太冲穴对椎-基底动脉供血不足患者血流速度的影响  

Impacts of Taichong(LR 3) on blood flow velocity in patients with vertebrobasilar insufficiency

作　　者：王国明[1] 李丽霞[1] 温峰云[1] 宋永强[1] 佟润国[1] 

机构地区：[1]廊坊市中医医院针灸科,河北廊坊065000

出　　处：《中国针灸》2011年第3期216-218,共3页Chinese Acupuncture & Moxibustion

基　　金：河北省科技厅项目:052761979

摘　　要：目的：观察针刺太冲对椎一基底动脉供血不足（VBI）患者椎动脉血流速度紊乱的干预作用，为穴位特异性研究提供li盘床依据。方法：100例VBI患者用经颅多普勒超声（TCD）检测分出低流速型血管（43条）、高流速型血管（79条）；对照组为正常人群50例，计椎动脉100条，观察针刺太冲穴前后椎动脉收缩期血流速度（Vs）的变化。结果：针刺太冲后低流速型椎动脉Vs明显增高，针刺5～10min、出针后半小时与针刺前比较差异均有统计学意义（均P〈0．01）；高流速型椎动脉Vs明显降低，针刺5～10min、出针后半小时与针刺前比较差异具有统计学意义（均P〈0．01）i对照组针刺前后比较差异无统计学意义（P〉0．05）。结论：针刺太冲穴以双相调节的方式有效地改善椎动脉的供血，纠正椎动脉血流动力学的紊乱。Objective To observe the intervention on the disturbance of blood flow velocity in vertebral artery in patients with vertebrobasilar insufficiency （VBD treated with acupuncture at Taichong （LR 3） so that the clinical evidences could be provided for the research of acupoint specificity. Methods One hundred cases of VBI were tested with Transcranial Doppler （TCD） and 43 vessels of low velocity of blood flow and 79 vessels of high velocity of blood flow were discovered. Additionally, 50 cases of normal people were selected in control group, including totally 100 vertebral arteries. The velocity changes in systolic period （Vs） of vertebral artery were observed before and after acupuncture at Taichong （LR 3）. Results After acupuncture at Taichong （LR 3）, Vs of vertebral artery in low velocity cases was increased apparently. Vs in 5 to 10 min after acupuncture and half a hour after needle withdrawal was different significantly in statistics as compared with Vs before acupuncture （both P〈0.01）. Vs of vertebral artery in high velocity cases was reduced apparently. Vs in 5 to 10 min after acupuncture and half a hour after needle withdrawal was different significantly in statistics as compared with Vs before acupuncture （both P〈 0.01）, There was no significant difference in statistics in comparison before and after acupuncture in control group （P〉0.05）. Conclusion Acupuncture at Taichong （LR 3） improves blood supply in vertebral artery in the mode of dual regulation and rectifies the disturbance of vertebral artery blood flow in dynamics.

关 键 词：椎-基底动脉供血不足 血流速度 穴 太冲 针灸效应 

分 类 号：R246.6[医药卫生—针灸推拿学]