Acupuncture effects on endocranial hemodynamics of patients with Takayasus arteritis (brachiocephalic artery type)

摘要

目的

探讨针灸治疗大动脉炎(头臂动脉型)的作用机制。

方法

以温阳益气, 通经复脉为治则, 采用针灸疗法, 对大动脉炎(头臂动脉型)患者进行治疗, 观察针灸治疗前后患者相关动脉TCD (经颅超声多普勒)的血流平均速度(AVBF)及动脉搏动指数(PI)等指标的变化情况。

结果

针灸能对颅内相关动脉异常的血流速度起到双向调节作用, 同时提高了部分颅内血맜的弹性。

结论

针灸可调节头臂动脉型大动脉炎患者脑血맜的机能状态, 增加脑血流灌注, 改善颅内血流动力学的异常状态。 这可能是针灸治疗该病的重要机制。

Abstract

Objective

To discuss the action mechanisms of Takayasus arteritis (brachiocephalic artery type) of acupuncture.

Methods

We applied acupuncture therapy with the principle of “warming Yang and supplementing Qi, removing obstruction in the meridians and recovering pulse”, to treat patients with takayasus arteritis (brachiocephalic artery type). Before and after treatment, we detected the TCD (Transcranial Doppler) changes of the average velocity of blood flow (AVBF) and arterial pulsatility index (PI) of related arteris.

Results

After treatment, acupuncture and moxibustion can regulate the abnormal blood flow rate in endocranial correlated arteries by two sides, in the AVBF while, elevate the elasticity of endocranial vessels.

Conclusion

Acupuncture and moxibustion can regulate cerebrovascular function of patients with takayasus arteritis (brachiocephalic artery type), increase the perfusion of cerebral blood flow, and adjust abnormal state of endocranial hemodynamics. This is possibly the important action mechanisms acupuncture in treating this disorder.