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首页> 外文期刊>The Internet Journal of Neuromonitoring >Computer-aided Neuromonitoring Techniques To Objectify The Effects Of Acupuncture In The Treatment Of Migraine
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Computer-aided Neuromonitoring Techniques To Objectify The Effects Of Acupuncture In The Treatment Of Migraine

机译：计算机辅助神经监测技术，以客观地针刺治疗偏头痛

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Introduction The treatment of headaches using traditional Chinese methods such as acupuncture, is receiving increasing attention in Western medicine. Migraine attacks include recurring headaches and concomitant vegetative symptoms and sometimes neurological dysfunction. The prevalence is about 18-29% in women and 6-20% in men20. The individual course of migraines, which occur more frequently in women, varies widley with regard to symptoms, intensity and frequency24.In this study, we used cerebral near-infrared spectroscopy and transcranial Doppler sonography to objectify the effects of acupuncture in the brain, during experimental treatment of migraines using acupuncture. Method Near infrared spectroscopy (NIRS)Near-infrared spectroscopy (NIRS) is a non-invasive neuromonitoring method to evaluate oxygenation in cerebral tissue through the intact skull. This non-invasive aspect could become increasingly important in acupuncture research. Reports regarding the clinical use of NIRS, for transmission measurements through the entire head were mainly in newborns and infants19. Recently, numerous investigatiors have used NIRS in adults, although only a tissue volume of a few cubic cenitmeters can be assessed4.The NIRO 300 (Hamamatsu Photonics, Japan) is a newly developed monitor. In addition to changes in oxyhemoglobin (O2Hb), desoxyhemoglobin (HHb), total hemoglobin (cHb = O2Hb + HHb) und oxidized cytochrome aa3 (CtOx) measured in μMol and calculated by the Lambert-Beer principle, the NIRO 300 also determines the tissue oxygenation index (TOI) which is expressed in percent. TOI is measured with SRS (Spatial Resolved Spectroscopy), which determines the absorption coefficient of tissue from locally dependent light reduction. A detector registers emitted near-infrared light from the light source (optic fiber) into tissue at three different distances and allows calculation of TOI with the SRS algorithm.The hardware concept of the NIRO 300 of separating the central unit and the measurement unit, makes multichannel measurements possible. A silicone holder allows easy positioning of the emitter and the detecor on the head as well as reproducibility. Data (O2Hb, HHb, cHb, CtOx, TOI) are presented on a colored LCD display and a color printer. Transcranial Doppler SonographyIn the past few years, sonographic methods for diagnosis and control in neurology, neurosurgery, anesthesiology and intensive care medicine have advanced rapidly4. Transcranial Doppler sonography (TCD) has achieved an important ranking in neurophysiologic monitoring. In this study, TCD registration was performed with a Multi Dop T and a Smart-Dop (DWL Electronic Systems GmbH, Sipplingen, Germany). 2-MHz probes with a spectacle holder were used. (Figure 1).
机译：引言用针灸等中医传统方法治疗头痛在西医界越来越受到重视。偏头痛发作包括反复出现的头痛和伴随的植物症状，有时还包括神经功能障碍。女性的患病率约为18-29％，男性为6-20％20。偏头痛的个体病程（在女性中更常见）在症状，强度和频率方面都改变了威德利[24]。在这项研究中，我们使用脑近红外光谱和经颅多普勒超声检查来确定针刺对大脑的影响针灸治疗偏头痛的实验研究。方法近红外光谱法（NIRS）近红外光谱法（NIRS）是一种非侵入性的神经监测方法，用于评估通过完整颅骨的脑组织中的氧合。这种非侵入性方面在针灸研究中可能变得越来越重要。关于NIRS用于整个头部的传播测量的临床使用的报告主要在新生儿和婴儿中。最近，尽管仅能评估几立方塞尼特计的组织体积，但许多研究者已在成人中使用NIRS4。NIRO 300（日本滨松光电公司）是一种新开发的监护仪。 NIRO 300除了测定氧合血红蛋白（O2Hb），脱氧血红蛋白（HHb），总血红蛋白（cHb = O2Hb + HHb）和氧化的细胞色素aa3（CtOx）的变化（以μMol为单位）外，还决定组织氧合指数（TOI），以百分比表示。 TOI用SRS（空间分辨光谱法）测量，SRS通过局部光衰减确定组织的吸收系数。检测器将来自光源（光纤）的近红外光记录到三个不同距离的组织中，并允许使用SRS算法计算TOI。NIRO300的硬件概念是将中央单元和测量单元分开可能进行多通道测量。硅胶固定器可轻松将发射器和检测器定位在头上，并具有可重复性。数据（O2Hb，HHb，cHb，CtOx，TOI）显示在彩色LCD显示器和彩色打印机上。经颅多普勒超声检查在过去的几年中，用于神经病学，神经外科，麻醉学和重症监护医学的诊断和控制的超声检查方法迅速发展[4]。经颅多普勒超声（TCD）在神经生理学监测中已取得重要排名。在这项研究中，TCD配准是通过Multi Dop T和Smart-Dop（德国Sipplingen的DWL Electronic Systems GmbH）进行的。使用带有眼镜架的2 MHz探头。 （图1）。

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