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督脉穴位针刺的脑血流调节特征研究

Study on the Cerebral Blood Flow Regulatory Features of Acupuncture at Acupoints of the Governor Vessel.

作者信息

Kim Yong Il, Kim Sung Sik, Sin Ryong Sik, Pu Yong Jin, Ri Gon, Rim Kwang Su

机构信息

Research Unit of Meridian-Acupuncture-Moxibustion, Pyongyang Medical College of Kim Il Sung University, Pyongyang, Democratic People's Republic of Korea.

出版信息

Med Acupunct. 2018 Aug 1;30(4):192-197. doi: 10.1089/acu.2018.1285.

Abstract

Many studies to clarify the influences of acupuncture at different acupoints of various meridians on cerebral blood flow (CBF) were conducted in the past. However, the influences of acupuncture at the points of the Governor Vessel on CBF have not yet been studied tangibly. The purpose of this study was to investigate the influences of acupuncture at individual acupoints of the Governor Vessel on cerebral hemodynamic indices. Two hundred and seventy-nine patients with chronic cerebral circulation insufficiency (CCCI) were observed, using a cerebrovascular disease diagnosis system (CVD 3000, KCC, Pyongyang, Democratic People's Republic of Korea). Various hemodynamic indices-such as vascular compliance, hemodynamic resistance, and blood flow quantity-were compared before and after acupuncture at individual acupoints of the Governor Vessel. The influences of the points of Governor Vessel on CBF were different from each other, and systemic specificity of the Governor Vessel did not emerge. The largest number of indices showed significant changes when GV 16 was punctured, and the effects of GV 16, GV 20, and GV 14 on the head and the neck were relatively better than those of the points on the trunk. The points on the head and the neck of the Governor Vessel improve CBF biphasic regulation relatively better than the points on the trunk.

摘要

过去曾进行过许多研究,以阐明针刺不同经络的不同穴位对脑血流量(CBF)的影响。然而,针刺督脉穴位对脑血流量的影响尚未得到切实研究。本研究的目的是探讨针刺督脉各穴位对脑血流动力学指标的影响。使用脑血管疾病诊断系统(CVD 3000,朝鲜民主主义人民共和国平壤KCC)观察了279例慢性脑循环不全(CCCI)患者。比较了针刺督脉各穴位前后的各种血流动力学指标,如血管顺应性、血流动力学阻力和血流量。督脉穴位对脑血流量的影响各不相同,未出现督脉的整体特异性。针刺GV 16时,出现显著变化的指标数量最多,GV 16、GV 20和GV 14对头颈部的影响相对优于躯干部位的穴位。督脉头颈部穴位比躯干部位穴位能更好地改善脑血流量的双相调节。

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