针刺对急性心肌梗塞患者球结膜微循环的影响

<正> 微循环的观察研究已日益广泛地应用于临床各科,关于冠心病患者外周微循环的改变有一些报道,我们在观察针刺及穴位艾灸对冠心病患者球结膜微循环影响的基础上,进一步观察针刺对急性心肌梗塞患者球结膜微循环的影响,以探讨针刺治疗缺血性心脏病的机理。从1981年开始先后与北京市第四、第六医院协作,共观察急性心肌梗塞108例,现总结如下:

EFFECTS OF ACUPUNCTURE ON MICROCIRCULATION OF ACUTE MYOCARDIAL INFARCTION PATIENTS

It was reported previously that the dysfunction of microcirculation might occur in patients with ischemic heart disease and its extent correlated positively with the seriousness of disease. In order to study the mechanism of acupuncture for the treatment of ischemic heart disease,the effect of acupuncture on microcirculation of bulbar conjunctiva as observed in patients with acute myocardial infarction (AMI).Based upon the routine treatment,94 cases were equally divided into acupuncture group and ontrol group at random.In acupuncture group,patients were treated by cupuncture once daily,24 treatments in all.Before acupuncture and after 12 and 24 sessions,the patients' microcirculations were examined by microscopy and photography.The same procedure was performed in the control group. The immediate effects of acupuncture were investigated in 30 cases of the acupuncture group.An obvious dysfunction of microcirculation in bulbar conjunctiva was found in all patients with AMI.after the treatment,impronement of dysfunction of microcirculation manifested by the acceleration of blood flow,the increase of the diameter of micro-vessels,and the relaxation of the assembly of blood cells was observed. The results indicate that the function of microcirculation could be improved by acupuncture,which may contribute to the improvement of coronary circulation,and thus,may be helpful to the recovery of AMI patients.