心臟衰竭患者寸口脈波圖之分析

A Study of Radial Sphygmogram in Heart Failure Patients

楊岳隆(Yueh-Lung Yang) ； 張恒鴻(Hen-Hong Chang) ； 王俊力(Chun-Li Wang) ； 林汶正(Wen-Chen Lin) ； 吳文祥(Wen-Hsiang Wu) ； 程文俊(Wen-Jin Cherng)

《中醫藥雜誌》 17卷3期 (2006/09) Pp. 85-94

https://doi.org/10.6940/JCM.200609_17(3).01

摘要

Traditional Chinese medicine dictates that the six positions of radial pulses are associated with the condition and activity of specific internal organs, and the left inch position is associated with that of the heart. It is important to understand whether the pulse characteristics of the heart patients at the left inch are truly different from that of the normal population. This study analyzes the radial sphygmogram variations in heart failure patients, and discusses whether the severity of heart symptoms is associated with specific variables in the left radial sphygmogram.
Twenty-two patients with congestive heart failure are selected from the ward of Internal Medicine department, then categorized into four levels according to severity of clinical symptoms. The control group is comprised of 20 normal individuals of a similar mixture of age and gender, selected from the Health Examination Center. Dr. Wang's Sphygmography is used to measure the waveform values of radial pulsation on both arms. In this study, ”W” represents the width of the principle wave at one-third of its height, ”T” represents the cardiac cycle, ”H1” represents the height of the principle wave, ”H4” represents the height of the dicrotic notch, ”T1” represents the phase of acute ejection, ”T4” represents the systolic phase, and ”T5” represents the diastolic phase. Statistical analysis is performed with Student's t-test.
Results indicate that the difference in inch pulse values between the control group and the experimental group is more significant on the left side. The difference in pulse values is also more significant at the inch and cubit position than at the guan position. Significant difference is observed in the pulse parameter W/T between the control group and the experimental group at the left inch sunken pulse, right inch sunken pulse and right cubit floating pulse (p≤0.001). Results of this study suggest that it is highly probable that the pulsation at the left inch position is associated with the condition of the heart. Further studies are required to determine the practical implication of this model.

關鍵字

中醫 ； 臟衰竭 ； 脈波圖

並列摘要

Traditional Chinese medicine dictates that the six positions of radial pulses are associated with the condition and activity of specific internal organs, and the left inch position is associated with that of the heart. It is important to understand whether the pulse characteristics of the heart patients at the left inch are truly different from that of the normal population. This study analyzes the radial sphygmogram variations in heart failure patients, and discusses whether the severity of heart symptoms is associated with specific variables in the left radial sphygmogram.
Twenty-two patients with congestive heart failure are selected from the ward of Internal Medicine department, then categorized into four levels according to severity of clinical symptoms. The control group is comprised of 20 normal individuals of a similar mixture of age and gender, selected from the Health Examination Center. Dr. Wang's Sphygmography is used to measure the waveform values of radial pulsation on both arms. In this study, ”W” represents the width of the principle wave at one-third of its height, ”T” represents the cardiac cycle, ”H1” represents the height of the principle wave, ”H4” represents the height of the dicrotic notch, ”T1” represents the phase of acute ejection, ”T4” represents the systolic phase, and ”T5” represents the diastolic phase. Statistical analysis is performed with Student's t-test.
Results indicate that the difference in inch pulse values between the control group and the experimental group is more significant on the left side. The difference in pulse values is also more significant at the inch and cubit position than at the guan position. Significant difference is observed in the pulse parameter W/T between the control group and the experimental group at the left inch sunken pulse, right inch sunken pulse and right cubit floating pulse (p≤0.001). Results of this study suggest that it is highly probable that the pulsation at the left inch position is associated with the condition of the heart. Further studies are required to determine the practical implication of this model.

並列關鍵字

Traditional chinese medicine ； Heart failure ； Sphygmogram