【作者】 孙健；

【导师】 单秋华；

【作者基本信息】 山东中医药大学 ， 针灸推拿学， 2004， 硕士

【摘要】 本研究通过经颅多普勒(TCD)检查，观察针刺经穴组(风池、天柱)、夹脊组(C4-6)对椎—基底动脉供血不足(VBI)患者椎—基底动脉收缩期血流速度(vsys)的影响，并对两者的协同拮抗作用进行探讨。共对20例低流速型VBI患者和19例高流速型VBI患者进行了系统的观察。结果发现： ① 针刺配伍组穴位(风池、天柱配合C4-6夹脊)对低流速型VBI患者椎—基底动脉的vsys值的改善情况以针后即刻为最佳，针后60min基本消失。 ② 针刺配伍组穴位可针对椎—基底动脉不同病理状态(低流速型或高流速型)来调节其vsys值，使之趋于正常。 ③ 对低流速型VBI患者的椎—基底动脉的vsys值的改善程度来说，既没发现经穴组和夹脊组之间的协同作用，也没发现两者之间的拮抗作用。 本研究为针刺治疗椎—基底动脉供血不足(VBI)的临床选穴及针灸的配穴组方提供了科学依据。更多还原

【Abstract】 Objective: To observe the effect of Vertebro-basilar Artery’s systolic blood speed (vsys) of the Vertebro-Basilar Insufficiency (VBI) patients according to puncturing meridian points (fengchi, tianzhu) or jiaji points( C4-6) by Transcranial Doppler ultrasound (TCD), and probe into the synergic or antagonistic effect between the two group of points. Method: We applied self-control. For 20 cases of low-speed VBI, we treated them with meridian points, jiaji points and both two groups of points respectively and observed the change of vertebro-basilar artery’s vsys. For 12 of them treated with both two groups points, we observed the relation between time and effect. For 19 cases of high-speed VBI treated with both two groups points, we observed the change of vertebro-basilar artery’s vsys. Result: (1) For 12 cases of low-speed VBI treated with both two groups of points, the improving effect of vsys is best just after puncturing and disappear 1 hour after puncturing. (2) Aiming at different pathologic states of vertebro-basilar artery (low-speed or high-speed), puncturing both two groups of points can regulate them and make them becoming natural. (3) For the improvement of low-speed VBI’s vsys, we neither found the synergic effect of the two groups, nor did the antagonistic effect. Conclusion: Acupuncture is an effective treatment for VBI. And for the improvement of low-speed VBI’s vsys, there is neither synergic nor antagonistic effect.更多还原