脉冲电流穴位刺激对脂肪肝患者肝血液动力学的影响  

Fatty Liver: Changs of Hepatic Hemodynamics after Transcutaneous Electric Pulse Stimulation on Acupoints Near by Liver

作　　者：王岭[1] 李红[2] 李峻[2] 张云[1] 张均倡[1] 

机构地区：[1]广东省珠海市中医院,519015 [2]中山大学附属第五医院

出　　处：《中西医结合肝病杂志》2002年第2期71-73,共3页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

基　　金：广东省珠海市科技局立项课题(2000-02-08)

摘　　要：目的:探讨经皮的肝脏附近穴位脉冲电流局部刺激对脂肪肝患者肝血流量的影响。方法:利用图像处理系统对31树脂肪肝患者脉冲电流刺激前后彩色多普勒能量图图象进行单盲量化处理(取肝脏血流的彩色像素总面积SC-PA、平均彩色亮度值ACV和两者的积分SCPA×ACV3项指标),对所得数据进行自身前后配对统计分析。结果:SCPA个体间的差异较大,脉冲刺激后增大的略占多数,t=2.71,P=0.0109;ACV脉冲刺激前后差异稍大,并且以脉冲刺激后稍高的为多,t=3.42,P=0.0018;综合两因素的积分值(SCPA×ACV)刺激前后的差异则较为明显,t=8.15,P<0.0001。结论:适当的经皮肝脏附近穴位脉冲电流刺激可以改善脂肪肝患者肝脏血流供应情况。Objective: To evaluate the effect of transcutaneous electric pulse stimulation on hepatic blood flow and parenchyma!microcirculation in patients with fatty liver. Method: The photos of color Doppler energy (CDE) before and after transcutaneous electric pulse stimulation on local acupoints near by liver were gained in 31 cases with fatty liver. Sum of color pixel area (SCPA), average of color value (ACV) and SCPAXACV of the photos were got by photo processing system with single blind, and were analysed in beforeand after paired t-test. Results: After the stimulation. SCPA or ACV increased in most of the cases (t = 2. 71, P = 0. 0109: t = 3. 42, P = 0. 0018), and SCPAXACV significantly increased (t=8. 15, P<0. 0001). Conclusion: These results suggested that the stimulation would improve hepatic blood flow and parenchymal microcirculation in patients with fatty liver.

关 键 词：脂肪肝 血流动力学 彩色多普勒能量图 电脉冲 

分 类 号：R246[医药卫生—针灸推拿学]