电针手少阴心经穴对脑梗死恢复期患者脑血流动力学即刻干预效应的研究  

The Immediate Effects of Hand Shaoyin Heart Meridian on Cerebral Hemodynamics in Patients with Cerebral Infarction at Convalescence

作　　者：吕梓瑜 何素娟[2] 娄必丹[3] 章薇[3] 

机构地区：[1]凌源市中心医院,辽宁凌源122500 [2]湖南中医药大学,湖南长沙410208 [3]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《中医药导报》2016年第4期69-71,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(81273861);湖南省中医药科研计划项目(201307)

摘　　要：目的:观察电针手少阴心经穴对脑梗死恢复期患者脑血流动力学的影响。方法:采用随机、对照研究方法,将45例患者随机分为心经组与Sham组,心经组电针心经穴(极泉、少海、灵道、神门),Sham组电针同节段非经非穴点,以电针前后大脑各动脉的TCD各参数作为观察指标。结果:心经组MCA的Vp、Vm、Vd,ACA的Vp,以及VA的Vm较针刺前显著增快(P<0.05或P<0.01),且在改善MCA的Vp、Vm及ACA的Vp方面优于Sham组(P<0.05或P<0.01)。结论:电针心经穴可加快MCA的Vp、Vm、Vd,ACA的Vp以及VA的Vm。Objective： To observe the immediate effects of hand Shaoyin Heart Meridian on cerebral hemodynamics in patients with cerebral infarction at convalescence. Methods： The 45 patients were randomly divided into Shaoyin Heart Meridian group and the Sham group, the Shaoyin Heart Meridian group was treated with electmacupuncture the points： ＂Jiquan（HT-1）＂, ＂Shaohai（HT-3）＂, ＂Lingdao（HT-4）＂ and ＂Shenmen（HT-7）＂, while the Sham group was electroacupunctured those non-hole spot at the same segment. TCD parameters of cerebral artery before and after electroacupuncture were observed. Results： After electroacupuncture, the systole blood stream speed （Vp）, average blood stream speed （Vm）, diastole last stage blood stream speed （Vd） of cerebrum median artery （MCA）, Vp of cerebrum artery （ACA）, and average blood stream speed （Vm） of arteria vertebralis （VA） in Shaoyin Heart Meridian group increased obviously （P〈0.05 or P〈0.01）, and the Vp, Vm of MCA, Vp of ACA was higher than the Sham group（P〈0.05, P〈0.01）.Conclusion： The electricity needle heart acupuncture point may speed up MCA Vp, Vm, Vd, ACA Vp, as well as VA Vm.

关 键 词：脑梗死 恢复期 电针 心经 经颅多普勒 脑血流动力学 即刻效应 

分 类 号：R255.2[医药卫生—中医内科学]