应用SPECT研究中医按摩对脑卒中患者局部脑血流功能的影响  

The effect of traditional Chinese massage on cerebral blood flow of stroke patients as revealed by SPECT

作　　者：付桂敏[1] 杨永珍[1] 吕京春 张燕燕[1] 张卫方[1] 张松林[1] 

机构地区：[1]北京大学第三医院康复医学中心,100083

出　　处：《中华物理医学与康复杂志》2002年第6期334-336,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　研究中医按摩对脑卒中患者局部脑血流功能的影响。方法　应用单光子发射计算机断层显像半定量分析技术测定 6例脑卒中患者按摩前后的局部脑血流量。结果　 6例脑卒中患者按摩前皆有不同程度局部脑血流减低 ,按摩患肢后 ,对侧大脑半球原脑血流减低区皆有不同改善 ,其中对侧额顶叶及同侧大脑白质区按摩前后差异显著。从图像表现来看 ,脑血流功能改善以病灶周边较明显 ,病变范围小、程度轻者更明显。按摩前后脑血流功能评分差异显著 ,分别为 - 2 7± 1 6和 - 1 2± 1 7,t=- 3 .8,P <0 .0 5。结论　中医按摩疗法对脑卒中患者的脑血流功能改善有肯定的作用 ,这种作用同躯体感觉、运动传入冲动刺激有关 。Objective To study the effect of traditional Chinese massage on the regional cerebral blood flow (rCBF) in stroke patients. Methods The rCBF of six stroke patients before and after Chinese massage was measured and analyzed by using the semi quantitative analysis of single photon emission computed tomography( SPECT). Results There were decreased rCBF in varying degrees occurred in 6 stroke patients before the massage. A significant difference of rCBF after the Chinese massage was seen on contralateral frontal and parietal lobes,ipsilateral white matter of brain( P < 0.05 ), as compared with that of pretreatment state. The SPECT image showed that the improvement of rCBF was better in the surrounding area than in the center of the lesion.More remarkable changes of rCBF were seen in patients with small size and mild lesions. The change of semi quantitative score of cerebral blood flow and function induced by massage as evaluated with SPECT was very marked, which was -27±16 and -12±17, respectively ( P <0.05). Conclusion Traditional Chinese massage has affirmative effect on the improvement of rCBF in stroke patients. We inferred that the effect of massage was related to the somatosensorial stimulation,and in turn, can reflexly affect the reaction at each level of the nervous system.

关 键 词：SPECT 中医 按摩 脑卒中 局部脑血流功能 

分 类 号：R244.1[医药卫生—针灸推拿学]