耳穴贴压对高血压病患者脑血管反应性影响的TCD检测研究

目的采用TCD技术分析耳穴贴压对不同时期高血压病患者脑血管反应性的影响。方法将300例高血压病患者随机分为治疗组(耳穴贴压)180例、对照组(药物治疗)120例,两组治疗前、治疗后均进行TCD常规检测脑动脉血流动力学指标并分析。结果治疗组1级、2级高血压病患者脑动脉血流动力学指标改善较对照组明显(P0.05,P0.01),3级高血压病患者脑血流动力学指标改善较对照组明显(P0.05,P0.01)。结论耳穴贴压能改善脑血流动力学指标,有效改善高血压病患者脑血管反应性。TCD检测有助于对高血压患者的脑动脉功能状态进行观察与评价,有助于脑血管疾病的预防和干预。

Effect of Auricular Point Sticking on Cerebrovascular Reactivity in Hypertension Patients Studied by Transcranial Doppler

Objective To study the effect of auricular point sticking on the cerebrovascular reactivity in hypertension patients of different stages by using Transcranial Doppler （TCD） technology.Method Three hundred hypertension patients were randomized into a treatment group （auricular point sticking） of 180 cases and a control group （medication） of 120 cases. The cerebral arterial hemodynamic indexes were observed and analyzed by TCD before and after intervention.Result In comparing the improvements of cerebral arterial hemodynamic indexes in stage 1-2 hypertension patients, the treatment group was significantly superior to the control group （P〈0.05,P〈0.01）; in stage 3 hypertension patients, the improvements of cerebrovascular hemodynamics of the treatment group were significantly better than those in the control group （P〈0.05,P〈0.01）.Conclusion Auricular point sticking can improve the cerebrovascular hemodynamics and effectively improve the cerebrovascular reactivity of hypertension patients. TCD can help observe and estimate the cerebral arterial function of hypertension patients, and prevent and intervene in cerebrovascular diseases.