Ni Guang-xia, Han Jing-xian, Gao Qi-fang, Yan Li, Liu Meng-kun, Shi Xue-min
The Key Laboratory of Combined Acupuncture and Medication, Nanjing University of TCM, Nanjing, Jiangsu 210029, China.
Zhongguo Zhen Jiu. 2008 Dec;28(12):880-4.
To observe the therapeutic effect of acupuncture and moxibustion on takayasu arteritis of brachiocephalic artery type and the mechanism.
Thirty-one cases were treated by acupuncture and moxibustion at main acupoint Renying (ST 9) and adjuvant acupoints selected according to the symptoms. The therapeutic effect and changes of color Doppler's ultrasonic flow image (CDFI) of relevant arteries in patients before and after treatment were investigated.
The clinical total effective rate was 90.3%. Of the 31 cases, 5 cases were clinically cured, 16 cases were markedly effective, 7 cases improved and 3 cases were ineffective; and it was showed that acupuncture and moxibustion could enlarge the inner diameter of the injured blood vessel, increase the volume of blood flow and the elastic index of the injured blood vessel, and improve the abnormal velocity and the abnormal crest form of blood flow.
Acupuncture and moxibustion has a good therapeutic effect on takayasu arteritis of brachiocephalic artery type; acupuncture and moxibustion can improve the stenotic degree of the injured blood vessel and abnormal hemodynamics of blood flow in the limb and brain.
观察针灸治疗头臂型大动脉炎的疗效及作用机制。
选取31例患者,主穴取人迎(ST 9),并根据症状选取配穴,采用针灸治疗。观察治疗前后患者相关动脉彩色多普勒血流显像(CDFI)的变化及疗效。
临床总有效率为90.3%。31例中,临床治愈5例,显效16例,好转7例,无效3例;针灸可使病变血管内径增宽,血流量增加,血管弹性指数提高,血流速度及血流峰值形态异常得到改善。
针灸对头臂型大动脉炎有良好疗效;可改善病变血管狭窄程度及肢体与脑部血流动力学异常。