Li Li, Gong Jian-Qiu, Ding Guang-Hong, Cai De-Heng, Cai Yi
Department of Mechanics and Engineering Science, Fudan University, Shanghai 200433, China.
Zhen Ci Yan Jiu. 2009 Oct;34(5):334-8.
To observe the changes of carotid hemodynamic and hydraulic power indices after paralleled scalp-point acupuncture therapy in post-stroke patients.
Twenty post-stroke volunteer patients were enlisted in the present study. Aseptic filiform needles were inserted into Baihui (GV 20), bilateral Motor Area (MS 8), etc. with the needles retained for 5 min. The treatment was given one time. Hemodynamic indices: mean velocity of blood flow (Vmean), maximum velocity (Vmax), minimum velocity (Vmin), mean blood flow (Qmean), maximum blood flow (Qmax), minimum blood flow (Qmin), natural impedance (Zc), peripheral resistance (Rc), dynamic resistance (Dr), and critical pressure (Pc) before and after the treatment were detected with KF-3000 Brain Circulation Analyzer. The hydraulic power indices:stable potential energy (Ws), oscillation potential energy (Wo), total potential energy (Wc), stable kinetic energy (Ks), success kinetic energy (Ko), total kinetic energy (Kc), stable total energy (Ts), oscillation total energy (To), total energy (Tc), To/Tc, Kc/Tc, Wo/Wc and Ks/Kc were obtained through calculation.
After the therapy, Vmin, Vmean, Qmin and Qmean increased significantly (P<0.001), while Rc decreased evidently (P<0.001). Ws, Ks, Ts, Wc, Kc, Tc and Kc/Tc increased obviously (P<0.001, P<0.05), and Ks/Kc declined significantly (P<0.01). The rest indices had no significant changes after the treatment.
Multiple paralleled scalp acupuncture needles stimulation can effectively raise the blood flow volume of the common caroitid artery, leading to an increase of the energy supply of the cerebral blood circulation, but has no apparent influence on the total oscillatory energy/total energy in stroke patients.
观察脑卒中患者头穴丛刺疗法后颈动脉血液动力学及水力能量指标的变化。
选取20例脑卒中志愿者患者纳入本研究。用无菌毫针针刺百会(GV 20)、双侧运动区(MS 8)等穴位,留针5分钟。治疗1次。采用KF-3000脑循环分析仪检测治疗前后的血液动力学指标:平均血流速度(Vmean)、最大血流速度(Vmax)、最小血流速度(Vmin)、平均血流量(Qmean)、最大血流量(Qmax)、最小血流量(Qmin)、特性阻抗(Zc)、外周阻力(Rc)、动态阻力(Dr)和临界压力(Pc)。通过计算得出水力能量指标:稳定势能(Ws)、振荡势能(Wo)、总势能(Wc)、稳定动能(Ks)、冲击动能(Ko)、总动能(Kc)、稳定总能量(Ts)、振荡总能量(To)、总能量(Tc)、To/Tc、Kc/Tc、Wo/Wc和Ks/Kc。
治疗后,Vmin、Vmean、Qmin和Qmean显著升高(P<0.001),而Rc明显降低(P<0.001)。Ws、Ks、Ts、Wc、Kc、Tc和Kc/Tc明显升高(P<0.001,P<0.05),Ks/Kc显著下降(P<0.01)。其余指标治疗后无明显变化。
多针丛刺头皮穴位能有效提高颈总动脉血流量,增加脑血液循环的能量供应,但对脑卒中患者的振荡总能量/总能量无明显影响。