不同穴组对椎-基底动脉供血不足的协同或拮抗作用研究  

Study on synergic or antagonistic effects of different acupoint groups on vertebro-basilar insufficiency

作　　者：孙健[1] 单秋华[2] 陈新勇[2] 

机构地区：[1]广州中医药大学,广东510405 [2]山东中医药大学附属医院针灸科

出　　处：《中国针灸》2005年第9期633-635,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:探讨针刺经穴(风池、天柱)、夹脊(C4～C6)对椎基底动脉供血不足(VBI)的协同或拮抗作用。方法:采用自身对照的方法,对20例VBI患者分3次分别观察针刺经穴组、夹脊组、配伍组3个穴组对椎基底动脉收缩期血流速度(vsys)的影响。结果:3组针刺后椎基底动脉的vsys较针刺前相比均有显著性提高(P<0.05,P<0.01),但3组之间比较差异无显著性意义(P>0.05)。结论:针刺风池、天柱或C4～C6夹脊组或两者同用,均可使VBI患者椎基底动脉的vsys值升高,改善椎基底动脉的供血状况。但从即刻改善程度来说,两者之间未发现协同或拮抗作用。Objective To observe the synergic or antagonistic effect of needling acupoints Fengchi （GB 20） and Tianzhu （BL 10）, and Jiaji C4 -C6 （EX-B2） on vertebro-basilar insufficiency （VBI）. Methods Self-control method was used and 20 cases of VBI were respectively treated with acupuncture at Fengchi （GB 20） and Tianzhu （BL 10）, Jiaji （EX-B2）. Their combination and the changes of vertebro-basilar artery＇s （VBA） systolic velocity of blood flow was detected. Results The VBA＇s systolic velocity of blood flow after acupuncture were increased in all the 3 groups （P〈0.05 or P〈0.01）, with no significant difference among the 3 groups （P〉0.05）. Conclusion Acupuncture at Fengchi （GB 20） and Tianzhu （BL 10） or Jiaji （C4 -C6 ） or their combination can increase VBA＇s systolic velocity of blood flow, improving blood supply of vertebro-basilar artery, but they have no synergic or antagonistic effects.

关 键 词：椎底动脉供血不足/针灸疗法 超声检查 多普勒 经颅 血流速度 配穴法 选穴 

分 类 号：R224.2[医药卫生—中医基础理论]