摘要
探讨中医脉象能否反映多种心脏瓣膜病变复杂的血流动力学变化。方法 :在对 1 53例多种心脏瓣膜病患者进行脉象图描记的基础上进行脉象分类 ,取例数较多的滑脉、弦脉、弦滑脉、涩脉 4个脉象组与多普勒超声测量的 1 0项指标进行对比研究。结果 :除主动脉血流加速时间和主动脉血流平均加速度两项指标外 ,收缩压、舒张压、平均动脉压、心率、左室射血时间、体循环周围血管阻力、心输出量、心搏量在 4个脉象组间均有显著性差异 (P<0 .0 5～ 0 .0 0 1) 。结论 :中医脉象可反映多种心脏瓣膜病变的血流动力学变化 ,因而具有重要的临床意义。
Objective:To study whether the Chinese traditional sphygmology could reflect the complex hemodynamic changes in multiple cardiac valvular diseases.Methods:Eletropulsography and Doppler echocardiography were performed in 153 patients with multiple cardiac valvular diseases and the pulse patterns were divided into four groups:slippery pulse(hua mai),taut pulse(xian mai),taut and slippery pulse(xianhua mai)and uneven pulse(se mai).Ten hemodynamic indices were measured by Doppler echocardiography and were compared among the four pulse pattern groups.Results:Eight indices including systolic,diastolic and mean arterial pressures,heart rate,left ventricular ejection time,systemic vascular resistance,cardiac output and stroke volume showed significant differences( P<0.05~<0.001 ),while the acceleration time and the mean acceleration of the aortic flow velocities did not differ among the four groups.Conclusion:The Chinese traditional sphygmology can reflect the hemodynamic changes in multiple cardiac valvular diseases and therefore is of important clinical significance.\;
出处
《辽宁中医杂志》
CAS
北大核心
2000年第6期244-245,共2页
Liaoning Journal of Traditional Chinese Medicine
关键词
中医脉象
心脏瓣膜病
血流动力学
脉搏图
Chinese traditional sphygmology
cardiac valvular disease
hemodynamics
