应用SPECT观察眼针对脑梗死患者脑血流的影响  

Effects of eye acupuncture on SEPCT-determined cerebral blood flow in patients with cerebral infarction

作　　者：周鸿飞[1] 王健[1] 曹铁军[1] 鞠庆波[1] 黄春元[1] 冯瑶[2] 李亚明[3] 李雪娜[3] 曲方[4] 窦文波[5] 

机构地区：[1]辽宁中医药大学附属医院神经科,沈阳110032 [2]辽宁中医药大学 [3]中国医科大学附属第一医院核医学科 [4]沈阳军区总医院神经科 [5]中国医科大学附属第四医院神经科

出　　处：《中国针灸》2011年第5期391-394,共4页Chinese Acupuncture & Moxibustion

基　　金：国家科技部973项目:2007CB512702

摘　　要：目的:验证眼针穴区与脏腑功能相关性,为眼针疗法辨证取穴原则提供理论依据。方法:将60例脑梗死患者按照中医分型辨证取穴,主穴:上焦区、下焦区;配穴:风痰火亢型加肝区、肾区、脾区,风痰瘀阻型加肝区、脾区,痰热腑实型加胃区、大肠区,气虚血瘀型加心区、脾区,阴虚风动型加肝区、肾区。利用单光子发射型计算机断层扫描(SPECT),观察眼针治疗前后病灶局部脑血流量变化。结果:眼针前病变区与对侧相应区域的感兴趣区(ROI)摄取比值为0.74±0.12,眼针后为0.91±0.08,眼针前后差异有统计学意义(P<0.05),眼针治疗后脑血流量明显增加。结论:眼针疗法辨证取穴可增加脑梗死患者局部脑血流量,改善脑缺血状态,从而证明眼针穴区与脏腑具有相关性。Objective To verify the correlation between the points of eye acupuncture and zang-fu function so as to provide the theoretical evidence for the principle of point selection in eye acupuncture therapy. Methods Sixty cases of cerebral infarction were treated with different points according to syndrome differentiation of Chinese medi- cine. Main points： upper energizer area and lower energizer area. Supplementary points： liver area, kidney area and spleen area for hyperactivity of wind, phlegm and fire; liver area and spleen area for blockage of wind, phlegm and stasis; stomach area and large intestine area for excess fu syndrome due to phlegm heat; heart area and spleen area for qi deficiency and blood stasis; liver area and kidney area for yin deficiency and wind stirring. The single photon emission computed tomography （SPECT） was adopted to observe the changes in blood flow in local loci before and after treatment with eye acupuncture. Results After the treatment with eye acupuncture therapy, the intake ratio of region of interest （ROI） between the lesion area and corresponding area on the opposite side was 0.74±0.12 before eye acupuncture and was 0.91±0.08 after treatment, indicating significant statistical difference in comparison （P〈0. 05）. After eye acupuncture, cerebral blood flow increased apparently. Conclusion The point selection according to syndrome differentiation in eye acupuncture therapy may increase local brain blood flow in the patients with cerebral infarction and improve the state of brain isehemia so that the correlation can be proved between the points of eye acupuncture and zang-fu function.

关 键 词：脑梗死 眼针 单光子发射型计算机断层扫描 脑血流量 

分 类 号：R246.6[医药卫生—针灸推拿学]