Dai K, Xue H, Dou R, Fung Y C
J Biomech Eng. 1985 Aug;107(3):268-73. doi: 10.1115/1.3138552.
The hypothesis is made that a disturbance in blood flow at one place can be detected in the arterial pulse waves at a distant site. This hypothesis was motivated by the traditional Chinese medicine which uses arterial pulse waves as a principal means of diagnosis. We formulated a test by asking whether a disturbance to the blood flow in a leg can be detected by changes in the pulse waves in the radial arteries. In particular, we ask whether the radial artery can differentiate a disturbance in the right leg from that in the left leg. We put force transducers on the radial arteries, depressed them by a specific amount, and recorded the force waves in response to a 2-min occlusion of the blood flow in the right or left tibial artery. The results show that the radial artery force waves do change in response to the flow disturbance. For a given individual, the force varies with the location of the force transducer on the radial artery, the specific amount of initial depression, and the right or left leg occlusion. Generally, an occlusion in the right leg reduces the force level in both radial arteries, the more so in the right radial artery than in the left. Although the discrimination is not very strong, the phenomenon is novel, and warrants further investigation.
在一个部位的血流紊乱可以在远处部位的动脉脉搏波中被检测到。这个假设是受传统中医的启发,传统中医将动脉脉搏波作为主要的诊断手段。我们设计了一个测试,询问通过桡动脉脉搏波的变化是否能够检测到腿部血流的紊乱。特别是,我们询问桡动脉是否能够区分右腿的血流紊乱和左腿的血流紊乱。我们在桡动脉上放置力传感器,将其下压特定的量,并记录在右侧或左侧胫动脉血流被阻断2分钟时的力波。结果表明,桡动脉力波确实会因血流紊乱而发生变化。对于给定的个体,力会随着力传感器在桡动脉上的位置、初始下压的特定量以及右侧或左侧腿部阻断而变化。一般来说,右腿的阻断会降低双侧桡动脉的力水平,右侧桡动脉比左侧桡动脉降低得更多。虽然这种区分不是很强,但这个现象是新颖的,值得进一步研究。