OBJECTIVE:To analyze the Doppler ultrasound blood flow of Renying(carotid artery)pulse,Cunkou(radial artery)pulse,and Fuyang(anterior tibial artery)pulse in the normal group and the functional constipation with gastro...OBJECTIVE:To analyze the Doppler ultrasound blood flow of Renying(carotid artery)pulse,Cunkou(radial artery)pulse,and Fuyang(anterior tibial artery)pulse in the normal group and the functional constipation with gastrointestinal heat(FCGH)group,and to compare and explore the differences of Renying,Cunkou and Fuyang pulses.METHODS:Sixty normal subjects and 60 patients with gastrointestinal heat constipation were collected in the department of ultrasound,Beijing Anzhen Hospital,Capital Medical University.Doppler ultrasound was used to observe the blood flow indexes including maximum systolic velocity(Vp),maximum diastolic velocity(Vd),mean velocity(Vm),pulse index(PI),resistance index(RI),vascular diameter(D),and circulation blood flow cycle(ET)of Renying pulse,Cunkou pulse and Fuyang pulse in the normal group and patients with gastrointestinal heat constipation.The differences of these three pulses were compared between the normal group and the FCGH group.RESULTS:The PI,Vp,Vm,RI,and D of the three pulses in the normal group were statistically significant different(P<0.01).In the comparison of Doppler flow diagram of three pulses in the FCGH group,there were significant differences in PI,Vd,Vp,Vm,RI,and D(P<0.01).CONCLUSION:Under normal conditions,the indexes of Renying pulse Doppler flow diagram,Cunkou pulse Doppler flow diagram,and Fuyang pulse Doppler flow diagram are significantly different.In the FCGH group,most of the indexes of Renying pulse Doppler flow diagram,Cunkou pulse Doppler flow diagram,and Fuyang pulse Doppler flow diagram are different.This result verified the necessity of simultaneous examinations of all Renying,Cunkou,and Fuyang pulses in modern Chinese medicine.展开更多
OBJECTIVE: To explore the relationship between Renying pulse (carotid) augmentation index (AI) and Cunkou pulse condition in different blood pressure groups, and the clinical significance of Renying and Cunkou pulse p...OBJECTIVE: To explore the relationship between Renying pulse (carotid) augmentation index (AI) and Cunkou pulse condition in different blood pressure groups, and the clinical significance of Renying and Cunkou pulse parameters to reflect vascular function.METHODS:Eighty-sixpatients with essential hypertension (EH) and 52 individuals with normal blood pressure(control group) between September 2010 and January 2012 were included in thisstudy.Renying pulse AI was examined by a new diagnostic tool(ALOKA ProSound Alpha 10) — wave intensity (WI) that is calculated as the product of the derivatives of the simultaneously recorded blood pressure changes(dP/dt) and blood-flow-velocity changes(dU/dt), while Cunkou pulse condition was detected by DDMX-100 Pulse Apparatus inboth EH and control groups. A multifactorial correlation analysis was performed for data analysis.RESULTS: After adjustingfor potentialconfoundingvariables,intheEHgroup,AIwaspositivelycorrelated with t5, w2/t(rt5=0.225, P<0.05; rw2/t=0.230, P<0.05)and negatively correlated with h5,h5/h1 and w2(rh5=﹣0.393,P<0.01;rh5/h1=﹣0.444,P<0.01;rw2=﹣0.389,P<0.01). In the control group, AI was positively correlated with t3, t4, t5 and w1(rt3=0.595, P<0.01; rt4=0.292, P<0.05; rt5=0.318, P<0.05; rw1=0.541, P<0.01)and negatively correlated with h1,h2,h3,AdandA(rh1=﹣0.368,P<0.05;rh2=﹣0.330,P<0.05;rh3=﹣0.327, P<0.05; rAd=﹣0.322, P<0.05; rA=﹣0.410, P<0.01). In the total sample group(EH plus control group, n=138), AI was positively correlated with t, t5, w1 and w2/t(rt=0.257,P<0.01;rt5=0.266,P<0.01;rw1=0.184,P<0.05; rw2/t=0.210, P<0.05) and negatively correlated with h5, h5/h1, w2 and Ad(rh5=﹣0.230, P<0.01; rh5/h1=﹣0.218, P<0.05; rw2=﹣0.267, P<0.01; rAd=﹣0.246,P<0.01). Multiple linear regression analysis was carried out to model the relationship(F=7.887, P<0.001).CONCLUSION:Renying pulse AI can effectively predict arterial stiffness in synchrony with the manifestations of Cunkou pulse in elderly patients with hypertension. Cunkou pulse apparatus is a valuable tool for evaluating AI in clinical practice. The close correlations reported above reflect the holistic concept of Traditional Chinese Medicine.展开更多
