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    題名: 帕金森病患於頭皮針灸治療前後大腦皮質動作準備電位與皮質應激性之變化;The Influence of Scalp Acupuncture on the Motor-related Cortical Potential and Cortical Excitability in Patients with Parkinson''s disease
    作者: 林裕欽;Yu-Chin Lin
    貢獻者: 中國醫藥大學:中國醫學研究所碩士班
    關鍵詞: 頭皮針;針灸;巴金森氏病;皮質動作準備電位;皮質應激性;scalp acupuncture;acupuncture;Parkinson’s disease;cortical excitability;cortico-cortical inhibition;Bereitschaftspotential;motor-related corticalpotentials;MRCP
    日期: 2007-07-25
    上傳時間: 2009-08-10 16:01:17 (UTC+8)
    摘要: 對於巴金森氏病人而言,因針灸的安全性且其與抗巴金森藥物無交互作用,所以常作為輔助性的療法。然針灸對巴金森氏病人的臨床的療效是有爭議的,而且少有用電生理的研究來評估針灸對巴金森氏病的引響,是故設計此電生理試驗以衡量巴金森氏病人的頭皮針治療。
    在本試驗中,我們使用皮質動作準備電位及皮質應激性(經成雙穿顱磁刺激所誘發)為電生理評估的工具,對五位正常受試者與十二位巴金森氏病人進行試驗。其中五位正常受試者與六位巴金森氏病人進行頭皮針的試驗並分析前後電生理變化,而另六位巴金森氏病人接受服用抗巴金森藥物前後的評估試驗。
    經頭皮針的短暫治療後,六位巴金森氏病人並未在肢體活動獲得短期的改善。但是在頭皮針的治療前後確有明顯的電生理改變,於正常受試者中發現,其後期皮質動作準備電位於右側中央記錄有增強趨勢,且於長間期成雙穿顱磁刺激中存在對皮質應激性抑制。而在巴金森氏病人上,則於間期超過五毫秒的成雙穿顱磁刺激試驗中,頭皮針治療後明顯的抑制治療前原有皮質應激性。

    Acupuncture was frequently used for alternative treatments in Parkinson’s disease because of its safety, but there was an argument whether acupuncture improves motor symptoms or not. Besides, few electrophysiological studies were designed for acupuncture combined with Parkinson’s disease
    Using the technique of motor-relative electroencephalographic recording and paired transcranial pulse magnetic stimulation, we measured the motor-related cortical potentials (MRCP) and the excitability of corticocortical inhibitory circuits to investigate effects of scalp acupuncture from 5 normal controls and 6 patients with Parkinson’s disease and to compare the results with medication on and off in other 6 patients.
    Although patients didn’t take any short-term benefit in motor symptoms through acupuncture, there were electrophysical effects among patients and normal controls. In controls, enhanced corticocortical inhibition possibly developed at longer interstimulus intervals, and there was a predominant increase in later part of motor-related cortical potentials on the central part and right-side near vertex, but was not significant in early potentials. In patients, significant inhibition was produced by acupuncture at the interstimulus interval longer than 5 m sec in cortico-cortical inhibition.
    顯示於類別:[中國醫學研究所] 博碩士論文

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