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題 名 | 針刺「內關」穴對冠狀動脈心臟病人左心室功能效應的評估 |
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作 者 | 黃博昭; 駱惠銘; 黎榮興; | 書刊名 | 中醫藥年報 |
卷 期 | 15:1 1997.05[民86.05] |
頁 次 | 頁128-144 |
分類號 | 413.91 |
關鍵詞 | 內關; 左心室功能; 冠狀動脈心臟; Nei-guan; Left ventricular function; Coronary artery disease; |
語 文 | 中文(Chinese) |
中文摘要 | 我們以一些血管攝影術證實罹患冠狀動脈心臟病人,在針刺內關穴後,針對左心 室收縮功能效應變化的評估。其左心室功能的評估,是以核子放射攝影技術來測量,我們收 集 22 位具冠狀動脈心臟病的病人,和 22 位正常的受檢者,每位病人皆接受針刺左側內關 穴,針刺留針費時 30 分鐘,然後拔除。 當完成放射線物質 Tc99m 靜脈注射後,我們進行 均衡式核子心臟血管攝影術 (equilibrium radionuclide angiography ) 每個受檢者接受 一系列核子影像照影檢查 (針刺前照影,針刺後立刻照影,針刺後 15 分鐘照影,拔針後立 刻照影 ),共獲得 4 組時間和活性關係的曲線資料。 且在每次照影檢查終了時,均測其血 壓及心跳的變化。一星期後,在針刺每個受檢者的左側非 " 內關 " 穴,再進行一次上項檢 查,從攝影所得時間和活性關係曲線,我們可得左心室射出分率的資料。在 22 位正常的受 檢者,我們發現,在針刺中和針刺後,其血壓,,心跳和左心室射出分率的平均變化值,均 和針刺前期在統計上並無明顯差別 (p>0.05)。 在冠狀動脈心臟病人中,針刺中和針刺後, 其血壓和心跳的平均變化值和針刺前期,也無明顯統計上的差異 (P>O.05)。 但是在針刺左 側內關穴後,留針 15 分鐘,其左心室射出分率的乎均變化值和針刺前期,則有明顯統計學 上的差異 (42.48% 土 15.62% vs 40.59% 土 15.40%,p<0. 05)。在留針 30 分鐘,其左心 室射出分率的平均變化值和針刺前期相較, 亦呈明顯統計學上的差異 (42.53% 土 16.81% vs 40.59% 土 15.40%,p<0.05 )。 在拔針後,左心室射出分率的平均變化值和針刺前期相 較,亦呈明顯統計學上的差異 (43.52% 土 16.81% vs 40.59% 土 15.40% P<0.05)。而針刺 後一星期, 心室射出分率的平均變化值 (42.15% 土 14.70%) , 也顯示出較針刺前期 (40.59% 土 15.40%) 有增加的趨勢。 因此在冠狀動脈心臟病的病人針刺左側 " 內關穴 " 是可以改善其左心室功能。 |
英文摘要 | We evaluated the effects of acupuncture of "Nei-Guan" on left ventricular (LV) function in patients with angiographically documented coronary artery disease (CAD). The LV function was measured with established radionuclide technique. Twenty-two patients with angiographically proved CAD and 22 normal subjects were recruited in this study. Each patient received an acupuncture on his/her left side "Nei-Guan",The puncture needle retained inside the "Nei-Guan" for 30 minutes and then removed. Equilibrium radionuclide angiography was performed after the injection of unlabeled stannous pyrophosphate and Tc99m using a computerized scintillation camera (Elscient apex-415). Each subject received serial radionuclide imaging (before acupuncture. within 0-15 and 15- 30 minutes of acupuncture, and immediately after acupuncture ) to obtain 4 sets of time-activity curves. Blood pressure and heart rate at the end of each imaging were also measured. One week later, each patient received an acupuncture on the non "Nei-Guan" area and 4 sets of serial radionuclide imaging (before, during, and after the acupuncture ) are performed again. From radionuclide time-activity curves LV ejection fractions were obtained. Among 22 normal subjects during and after the acupuncture, mean values of heart rate, blood pressure and LV ejection fraction did not differ significantly from those before acupuncture (P>0.05) on the "Nei-Guan". In patients with coronary artery disease, during and after the acupuncture, mean values of heart rate and blood pressure also did not significantly differ from those before acupuncture (P>0.05) on the "Nei-Guan". However, mean values of LV ejection fracticn within 0-15 minutes of acupuncture significantly differed from those before acupuncture (42.48% ± 15.62% vs 40.59% ± 15.40%, P<0.05 ).Within 15-30 minutes of acupuncture they also significantly differed from those before acupuncture (42.53% ± 16.81% vs 40.59% ± 15.40%, P<0.05). After acupuncture, they also significantly differed from those before acupuncture (43.52% ± 16.81% vs 40.59% ± 15.40%, p<0.05). Mean values of LV ejection fraction at one week (42.15% ± 14.70%) were also showed more increased effects than those before acupuncture (40.59% ± 15.40% ). Thus acupuncture on left side "Nee-Guan ± can improve LV function in patients with coronary artery disease. |
本系統中英文摘要資訊取自各篇刊載內容。