推拿手法对家兔实验性类风湿性关节炎血液流变学和微循环的影响  

Massage technique to domestic rabbit experimental nature class rheumatic arthritis blood rheology and microcycle influence

作　　者：魏东明[1] 李军[2] 刘敬珍[3] 

机构地区：[1]河北医科大学中医院,石家庄050000 [2]甘肃中医学院,兰州730000 [3]河北省人民医院,石家庄050051

出　　处：《按摩与康复医学》2010年第5期4-7,共4页Chinese Manipulation and Rehabilitation Medicine

基　　金：河北省科技厅支撑计划项目,编号：072761930

摘　　要：目的：探讨推拿手法对类风湿性关节炎的疗效和作用机理，并提供临床理论依据。方法：将40只健康2月龄日本大耳白兔随机分为四组，即“正常组10只，模型组10只，药物对照组10只，推拿手法组10只”。除正常组外其它三组均造成卵蛋白性关节炎模型。药物对照组给予旭痹冲剂，推拿手法组以“通”法为主，“补”法为辅，均连续治疗10天。用解剖显微镜和血流变仪检测四组动物微循环和血液流变学指标的变化，抽取关节腔液在玻片上涂片，进行瑞氏染色并计数。结果：推拿手法可明显降低血浆粘度、红细胞比积、血沉，改善微循环“瘀”的状态，个别指标甚至优于药物组。结论：推拿手法具有“活血化瘀”的作用，通过“活血化瘀”达到“通则不痛”而治疗类风湿性关节炎的目的。其疗效机理是通过影响血液“粘、凝、滞、聚”的状态而实现。Objective：To explore the therapedie effects and mechanisms of massage manipulation on treatment of rheumatoid arthritis. Methods.. 40 rabbits were divided into 4 groups randomly, all rabbits were made into ovalbumin arthritis model except the normal group, medical control group was given WangBiChongJi and manipulative experimental group was massaged to treat for 10 days, but normal group and model group were dealt with nothing, then use anatomical microscope to observe microeirculation and use blood rheologieal apparatus to measure blood rheology, liquid in knee joint chamber was made into sections and stained with RuiShi method and counted. Results：massage manipulation ean obviously decrease blood plasma viscosity, hematocrit, erythrocyte sedimentation rate, neutrophil, basophil and improve the conditions of microcireulation. Conclusions：massage manipulation have function of relieving inflamed symptom, activating blood and smoothing artery blood vessel, the functional mechanics is caused by influencing viscosity, stagnancy, sluggishness and accumulation of the blood.

关 键 词：推拿手法 类风湿性关节炎 血液流变学 微循环 

分 类 号：R244.1[医药卫生—针灸推拿学]