基于经颅多普勒超声的针刺效应研究进展

Research progress of acupuncture effect measured on transcranial doppler ultrasound technology

经颅多普勒超声(transcranial doppler,TCD)是无创脑血管动态监测的重要超声技术,广泛用于针刺疗效评价及针刺穴位效应特异性研究。基于TCD检测结果可知,在生理或病理状态下,针刺不同的单穴或组穴,或施以不同针法,均可引起脑血流动力学特征性变化,体现了针刺对脑血流动力学的整体良性调节作用。应用TCD可为临床针刺方案优化提供可视化依据,但相关研究在脑血流参数设定、临床设计、技术操作等方面尚存不足。应从优势病种、优势方案入手,进行大样本RCT,并注意与其他脑血流检测技术进行交叉对比研究,对针刺手法、针刺得气、刺激参数等影响因素开展规范化研究。

Transcranial doppler(TCD)is an important ultrasound technology for non-invasive cerebrovascular dynamic monitoring.It has been widely used in the evaluation of acupuncture efficacy and the mechanism studies of acupuncture effect.Based on the TCD measuring participants in the physiological or pathological conditions,acupuncture at different single points or groups of points,or different acupuncture methods,can cause overall benign regulatory effectoncerebral hemodynamics.The TCD can provide visual basis for clinical acupuncture scheme optimization.However,there are still some deficiencies in the setting of cerebral blood flow parameters,clinical design,and technical operation.We should start with the intereted diseases,conduct large sample RCT,pay attention to cross contrast with other cerebral blood flow detection technologies,and carry out standardized research on the influencing factors of Acupuncture manipulation,acupuncture Deqi,and stimulation parameters.