上海针灸杂志
上海針灸雜誌
상해침구잡지
SHANGHAI JOURNAL OF ACUPUNCTURE AND MOXIBUSTION
2015年
1期
19-21
,共3页
针刺疗法%丛刺%眩晕,脑供血不足性%经颅多普勒%穴位,头颈部
針刺療法%叢刺%眩暈,腦供血不足性%經顱多普勒%穴位,頭頸部
침자요법%총자%현훈,뇌공혈불족성%경로다보륵%혈위,두경부
Acupuncture therapy%Cluster needling%Vertigo,Cerebral circulation insufficiency%TCD%Points,head&neck
目的：比较头穴丛刺和项穴丛刺对脑供血不足性眩晕患者脑血流即时效应的影响。方法将57例脑供血不足性眩晕患者随机分成治疗组29例和对照组28例。治疗组采用头穴丛刺治疗,对照组采用项穴丛刺治疗。观察两组治疗前后经颅多普勒(transeranial doppler, TCD)所示大脑中动脉(MCA)、颈内动脉(ICA)、基底动脉(BA)、小脑后下动脉(PINCA)、椎动脉(VA)的收缩期血流速度(Vs)、舒张期血流速度(Vd)、平均血流速度(Vm)变化。结果治疗组治疗后各血管(MCA、ICA、BA、PINCA、VA)血流速度(Vs、Vd、Vm)与同组治疗前比较,差异均具有统计学意义(P＜0.01,P＜0.05)。对照组治疗后MCA、ICA、VA及PINCA血流速度与同组治疗前比较,差异均具有统计学意义(P＜0.01)。对照组治疗后BA的Vs与Vm与同组治疗前比较,差异均具有统计学意义(P＜0.05)。治疗组治疗后各血管血流速度与对照组比较,差异均无统计学意义(P＞0.05)。结论头穴丛刺和项穴丛刺均能即时改善患者大脑各低流速血管的Vs、Vd、Vm,两种刺法对各血管Vs、Vd、Vm改善程度相近。
目的：比較頭穴叢刺和項穴叢刺對腦供血不足性眩暈患者腦血流即時效應的影響。方法將57例腦供血不足性眩暈患者隨機分成治療組29例和對照組28例。治療組採用頭穴叢刺治療,對照組採用項穴叢刺治療。觀察兩組治療前後經顱多普勒(transeranial doppler, TCD)所示大腦中動脈(MCA)、頸內動脈(ICA)、基底動脈(BA)、小腦後下動脈(PINCA)、椎動脈(VA)的收縮期血流速度(Vs)、舒張期血流速度(Vd)、平均血流速度(Vm)變化。結果治療組治療後各血管(MCA、ICA、BA、PINCA、VA)血流速度(Vs、Vd、Vm)與同組治療前比較,差異均具有統計學意義(P＜0.01,P＜0.05)。對照組治療後MCA、ICA、VA及PINCA血流速度與同組治療前比較,差異均具有統計學意義(P＜0.01)。對照組治療後BA的Vs與Vm與同組治療前比較,差異均具有統計學意義(P＜0.05)。治療組治療後各血管血流速度與對照組比較,差異均無統計學意義(P＞0.05)。結論頭穴叢刺和項穴叢刺均能即時改善患者大腦各低流速血管的Vs、Vd、Vm,兩種刺法對各血管Vs、Vd、Vm改善程度相近。
목적：비교두혈총자화항혈총자대뇌공혈불족성현훈환자뇌혈류즉시효응적영향。방법장57례뇌공혈불족성현훈환자수궤분성치료조29례화대조조28례。치료조채용두혈총자치료,대조조채용항혈총자치료。관찰량조치료전후경로다보륵(transeranial doppler, TCD)소시대뇌중동맥(MCA)、경내동맥(ICA)、기저동맥(BA)、소뇌후하동맥(PINCA)、추동맥(VA)적수축기혈류속도(Vs)、서장기혈류속도(Vd)、평균혈류속도(Vm)변화。결과치료조치료후각혈관(MCA、ICA、BA、PINCA、VA)혈류속도(Vs、Vd、Vm)여동조치료전비교,차이균구유통계학의의(P＜0.01,P＜0.05)。대조조치료후MCA、ICA、VA급PINCA혈류속도여동조치료전비교,차이균구유통계학의의(P＜0.01)。대조조치료후BA적Vs여Vm여동조치료전비교,차이균구유통계학의의(P＜0.05)。치료조치료후각혈관혈류속도여대조조비교,차이균무통계학의의(P＞0.05)。결론두혈총자화항혈총자균능즉시개선환자대뇌각저류속혈관적Vs、Vd、Vm,량충자법대각혈관Vs、Vd、Vm개선정도상근。
Objective To compare the realtime effects of scalp cluster acupuncture versus nape cluster acupuncture on the cerebral blood flow in patients with vertigo due to cerebral circulation insufficiency (CCI). Methods Fifty-seven patients with vertigo due to CCI were randomized into a treatment group of 29 cases and a control group of 28 cases. The treatment group was intervened by scalp cluster acupuncture, while the control group was by nape cluster acupuncture. The systolic blood flow velocity (Vs), diastolic blood flow velocity (Vd), and mean blood flow velocity (Vm) of the middle cerebral artery (MCA), internal carotid artery (ICA), basilar artery (BA), posterior inferior cerebellar artery (PICA), and vertebral artery (VA) were observed before and after intervention by Transcranial Doppler (TCD). Results After intervention, the Vs, Vd, and Vm of MCA, ICA, BA, PICA and VA were significantly changed in the treatment group (P<0.01, P<0.05). The blood velocities of MCA, ICA, VA, and PICA were significantly changed after intervention in the control group (P<0.01). The Vs and Vm of BA were significantly changed in the control group after intervention (P<0.05). There were no significant differences in comparing the blood velocities of the observed arteries between the two groups after intervention (P>0.05). Conclusion Scalp cluster acupuncture and nape cluster acupuncture both can improve the Vs, Vd, and Vm of the low-velocity cerebral arteries.
