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针灸对颈动脉粥样硬化患者颈动脉血管和血流的影响
作者姓名:Zhang WL  Wang WZ
作者单位:1. 天津中医药大学第一附属医院功能科,天津,300193
2. 天津中医药大学第一附属医院针灸科,天津,300193
摘    要:目的:评估针灸对颈动脉粥样硬化患者颈动脉血管结构及血流参数的影响.方法:68例患者随机分为针灸组(35例)和药物组(33例),针灸组穴取人迎、内关、足三里等,足三里针上加灸;药物组口服阿司匹林肠溶片.于治疗前后应用高频超声检测两组患者颈动脉内径(CCA)、内膜中层厚度(IMT)及收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、搏动指数(PI)、阻力指数(RI),并进行对比分析.结果:治疗后针灸组与药物组相比,CCA增加(8.16±0.80)mmvs(7.69±0.61)mm,P<0.01],IMT变薄(1.05±0.09)mm vs(1.10±0.09) mm,P<0.05],PSV、EDV增快(均P<0.01),PI、RI下降(P<0.05,P<0.01).结论:针灸对改善颈动脉硬化及颈动脉血流状况有较好疗效,有助于减轻和防止缺血性脑血管病的发生和发展.

关 键 词:缺血性脑血管病  针灸  颈动脉粥样硬化  超声

Impacts on carotid arterial vessel and blood flow in treatment of carotid atherosclerosis with acupuncture and moxibustion
Zhang WL,Wang WZ.Impacts on carotid arterial vessel and blood flow in treatment of carotid atherosclerosis with acupuncture and moxibustion[J].Chinese Acupuncture & Moxibustion,2011,31(9):783-785.
Authors:Zhang Wen-Lai  Wang Wei-Zhi
Institution:ZHANG Wen-lai1,WANG Wei-zhi2(1.Function Department,2.Acupuncture-Moxibustion Department,The First Affiliated Hospital of Tianjin University of TCM,Tianjin 300193,China)
Abstract:Objective To assess the impacts of acupuncture and moxibustion on carotid arterial vascular structure and blood flow parameters for the patients with carotid arteriosclerosis.Methods Sixty-eight cases were randomized into an acupuncture-moxibustion group(35 cases) and a medication group(33 cases).In the acupuncture-moxibustion group,Renying(ST 9),Neiguan(PC 6),Zusanli(ST 36),etc.were selected,moxibustion was applied at Zusanli(ST 36).In the medication group,Enteric-coated aspirin was taken orally.The high-f...
Keywords:Ischemic Cerebrovascular Diseases  Acupuncture-Moxibustion  Carotid Atherosclerosis  Ultrasonography  
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