“津沽脏腑推拿”层按法不同按压层次及时间对足背动脉血流速度影响的动态观察

Dynamic observation of the effect of “Jingu viscera massage” different pressing levels and time on the blood flow velocity of dorsal foot artery

关键词:  腹部按摩  足背动脉  血流速度

Key words:  abdominal massage  dorsal foot artery  blood flow velocity

摘要:

[目的] 观察健康受试者在"津沽脏腑推拿"层按法不同按压层次、不同按压时间条件下足背动脉血流速度的动态变化，探讨层按法不同按压层次的量效标准，使"津沽脏腑推拿"的手法操作更加规范化，为基础研究与临床考核提供科学依据，以利于流派手法的传承发展。[方法] 选取19~35岁健康受试者40例，分为A、B两组，每组各20例，男女比例为1：1。A组按压至第3层，B组按压至第5层。借助多普勒血流探测仪分别检测两组按压0、1、3 min时足背动脉血流速度的峰值。[结果] 与按压受试者腹部前左足背动脉血流速度比较，按压第3层1 min时受试者左足背动脉血流速度增快，按压第3层3 min时血流速度减慢，差异具有统计学意义（P<0.01）；按压第5层1 min时血流速度增快，按压第5层3 min时血流速度减慢，差异具有统计学意义（P<0.01）；A、B两组按压受试者腹部前左足背动脉血流速度比较，差异无统计学意义（P>0.05）；与按压第3层1 min时受试者左足背动脉血流速度比较，按压第5层1 min时血流速度增快，差异具有统计学意义（P<0.01）；与按压第3层3 min时血流速度比较，按压第5层3 min时血流速度减慢，差异具有统计学意义（P<0.01）。[结论] "津沽脏腑推拿"层按法不同按压层次及按压时间能够影响人体下肢动脉血流速度，初步阐明其可以通过调节按压层次及时间调动人体周身气血运行，达到补泻效果，从而起到防病治病的作用。

Abstract:

[Objective] To observe the dynamic changes of the blood flow velocity of the dorsal artery of the foot under different compression levels and different compression times in healthy subjects, and to discuss the quality-effect standard of different pressing levels according to layer-by-layer method so as to standardize the operation of "Jingu viscera massage", and to provide scientific basis for basic research and clinical assessment, and to facilitate the transmission and development of school manipulation.[Methods] Forty healthy subjects aged 19 to 35 were selected and divided into two groups A and B, each with 20 persons, and the ratio of male to female was 1:1. Group A pressed to the 3rd layer, group B pressed to the 5th layer.The doppler blood flow detector was used to detect the peak dorsal artery blood flow velocity of the two groups for 0, 1 and 3 minutes.[Results] Compared with the blood flow speed of the left dorsal foot artery before pressing the subject's abdomen, the blood flow speed of the left dorsal foot artery of the subject increased when the third layer was pressed for 1 minute, and the blood flow slowed down when the third layer was pressed for 3 minutes. The differences were significant (P<0.01). The blood flow speed increased when the fifth layer was pressed for 1 minute, and the blood flow speed slowed down when the fifth layer was pressed for 3 minutes, and the differences were both significant(P<0.01). There was no statistical difference in the blood flow velocity of the left dorsal foot artery before pressing the subject's abdomen of the two groups A and B (P>0.05). Compared with the blood flow velocity of the left dorsal foot artery of the subject when the third layer was pressed for 1 minute, the blood flow speed increased when the fifth layer was pressed for 1 minute, and the difference was significant(P<0.01). Compared with the blood flow speed when the third layer was pressed for 3 minutes, the blood flow speed slowed down when the fifth layer was pressed for 3 minutes. It is of significant significance(P<0.01).[Conclusion] The different pressing levels and pressing time of "Jingu viscera massage" affect the arterial blood flow velocity of the lower extremities of the human body. It is clarified that it can mobilize the circulation of qi and blood around the body by adjusting the pressing level and time, thereby playing a role in disease prevention and treatment.