针灸对大动脉炎患者血管及血流速度的影响

Effects of acupuncture and moxibustion on blood vessels and the blood flow rate in patients with takayasu arteritis

目的:观察针灸治疗大动脉炎(头臂动脉型)的临床疗效与作用机制。方法:对31例大动脉炎患者采用人迎穴为主、随症配穴的针灸治疗,观察其疗效以及治疗前后患者相关动脉彩色多普勒超声(CDFI)的变化情况。结果:临床治疗总有效率达90.3%;CDFI数据显示:针灸可扩大病变血管内径,提高病变血管的血流量、血管弹性指数,改善血流异常速度、血流异常波峰形态。结论:①针灸治疗大动脉炎(头臂动脉型)疗效显著;②针灸可改善患者病变血管狭窄程度、肢体和颅内血流动力学的异常状态。

Objective To observe the therapeutic effect of acupuncture and moxibustion on takayasu arteritis of brachiocephatic artery type and the mechanism. Methods 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. Results 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 dianieter 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. Conclusion 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.