首页|超声引导下针刺足三里穴对下肢动脉血流量即时效应随机对照研究

超声引导下针刺足三里穴对下肢动脉血流量即时效应随机对照研究

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目的 观察超声引导下针刺足三里穴与非经非穴对下肢动脉血流即时效应的影响.方法 将66名健康受试者随机分为试验组和对照组,每组33名.试验组和对照组分别在超声引导下针刺受试者左侧足三里穴和足三里穴旁开3 cm部位,试验组进针至深筋膜处,对照组进针至浅筋膜处,两组均留针5 min,针刺1次.采用超声观察两组受试者针刺前后胫前动脉和足背动脉收缩期峰值血流速度(PSV)、血流量(FV)、动脉内径(d);评价两组受试者中文版马塞诸塞州总医院针感量表(C-MASS)评分、受试者得气传导距离以及医者针感.结果 所有受试者均完成试验,对所有数据进行分析.与本组治疗前比较,试验组治疗后胫前动脉及足背动脉PSV、FV、d增加(P<0.01),对照组胫前动脉FV、d、足背动脉d增加(P<0.05,P<0.01).与对照组同期比较,试验组针刺后胫前动脉PSV、FV、d、足背动脉PSV、FV增加(P<0.05,P<0.01),试验组C-MASS评分升高(P<0.05).试验组受试者针感大多能扩散到小腿以下,医者针感以沉紧涩滞、针下沉重、针体内吸为主;对照组受试以无针感或仅在针刺局部有针感,或针下有舒松感、徐和轻滑或有针下沉重为主.结论 针刺足三里得气可以增加健康人胫前动脉和足背动脉血流,提高下肢血管血流量.(中国临床试验注册中心注册,No.ChiCTR2400080275)
Immediate Effect of Ultrasound-Guided Acupuncture at Zusanli(ST36)Acupoint on Lower Limb Arterial Blood Flow:A Randomized Controlled Study
Objective To observe the immediate effect of ultrasound-guided needling on the blood flow of the lower limb arteries in healthy subjects at the Zusanli(ST36)acupoint and non-acupoint.Methods Totally 66 healthy subjects were randomly assigned to a trial group and a control group,with 33 subjects in each group.Under ultrasound guidance,the subjects'left Zusanli(ST36)acupoint and a point 3 cm lateral to Zusanli(ST36)were needled.The trial group was needled to the deep fascia,while the control group was needled to the superficial fascia,with both groups retaining the needle for 5 minutes and performing acupuncture once.Ultrasound was used to observe the peak systolic velocity(PSV),flow volume(FV),and arterial diameter(d)of the anterior tibial artery and dorsalis pedis artery before and after acupuncture in both groups.Finally,the Chinese version of the Massachusetts General Acupuncture Sensation Scale(C-MASS)score,the distance of Qi transmission,and the physician's clinical evaluation of acupuncture sensation were evaluated for both groups.Results All subjects completed the trial,and all data were analyzed.Compared with before treatment in the same group,the PSV,FV,and d of the anterior tibial artery and dorsalis pedis artery increased after treatment in the trial group(P<0.01),and the FV and d of the anterior tibial artery,and d of the dorsalis pedis artery increased in the control group(P<0.05,P<0.01).Compared with the control group at the same time,the PSV,FV,and d of the anterior tibial artery,and the PSV and FV of the dorsalis pedis artery increased after acupuncture in the trial group(P<0.05,P<0.01),the C-MASS score in the trial group increased(P<0.05).The sensation of acupuncture in the trial group subjects mostly spread to below the calf,and the physician's sensation was mainly characterized by heaviness,tightness,and suction;in the control group,subjects had no sensation or only local sensation at the acupuncture site,and the physician's sensation was mainly characterized by relaxation,slow and smooth,or heaviness.Conclusion Acupuncture at Zusanli(ST36)with the sensation of Qi can increase blood flow in the anterior tibial artery and dorsalis pedis artery of healthy individuals,and improve lower limb vascular blood flow.(Chinese Clinical Trial Registry,No.ChiCTR2400080275)

ultrasoundacupunctureZusanli(ST36)acupointlower limb arterynon-acupointimmediate effectintegrative medicinerandomized controlled trial

涂婕、孙永康、锺雪菱、代金玲、王秋月、吴焕淦、金珠

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上海中医药大学附属第七人民医院针灸科(上海 200137)

上海中医药大学附属第七人民医院超声医学科(上海 200137)

上海市针灸经络研究所(上海 200137)

超声 针刺 足三里穴 下肢动脉 非经非穴 即时效应 中西医结合 随机对照试验

2024

中国中西医结合杂志
中国中西医结合学会 中国中医科学院

中国中西医结合杂志

CSTPCD北大核心
影响因子:2.149
ISSN:1003-5370
年,卷(期):2024.44(12)