桡动脉轴心径向周期动能与脉势关系探讨.pdfVIP

第30卷第12期2007年12月 北京中医药大学学报 Vo1．30 No．12 Dec．2007 Journal of Beijing University of Traditional Chinese Medicine · 科技之窗 · 桡动脉轴心径向周期动能与脉势关系探讨 张治国 牛 欣坤 杨学智 司银楚 陈冬志 董晓英 (I北京中医药大学 北京100029；2河北大学医学部) 摘要：目的 探讨脉势与桡动脉横切面轴心周期动能的关系。方法 应用新型中医取脉装置，同步 采集39例不同脉势病人和20例平人关部脉的压力脉图、心电信号和桡动脉横截面动态超声图像， 在MATLAB 7．0．1软件对超声图像进行分析处理的基础上，观察不同脉势下桡动脉横切面轴心轨 迹的变化情况，并计算轴心周期动能。结果 不同脉势的脉象桡动脉横切面轴心的周期动能具有 明显差异，脉实变平脉脉虚变。结论 桡动脉横切面轴心的周期动能是判别脉势的可能依据。 关键词：脉势；B超；桡动脉；轴心；周期动能 中图分类号：R241．1 Relationship between radial cyclic kinetic energy of radial artery and pulse force ZHANG Zhi．guo，NIU Xin ，YANG Xue—zhi，et a1． (Beijing University of Chinese Medicine，Beijing 100029) Abstract：Objective To study the relationship between different pulse forces and radial cyclic kinetic energy(CKE)of transverse section of radial artery．Method A new—type sphymograph was applied to collect synchronously the pressure phygmograms of guan pulse，signals of ECG and dynamic ultrasound images of transverse section of radial artery in 39 patients and 20 healthy persons。On the basis of images analysis with the software of MATLAB 7．0。1 the changes of axis traces of transverse section of radial artery in different pulse forces were observed and the radial CKE was calculated．Result There was a significant difference in radial CKE am ong different pulse forces and manifestations。The relation between CKE and different pulse forces and manifestations showed as pulse tracings with powerful forcepulse tracings with normal forcepulse tracings with weak force。Conclusion The radial CKE of transverse section of radial artery may be the base f0r distinguishing different pulse forces． Key words：pulse force；type—B ultrasonic examination；radial artery；axis；cyclic kinetic energy 脉势一直以来都是脉诊现代研究的难点。本研 来之有力与无力，医者主要通过脉动应指力量的大