穴位敷贴治疗高血压病的血流动力学研究  

Hemodynamic Research in Point Application of Chinese Herbs for Essential Hypertension

作　　者：汪司右[1] 殷之放[1] 

机构地区：[1]上海市针灸经络研究所

出　　处：《上海针灸杂志》1999年第4期8-9,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察中药穴位敷贴对高血压病患者的血流动力学影响。方法用益肾活血通络之中药，外敷于神阙穴，治疗９４例原发性高血压。同时，应用动脉的非线性弹性腔理论观察患者治疗前后血流动力学的变化。结果患者治疗后的动脉收缩压较治疗前平均降低４．５０ｋＰａ（Ｐ＜０．０１），舒张压平均降低２．５１ｋＰａ（Ｐ＜０．０１）；每搏心输出量平均增加１１．１８ｍｌ（Ｐ＜０．０１）；每分心输出量平均增加０．７１Ｌ（Ｐ＜０．０５）；外周血管阻力平均降低０．０７９ｋＰａ·ｓ／ｍｌ（Ｐ＜０．０１）。治疗后的动脉顺应性与治疗前相比尽管无显著性差异，但有明显增加趋势，平均增加６．００ｍｌ／ｋＰａ。结论提示穴位敷贴的降压作用主要是通过降低细小动脉的外周阻力实现的，但不能排除大、中动脉顺应性增加的可能性。Objective To investigate the hemodynamic influence of point application of Chinese herbs on patients with essential hypertension. Method Chinese herbs for tonifying the kidney and promoting blood circulation to remove obstruction in the channels were externally applied on point Shenque for treatment of 94 patients with essential hypertension and hemodynamic changes were investigated by application of arterial nonlinear elastic cavity theory in the patients after treatment. Results In the patients after treatment, arterial systolic pressure was mean 4.50 kPa lower than before treatment (P<0.01); diastolic pressure was mean 2.51 kPa lower (P<0.01); stroke volume was mean 11.18 ml larger (P<0.01); cardiac output was mean 0.71 L larger (P<0.05); peripheral resistance of blood vessels was mean 0.079 kPas/ml (P<0.01). Although arterial compliance was not significantly different after treatment from that before treatment, it had a marked tendency towards increase and rose by mean 6.00 ml/kPa. Conclusion It is suggested that the hypotensive effect of point application is obtained mainly through lowering the peripheral resistance of arteriolae, but the possibility that it is achieved by increasing the compliance of large and middle arteries can not be excluded.

关 键 词：高血压 穴位敷贴法 血流动力学 

分 类 号：R259.441[医药卫生—中西医结合] R246.1[医药卫生—中医内科学]