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在主观耳中,通过电对岛屿静止功能连接的调制通过电
Bixiang Zha1, Yating Zhang2, Feifei Shi3
1The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China.
Frontiers in neurology
|April 8, 2024
概括
电针显著减少了主观耳 (ST) 症状,改善了听力. 这种治疗调节了岛屿 (INS) 区域的功能连接 (FC),表明ST缓解的中心机制.
科学领域:
- 神经科学是一个神经科学.
- 医疗针医学针是一种医疗的方法.
- 脑部成像 脑部成像
背景情况:
- 主观耳 (ST) 是一种普遍的听觉障碍,通常与大脑功能连接 (FC) 的改变有关.
- 岛内皮层 (INS) 在感官处理和情绪调节中起着至关重要的作用,使其成为ST干预的潜在目标.
研究的目的:
- 研究电针对主观耳 (ST) 患者功能连接 (FC) 的影响.
- 为了比较ST患者和健康对照人群之间的FC差异,重点关注岛屿 (INS) 和全脑区域.
主要方法:
- 34名ST患者接受了针对特定针点 (SI19,GB11,TE17,GV20,GV15,GV14,SJ13) 的电治疗,使用2/50 Hz密度波进行10次治疗.
- 使用耳障碍目录 (THI) 评估了耳的严重程度,并通过纯音调听力测量评估了听力状况.
- 休息状态功能磁共振成像 (rs-fMRI) 在电针组 (EG) 和对照组 (CG) 治疗前后进行.
主要成果:
- 在ST患者中,电显著降低了THI得分,改善了空气导电值 (p < 0.01),有效率为88.24%.
- 在治疗前,ST患者与对照人群相比,表现出INS和左上旋和右海马之间的FC降低.
- 在治疗后,FC在INS和右上额头回形,左中额头回形,右前,右中额头回形,左上额头回形和右偏中心叶之间减少 (声素p < 0.001,集群p < 0.05).
结论:
- 涉及岛内皮层 (INS) 的异常功能连接是主观耳 (ST) 的重要中心机制.
- 电针有效调节INS功能连接,导致耳症状减少和听力改善.
- 这些发现表明,电作为一种潜在的治疗策略,可以通过向大脑网络改变来管理主观耳声.
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