针刺左侧曲泽穴对脑梗死恢复期患者颈内动脉、椎基底动脉血流动力学影响的研究

Research on Effect of Needling Acupoint of Left Zawze on the Hemodynamics of the Internal Carotid Artery and Vertebrobasilar Artery of Patients with Convalescence of Cerebral Infarction

目的探讨针刺左侧曲泽穴对脑梗死恢复期患者颈内动脉、椎基底动脉血流动力学的影响。方法选取该院2016年1月—2017年1月的50例脑梗死恢复期患者,所有患者均针刺左侧曲泽穴,同时在进针前与出针后对患者采用经颅多普勒超声仪经颞窗探测受试者双侧颈内动脉和椎基底动脉,同时记录患者左侧与右侧ICA、VA、BA数据,并进行统计分析。结果进针前与出针后患者ICA的变化左侧PI、RI、Vd、Vs、Vm比较没有明显改善,差异无统计学意义(P>0.05)。进针前与出针后患者ICA的变化右侧Vd、Vs、Vm(77.63±7.21)、(39.27±5.03)、(52.81±5.39)cm/s比较有明显改善,差异有统计学意义(t=13.646、12.615、11.647,P<0.05)。进针前与出针后患者VA变化左侧PI、RI、Vd、Vs、Vm比较没有明显改善,差异无统计学意义(P>0.05)。进针前与出针后患者VA变化右侧Vd、Vs、Vm(76.53±7.43)、(50.67±5.43)、(61.78±6.46)cm/s比较有明显改善,差异有统计学意义(t=13.746、12.665、14.632,P<0.05)。进针前与出针后患者BA变化Vd、Vs、Vm(71.19±8.74)、(47.19±5.89)、(58.79±7.31)cm/s比较有明显改善,差异有统计学意义(t=13.956、13.725、12.632,P<0.05)。结论针刺左侧曲泽穴,对脑梗死恢复期患者的右侧颈内动脉、椎基底动脉血流动力学有着良性的影响作用。

Objective To study the effect of needling acupoint of left zawze on the hemodynamics of the internal carotid artery and vertebrobasilar artery of patients with convalescence of cerebral infarction. Methods 50 cases of patients with convalescence of cerebral infarction admitted and treated in our hospital from January 2016 to January 2017 were selected, all patients were treated with needling acupoint of left zawze, and the bilateral internal carotid artery and vertebrobasilar artery of the subjects were probed by the transcranial Doppler ultrasound apparatus through the temporal window before inserting needle and after withdrawing the needle, at the same time, the left and right ICA, VA, BA data were recorded at the same time, and statistically analyzed. Results There was no obvious improvement of left PI, RI,Vd, Vs, Vm of ICA of patients before inserting needle and after withdrawing the needle the difference was statistically significant（P0.05）, and the right Vd, Vs, Vm（ 77.63± 7.21）,（39.27± 5.03）,（52.81± 5.39）cm/s of ICA of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant（t =13.646, 12.615, 11.647, P 0.05）, and the left PI, RI, Vd, Vs, Vm of VA changes of patients before inserting needle and after withdrawing the needle were not obviously improved, and the differences were not statistically significant（P0.05）, and the right Vd, Vs, Vm（76.53±7.43）,（50.67±5.43）,（61.78±6.46）cm/s of VA changes of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant（t =13.746, 12.665, 14.632, P 0.05）, and the Vd, Vs, Vm（71.19 ±8.74）,（47.19 ±5.89）,（58.79 ±7.31）cm/s of BA changes of patients before inserting needle and after withdrawing the needle were obviously improved, and the differences were statistically significant（t=13.956, 13.725, 12.632, P 0.05）. Conclusion The effect of needling acupoint of left zawze on the hemodynamics of the internal carotid artery and vertebrobasilar artery of patients with convalescence of cerebral infarction is benign.