脑动脉硬化症心身放松治疗的经颅多普勒观察

目的 观察脑动脉硬化患者心身放松疗法治疗前后经颅多普勒的变化。方法 60例脑动脉硬化患者随机分为心身放松疗法加常规治疗组和常规治疗组，疗程为8周，运用经颅多普勒检测技术评估两组的临床疗效。结果 与治疗前比较，治疗8周后心身放松疗法加常规治疗组的左侧大脑中动脉和基底动脉的收缩峰值血流速度、舒张末期血流速度、平均血流速度均显著升高，血管搏动弹性指数及脑血管阻力指数显著降低（P〈0．05或P〈0．01）；且心身放松疗法加常规治疗组经颅多普勒频谱改善的显效率和总有效率显著高于常规治疗组（P〈0．05）。结论 心身放松疗法加常规治疗组疗效优于常规治疗组，心身放松疗法能显著增加脑血流速度，降低脑血管阻力和提高脑动脉硬化患者的临床疗效。

Effectiveness of Mind-Body Relaxing Therapy in Treatment of Cerebral Arteriosclerosis by Transcranial Doppler

Aim To investigate the changes of transcranial doppler (TCD) in mind-body relaxing therapy (MBRT) of patients with cerebral arteriosclerosis (CAS). Methods 60 CAS patients were randomly divided into mind-body relaxing therapy with routine treatment group (n=30) and routine treatment group (n=30) for the treatment of 8 weeks. The clinical effects were assessed by TCD. Results Compared with before treatment, Vm, Vs, and Vd of base artery (BA) and left middle cerebral artery (LMCA )were significantly increased, RI and PI were significantly decreased in mind-body relaxing therapy with routine treatment group after treatments of 8 weeks (P<0.05 or P<0.01); the significant rate and total effctive rate of TCD frequency spectrum in mind-body relaxing therapy with routine treatment group were higher than routine treatment group (P< 0.05 ). Conclusion The mind-body relaxing therapy can significantly improve the blood flow velocity, reduce the resistance of cerebral blood vessel, and increase therapeutic effect of the patients with CAS. Mind-body relaxing therapy with routine treatment group has better effect in treatment of CAS than routine treatment group.