CAJ | 학술논문

目的:探讨针灸治疗大动脉炎(头臂动脉型)的作用机制.方法:以温阳益气,通经复脉为治则,采用针灸疗法,对大动脉炎(头臂动脉型)患者进行治疗,观察针灸治疗前后患者相关动脉TCD(经颅超声多普勒)的血流平均速度(AVBF)及动脉搏动指数(PI)等指标的变化情况.结果:针灸能对颅内相关动脉异常的血流速度起到双向调节作用,同时提高了部分颅内血管的弹性.结论:针灸可调节头臂动脉型大动脉炎患者脑血管的机能状态,增加脑血流灌注,改善颅内血流动力学的异常状态.这可能是针灸治疗该病的重要机制.
목적:탐토침구치료대동맥염(두비동맥형)적작용궤제.방법:이온양익기,통경복맥위치칙,채용침구요법,대대동맥염(두비동맥형)환자진행치료,관찰침구치료전후환자상관동맥TCD(경로초성다보륵)적혈류평균속도(AVBF)급동맥박동지수(PI)등지표적변화정황.결과:침구능대로내상관동맥이상적혈류속도기도쌍향조절작용,동시제고료부분로내혈관적탄성.결론:침구가조절두비동맥형대동맥염환자뇌혈관적궤능상태,증가뇌혈류관주,개선로내혈류동역학적이상상태.저가능시침구치료해병적중요궤제.
Objective: To discuss the action mechanisms of Takayasus arteritis (brachiocephalic artery type) of acupuncture. Methods: We applied acupuncture therapy with the principle of "warming Yang and supplementing Qi, removing obstruction in the meridians and recovering pulse", to treat patients with takayasus arteritis (brachiocephalic artery type). Before and after treatment, we detected the TCD (Transcranial Doppler) changes of the average velocity of blood flow (AVBF) and arterial pulsatility index (PI) of related arteris. Results: After treatment,acupuncture and moxibustion can regulate the abnormal blood flow rate in endocranial correlated arteries by two sides, in the AVBF while, elevate the elasticity of endocranial vessels.Conclusion: Acupuncture and moxibustion can regulate cerebrovascular function of patients with takayasus arteritis (brachiocephalic artery type), increase the perfusion of cerebral blood flow, and adjust abnormal state of endocranial hemodynamics. This is possibly the important action mechanisms acupuncture in treating this disorder.