基金Supported by the Fundamental Research Funds for the Central Public Welfare Research Institutes:Theoretical Study of Combination of of Facial Color and Pulses Mode in Traditional Chinese Medicine(No.KJ-202013),Objective Study of“Wei Qi”in Pulse Based on Color Doppler Flow Imaging(CDFI)Technology(No.YZ-202124)。
文摘OBJECTIVE:To analyze the Doppler ultrasound blood flow of Renying(carotid artery)pulse,Cunkou(radial artery)pulse,and Fuyang(anterior tibial artery)pulse in the normal group and the functional constipation with gastrointestinal heat(FCGH)group,and to compare and explore the differences of Renying,Cunkou and Fuyang pulses.METHODS:Sixty normal subjects and 60 patients with gastrointestinal heat constipation were collected in the department of ultrasound,Beijing Anzhen Hospital,Capital Medical University.Doppler ultrasound was used to observe the blood flow indexes including maximum systolic velocity(Vp),maximum diastolic velocity(Vd),mean velocity(Vm),pulse index(PI),resistance index(RI),vascular diameter(D),and circulation blood flow cycle(ET)of Renying pulse,Cunkou pulse and Fuyang pulse in the normal group and patients with gastrointestinal heat constipation.The differences of these three pulses were compared between the normal group and the FCGH group.RESULTS:The PI,Vp,Vm,RI,and D of the three pulses in the normal group were statistically significant different(P<0.01).In the comparison of Doppler flow diagram of three pulses in the FCGH group,there were significant differences in PI,Vd,Vp,Vm,RI,and D(P<0.01).CONCLUSION:Under normal conditions,the indexes of Renying pulse Doppler flow diagram,Cunkou pulse Doppler flow diagram,and Fuyang pulse Doppler flow diagram are significantly different.In the FCGH group,most of the indexes of Renying pulse Doppler flow diagram,Cunkou pulse Doppler flow diagram,and Fuyang pulse Doppler flow diagram are different.This result verified the necessity of simultaneous examinations of all Renying,Cunkou,and Fuyang pulses in modern Chinese medicine.
基金Ministry of Science, Technology and Innovation, Malaysia (06-02-12-SF0247)Natural Science Foundation of Shaanxi Province, China (2021JM-468)Administration of Traditional Chinese Medicine of Shaanxi Province, China (SZY-KJCYC-2023-018)。
基金Supportedby the Science andTechnology Project of Fujian Province(No.2014Y0007)the Fujian Province Medical Innovation Foundation(No.2009-CXB-13)
文摘OBJECTIVE: To explore the relationship between Renying pulse (carotid) augmentation index (AI) and Cunkou pulse condition in different blood pressure groups, and the clinical significance of Renying and Cunkou pulse parameters to reflect vascular function.METHODS:Eighty-sixpatients with essential hypertension (EH) and 52 individuals with normal blood pressure(control group) between September 2010 and January 2012 were included in thisstudy.Renying pulse AI was examined by a new diagnostic tool(ALOKA ProSound Alpha 10) — wave intensity (WI) that is calculated as the product of the derivatives of the simultaneously recorded blood pressure changes(dP/dt) and blood-flow-velocity changes(dU/dt), while Cunkou pulse condition was detected by DDMX-100 Pulse Apparatus inboth EH and control groups. A multifactorial correlation analysis was performed for data analysis.RESULTS: After adjustingfor potentialconfoundingvariables,intheEHgroup,AIwaspositivelycorrelated with t5, w2/t(rt5=0.225, P<0.05; rw2/t=0.230, P<0.05)and negatively correlated with h5,h5/h1 and w2(rh5=﹣0.393,P<0.01;rh5/h1=﹣0.444,P<0.01;rw2=﹣0.389,P<0.01). In the control group, AI was positively correlated with t3, t4, t5 and w1(rt3=0.595, P<0.01; rt4=0.292, P<0.05; rt5=0.318, P<0.05; rw1=0.541, P<0.01)and negatively correlated with h1,h2,h3,AdandA(rh1=﹣0.368,P<0.05;rh2=﹣0.330,P<0.05;rh3=﹣0.327, P<0.05; rAd=﹣0.322, P<0.05; rA=﹣0.410, P<0.01). In the total sample group(EH plus control group, n=138), AI was positively correlated with t, t5, w1 and w2/t(rt=0.257,P<0.01;rt5=0.266,P<0.01;rw1=0.184,P<0.05; rw2/t=0.210, P<0.05) and negatively correlated with h5, h5/h1, w2 and Ad(rh5=﹣0.230, P<0.01; rh5/h1=﹣0.218, P<0.05; rw2=﹣0.267, P<0.01; rAd=﹣0.246,P<0.01). Multiple linear regression analysis was carried out to model the relationship(F=7.887, P<0.001).CONCLUSION:Renying pulse AI can effectively predict arterial stiffness in synchrony with the manifestations of Cunkou pulse in elderly patients with hypertension. Cunkou pulse apparatus is a valuable tool for evaluating AI in clinical practice. The close correlations reported above reflect the holistic concept of Traditional Chinese Medicine.
