针灸对颈动脉粥样硬化患者颈动脉血管和血流的影响

Impacts on carotid arterial vessel and blood flow in treatment of carotid atherosclerosis with acupuncture and moxibustion

目的:评估针灸对颈动脉粥样硬化患者颈动脉血管结构及血流参数的影响。方法:68例患者随机分为针灸组(35例)和药物组(33例),针灸组穴取人迎、内关、足三里等,足三里针上加灸;药物组口服阿司匹林肠溶片。于治疗前后应用高频超声检测两组患者颈动脉内径(CCA)、内膜中层厚度(IMT)及收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、搏动指数(PI)、阻力指数(RI),并进行对比分析。结果:治疗后针灸组与药物组相比,CCA增加[(8.16±0.80)mmvs(7.69±0.61)mm,P<0.01],IMT变薄[(1.05±0.09)mm vs(1.10±0.09)mm,P<0.05],PSV、EDV增快(均P<0.01),PI、RI下降(P<0.05,P<0.01)。结论:针灸对改善颈动脉硬化及颈动脉血流状况有较好疗效,有助于减轻和防止缺血性脑血管病的发生和发展。

Objective To assess the impacts of acupuncture and moxibustion on carotid arterial vascular structure and blood flow parameters for the patients with carotid arteriosclerosis.Methods Sixty-eight cases were randomized into an acupuncture-moxibustion group（35 cases） and a medication group（33 cases）.In the acupuncture-moxibustion group,Renying（ST 9）,Neiguan（PC 6）,Zusanli（ST 36）,etc.were selected,moxibustion was applied at Zusanli（ST 36）.In the medication group,Enteric-coated aspirin was taken orally.The high-frequency ultrasonography was applied to detect common carotid artery（CCA）,intima-media thickness（IMT）,peak systolic velocity（PSV）,end diastolic velocity（EDV）,pulsatility index（PI） and resistance index（RI） before and after treatment for the comparative analysis.Results After treatment,in comparison between acupuncture-moxibustion group and medication group,CCA got bigger [（8.16±0.80） mm vs（7.69±0.61） mm,P〈0.01],IMT became thinner [（1.05±0.09） mm vs（1.10±0.09） mm,P〈0.05],PSV and EDV were accelerated（all P〈0.01）,and PI and RI were down-regulated（P〈0.05,P〈0.01）.Conclusion Acupuncture and moxibustion provides a good efficacy on the improvement in carotid arteriosclerosis and blood flow in carotid artery,which contributes to the alleviation of ischemic cerebrovascular diseases and prevention from the occurrence and development of them.