针刺左侧曲泽穴对脑梗死恢复期患者颈内动脉、椎基底动脉血流动力学影响的研究
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摘要
目的探讨针刺左侧曲泽穴对脑梗死恢复期患者颈内动脉、椎基底动脉血流动力学的影响。方法选取该院2016年1月—2017年1月的50例脑梗死恢复期患者,所有患者均针刺左侧曲泽穴,同时在进针前与出针后对患者采用经颅多普勒超声仪经颞窗探测受试者双侧颈内动脉和椎基底动脉,同时记录患者左侧与右侧ICA、VA、BA数据,并进行统计分析。结果进针前与出针后患者ICA的变化左侧PI、RI、Vd、Vs、Vm比较没有明显改善,差异无统计学意义(P>0.05)。进针前与出针后患者ICA的变化右侧Vd、Vs、Vm(77.63±7.21)、(39.27±5.03)、(52.81±5.39)cm/s比较有明显改善,差异有统计学意义(t=13.646、12.615、11.647,P<0.05)。进针前与出针后患者VA变化左侧PI、RI、Vd、Vs、Vm比较没有明显改善,差异无统计学意义(P>0.05)。进针前与出针后患者VA变化右侧Vd、Vs、Vm(76.53±7.43)、(50.67±5.43)、(61.78±6.46)cm/s比较有明显改善,差异有统计学意义(t=13.746、12.665、14.632,P<0.05)。进针前与出针后患者BA变化Vd、Vs、Vm(71.19±8.74)、(47.19±5.89)、(58.79±7.31)cm/s比较有明显改善,差异有统计学意义(t=13.956、13.725、12.632,P<0.05)。结论针刺左侧曲泽穴,对脑梗死恢复期患者的右侧颈内动脉、椎基底动脉血流动力学有着良性的影响作用。
Objective To study the effect of needling acupoint of left zawze on the hemodynamics of the internal carotid artery and vertebrobasilar artery of patients with convalescence of cerebral infarction. Methods 50 cases of patients with convalescence of cerebral infarction admitted and treated in our hospital from January 2016 to January 2017 were selected, all patients were treated with needling acupoint of left zawze, and the bilateral internal carotid artery and vertebrobasilar artery of the subjects were probed by the transcranial Doppler ultrasound apparatus through the temporal window before inserting needle and after withdrawing the needle, at the same time, the left and right ICA, VA, BA data were recorded at the same time, and statistically analyzed. Results There was no obvious improvement of left PI, RI,Vd, Vs, Vm of ICA of patients before inserting needle and after withdrawing the needle the difference was statistically significant(P>0.05), and the right Vd, Vs, Vm( 77.63± 7.21),(39.27± 5.03),(52.81± 5.39)cm/s of ICA of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant(t =13.646, 12.615, 11.647, P < 0.05), and the left PI, RI, Vd, Vs, Vm of VA changes of patients before inserting needle and after withdrawing the needle were not obviously improved, and the differences were not statistically significant(P>0.05), and the right Vd, Vs, Vm(76.53±7.43),(50.67±5.43),(61.78±6.46)cm/s of VA changes of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant(t =13.746, 12.665, 14.632, P <0.05), and the Vd, Vs, Vm(71.19 ±8.74),(47.19 ±5.89),(58.79 ±7.31)cm/s of BA changes of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant(t=13.956, 13.725, 12.632, P< 0.05). Conclusion The effect of needling acupoint of left zawze on the hemodynamics of the internal carotid artery and vertebrobasilar artery of patients with convalescence of cerebral infarction is benign.
Objective To study the effect of needling acupoint of left zawze on the hemodynamics of the internal carotid artery and vertebrobasilar artery of patients with convalescence of cerebral infarction. Methods 50 cases of patients with convalescence of cerebral infarction admitted and treated in our hospital from January 2016 to January 2017 were selected, all patients were treated with needling acupoint of left zawze, and the bilateral internal carotid artery and vertebrobasilar artery of the subjects were probed by the transcranial Doppler ultrasound apparatus through the temporal window before inserting needle and after withdrawing the needle, at the same time, the left and right ICA, VA, BA data were recorded at the same time, and statistically analyzed. Results There was no obvious improvement of left PI, RI,Vd, Vs, Vm of ICA of patients before inserting needle and after withdrawing the needle the difference was statistically significant(P>0.05), and the right Vd, Vs, Vm( 77.63± 7.21),(39.27± 5.03),(52.81± 5.39)cm/s of ICA of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant(t =13.646, 12.615, 11.647, P < 0.05), and the left PI, RI, Vd, Vs, Vm of VA changes of patients before inserting needle and after withdrawing the needle were not obviously improved, and the differences were not statistically significant(P>0.05), and the right Vd, Vs, Vm(76.53±7.43),(50.67±5.43),(61.78±6.46)cm/s of VA changes of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant(t =13.746, 12.665, 14.632, P <0.05), and the Vd, Vs, Vm(71.19 ±8.74),(47.19 ±5.89),(58.79 ±7.31)cm/s of BA changes of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant(t=13.956, 13.725, 12.632, P< 0.05). Conclusion The effect of needling acupoint of left zawze on the hemodynamics of the internal carotid artery and vertebrobasilar artery of patients with convalescence of cerebral infarction is benign.
引文
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[3]王渝蓉,余晓霞.化痰祛瘀汤对脑梗死患者的治疗效果及血液流变学、血流动力学的影响[J].环球中医药,2016,9(7):856-858.
[4]杨士杰.化痰祛瘀汤联合康复治疗对老年脑梗死疗效及神经功能恢复的影响[J].中医临床研究,2016,8(31):21-23.
[5]郑祖艳,徐博佳,周丽颖,等.头穴丛刺对抑郁模型大鼠下丘脑CRF表达的影响[J].针灸临床杂志,2014,29(2):61-63.
[6]李晓宁,霍会霞,管志敏,等.头穴化刺对影响急性脑梗死患者相关因素的研究[J].黑龙江医学,2014,38(5):503-504.
[7]张杏林,徐鸣曙,张英杰,等.针刺治疗脑缺血再灌注损伤机制研究进展[J].江苏中医药,2017,49(12):586-587.
[8]吴文军,陈佳,赵芳,等.益气化痰通络合剂联合针刺与西药治疗脑梗死恢复期85例临床观察[J].中医杂志,2014,55(21):1841-1844.
[9]孟兆祥,王彤,尹正录,等.电针结合经会阴BTX-A注射治疗脊髓损伤后神经源性膀胱的临床研究[J].中国针灸,2015,35(1):17-20.
[10]张韧,程为平,倪国忠,等.针刺左侧曲泽穴对脑梗死恢复期患者颈内动脉、椎基底动脉血流动力学影响的研究[J].世界中西医结合杂志,2018,13(1):55-58.