jin X, Qiao W, Sun J, Shi X, Tian J, Yin D, Yao S, Shao M, Zeng H, Shan B, Tang Y, Zhu K: PET imaging of brain function while puncturing the acupoint ST36. Chin Med J 2003, 116:1836-1839.
  • [26]Zhang X, Gao S, Zhao J, Cai L, Pang J, Lu M: PET study of effects of combination of different points on glucose metabolism in the patient of cerebral infarction. Zhongguo Zhen Jiu 2007, 27:26-30.
  • [27]Cho S, Jahng G, Park S, Jung W, Moon S, Park J: fMRI study of effect on brain activity according to stimulation method at LI11, ST36: painful pressure and acupuncture stimulation of same acupoints. J Altern Complement Med 2010, 16:489-495.
  • [28]Harris R, Zubieta J, Scott D, Napadow V, Gracely R, Clauw D: Traditional Chinese acupuncture and placebo (sham) acupuncture are differentiated by their effects on mu-opioid receptors (MORs). NeuroImage 2009, 47:1077-1085.
  • [29]Lai X, Zhang G, Huang Y, Tang C, Yang J, Wang S, Zhou S: A cerebral functional imaging study by positron emission tomography in healthy volunteers receiving true or sham acupuncture needling. Neurosci Lett 2009, 452:194-199.
  • [30]Wong V, Sun J, Yeung D: Pilot study of positron emission tomography (PET) brain glucose metabolism to assess the efficacy of tongue and body acupuncture in cerebral palsy. J Child Neurol 2006, 21:456-462.
  • [31]He Y, Wang L, Huang L, Wang X, Liu S, Fu Y, Bing H, Li J, Hu J: Effects of acupuncture on the cortical functional areas activated by index finger motion in the patient with ischemic stroke. Zhongguo Zhen Jiu 2006, 26:357-361.
  • [32]Schockert T, Schnitker R, Boroojerdi B, Smith I, Yamamoto T, Vietzke K, Kastrau F: Cortical activation by Yamamoto new scalp acupuncture in the treatment of patients with a stroke: a sham-controlled study using functional MRI. Acupunct Med 2010, 28:212-214.
  • [33]Li G, Jack CJ, Yang E: An fMRI study of somatosensory-implicated acupuncture points in stable somatosensory stroke patients. J Magn Reson Imaging 2006, 24:1018-1024.
  • [34]Schaechter J, Connell B, Stason W, Kaptchuk T, Krebs D, Macklin E, Schnyer R, Stein J, Scarborough D, Parker S, McGibbon C, Wayne P: Correlated change in upper limb function and motor cortex activation after verum and sham acupuncture in patients with chronic stroke. J Altern Complement Med 2007, 13:527-532.
  • [35]Chau A, Fai CR, Jiang X, Au-Yeung P, Li L: An fMRI study showing the effect of acupuncture in chronic stage stroke patients with aphasia. J Acupunct Meridian Stud 2010, 3:53-57.
  • [36]Li G, Yang E: An fMRI study of acupuncture-induced brain activation of aphasia stroke patients. Complement Ther Med 2011, 19:S49-S59.
  • [37]Cheng X: Chinese Acupuncture and Moxibustion. Foreign Language Press, Beijing; 2010.
  • [38]Cheng X, Wang Z, Sun L, Li Y: Post-stroke hand dysfunction treated with acupuncture at Zhongzhu (TE 3) and Waiguan (TE 5). Zhongguo Zhen Jiu 2011, 31:117-120.
  • [39]Streitberger K, Kleinhenz J: Introducing a placebo needle into acupuncture research. Lancet 1998, 352:364-365.
  • [40]Fink M, Gutenbrunner C, Rollnik J, Karst M: Credibility of a newly designed placebo needle for clinical trials in acupuncture research. Forsch Komplementarmed Klass Naturheilkd 2001, 8:368-372.
  • [41]Lund I, Näslund J, Lundeberg T: Minimal acupuncture is not a valid placebo control in randomised controlled trials of acupuncture: a physiologist's perspective. Chin Med 2009, 4:1. BioMed Central Full Text
  • [42]Laurence B: Acupuncture may be no more effective than sham acupuncture in treating temporomandibular joint disorders. J Evid Base Dent Pract 2012, 12:2-4.
  • [43]Langenbach M, Aydemir-Dogruyol K, Issel R, Sauerland S: Randomized sham-controlled trial of acupuncture for postoperative pain control after stapled hemorrhoidopexy. Colorectal Disease Accepted Article 2012.
  • [44]Dai X, Min Y, Gong H, Gao L, Wang S, Zhou F, Xiao X, Liu B: Evaluation of the post-effect of acupuncture at Sanyinjiao (SP 6) under sleep deprivation by resting-state amplitude of low-frequency fluctuation: a fMRI study. Zhongguo Zhen Jiu 2012, 32:47-52.
  • [45]Tjen-A-Looi C, Li P, Longhurst C: Medullary substrate and differential cardiovascular responses during stimulation of specific acupoints. Am J Physiol Regul Integr Comp Physiol 2004, 287:R852-R862.
  • [46]Na B, Jahng G, Park S, Jung W, Moon S, Park J, Bae H: An fMRI study of neuronal specificity of an acupoint: electroacupuncture stimulation of Yanglingquan (GB34) and its sham point. Neurosci Lett 2009, 464:1-5.
  • [47]Seo J, Kim T, Song J, Lee J, Lee J, Jung D, Lee G, Kwon E, Kim G, Chang Y: Stronger activation and deactivation in archery experts for differential cognitive strategy in visuospatial working memory processing. Behav Brain Res 2012, 229:185-193.
  • [48]Habas C: Functional Imaging and the Cerebellum: Recent Developments and Challenges. Cerebellum 2012.
  • [49]World Health Organization: WHO, Monica Project: MONICA manual. Part IV: Event Registration. www.ktl.fi/publications/monica/manual/part4/iv-2.htm#s1-1 webcite
  • [50]Goldstein L, Samsa G: Reliability of the National Institutes of Health Stroke Scale. Stroke 1997, 28(2):307-310.
  • [51]WHO: Reassessment of anthropometric indices of obesity in Asia [R]. Asian BMI/Obesity Workshop Meeting in Milan. Milan, Milan; 1999.
  • [52]General Administration of Quality Supervision, Inspection Quarantine, the Standardization Administration, People's Republic of China: Nomenclature and location of Acupoints: Chinese National Standards GB/T12346. 2006.
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