《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (11): 1044-1045.

• 临床研究 • 上一篇    下一篇

留针对针刺足三里胫前动脉血流动力学的影响

张通1,2;公维军1,2;孙新亭1,2   

  1. 1.首都医科大学康复医学院，北京市 100068;2.中国康复研究中心北京博爱医院神经康复科，北京市 100068
  • 收稿日期:2009-10-25 出版日期:2009-11-01 发布日期:2009-11-01

Effects of Needle Retaining on Haemodynamics of Anterior Tibial Artery During Acupuncture

ZHANG Tong,GONG Wei-jun,SUN Xin-ting   

  1. Department of Neurology, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2009-10-25 Published:2009-11-01 Online:2009-11-01

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摘要： 目的 探讨研究留针能否强化和维持得气。方法 健康成年志愿者26名，针刺左侧足三里（ST36）。一半志愿者留针，一半不留针。利用彩色多普勒超声观察足三里远端1 cm处胫前动脉针刺前、得气后0 min、1 min、2 min、3 min、4 min和5 min时收缩期峰值（Vmax）、平均血流速度（Vm）、阻力指数（RI）、搏动指数（PI）和血管内径（Dist）。结果 针刺足三里得气后3 min与针刺前比较，Vmax、Vm、PI和Dist有显著性差异。留针与否血流动力学指标无显著性差异。结论 留针对局部的血管血流动力学改变无特殊意义，留针不能强化得气效应。

关键词: 针灸, 得气, 留针, 血流动力学, 胫前动脉

Abstract: Objective To study the relationship between needle retaining anddeqi. Methods Manual acupuncture was performed at the left ST36 of 26 naive healthy adult volunteers. Half of them retained the needles for 6 min and others were put the needle out immediately afterdeqi. Hemodynamic parameters of the anterior tibial artery were observed with color Doppler ultrasonography before and at 0, 1, 2, 3, 4, 5 min after acupuncture. Results There was significant difference in Vmax、Vm、Pi and Dist in anterior tibial artery before and 3 min after acupuncture, but wasn't between needle remaining and not. Conclusion Needle retaining cannot change the regional haemodynamics during acupuncture, which suggest it cannot strengthendeqi.

Key words: acupuncture, deqi, needle retaining, haemodynamics, anterior tibial artery