彩色多普勒能量图对痛经患者接受活血化淤疗法后子宫动脉血流变化的观察

Observation of the changes of uterine arterial blood flow for the dysmenorrhoea patients after removing blood stasis therapy of chinese medicine through coloured ultra-sound scan CDE

目的通过对比中医活血化瘀疗法在治疗痛经患者前后的子宫动脉血流变化,为中医“痛则不通,通则不痛”的理论,提供现代医学客观依据。方法在接受中医活血化瘀疗法前后的38例痛经患者中,均用腹部B超彩色多普勒对其子宫动脉即血流的脉冲指数(PI)及阻力指数(R I)进行能量图(CDE)检查、分析。结果子宫动脉血流的PI、R I可因活血化瘀疗法的干预,均低于治疗前(P<0.05),而且不受病变类型的影响。结论痛经患者子宫周围血管阻力较高(不通)所致子宫动脉血流灌注不足可能是引起疼痛的病理基础。活血化淤疗法,疏通血管,变“不通”为“通”,因此,能有效治疗痛经。

Objective In order to provide the objective evidence for the theory of Tong Zhe Bu Tong and Tong Zhe Bu Tong＇ （ pain is caused by blockage of channels, remove the blockage, then no pain）, the author used method of invigorating blood and removing blood stasis of Chinese medicine for dysmenorrhoea patients by comparing pre - post change of arterial＇s blood flow. Methods 38 dysmenorrhoea patients received Chinese medicine treatment of invigorating blood and removing blood stasis. Uterine arterial Pulsatice index （PI） and Resistant Index （RI） from CDE by coloured abdominal ultra - sound scan have been tested and analysed. Results After the treatment, PI, RI are reduced. （ P 0.05 ）, and not affect- ed by the types of illness. Conclusion the pathological mechanism of dysmenorrhoea may be resulted from the shortage of blood flow caused by high resistance of peripheral vessels.