《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (07): 646-648.

• 临床研究 • 上一篇    下一篇

针刺足三里穴时胫前动脉血流动力学变化的初步研究

张通1,2a;公维军1,2a;李雪梅1,2b;武静芳1,2b   

  1. 1.首都医科大学康复医学院，北京市 100068; 2.中国康复研究中心北京博爱医院，a.神经康复科;b.B超室，北京市 100068
  • 收稿日期:2009-05-19 出版日期:2009-07-01 发布日期:2009-07-01

Hemodynamic Change of Anterior Tibial Artery during Acupuncture at Zusanli (ST36)

ZHANG Tong,GONG Wei-jun,LI Xue-mei,et al   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2009-05-19 Published:2009-07-01 Online:2009-07-01

PDF (PC)

被引次数

20

摘要： 目的 探讨针灸“得气”的生理基础。方法 未经历过针灸治疗的健康成年志愿者28名，在不同的时间针刺右侧足三里（ST36）和足三里外侧1.5 cm（A点），足三里分浅刺和深刺，A点为深刺。利用彩色多普勒超声观察胫前动脉在针刺前、进针结束时和得气3 min时收缩期峰值（Vmax）、平均血流速度（Vm）和血管内径（Dist）。结果 深刺足三里得气3 min后与针刺前相关指标有显著性差异（P＜0.05）;浅刺足三里运针3 min后与针刺前相关指标均无显著性差异（P＞0.05）;足三里和A点深刺在运针3 min后Vmax和Vm具有显著性差异（P＜0.05）。结论 动脉血流的动力学变化可能与针灸得气有关。

关键词: 胫前动脉, 足三里, 针刺, 得气

Abstract: Objective To study physiological foundation of acupunctureDeqi.Methods 28 healthy volunteers who never experienced acupuncture were recruited. The right Zusanli (ST36) and a site 1.5 cm beside Zusanli (ST36) (nominated as A) were acupunctured at different time. Shallow and deep acupuncturing was inserted at Zusanli (ST36). Only deep acupuncturing was inserted at A. Hemodynamic parameters of the anterior tibial artery including the peak value in the systolic phase (Vmax), the average blood flow velocity (Vm), and the inner diameter of vessels (Dist) were observed with colored Doppler ultrasound before, at the end of acupuncture, and 3 min afterDeqi response. Results There was significant difference in those parameters between before acupuncture and 3 min after deqi response when deep acupuncturing at Zusanli (ST36) (P＜0.05), but was not significant difference when shallow acupuncturing (P＞0.05). There was significant difference in ΔVmax and ΔVm between acupuncture at Zusanli (ST36) and A points (P＜0.05). Conclusion Arterial haemodynamics variation seems to be associated with acupunctureDeqi.

Key words: anterior tibial artery, Zusanli (ST36), acupuncture, Deqi