中医心气虚证的血液动力学机理研究
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国家自然科学基金资助项目(10142002)


ON HEMODYNAMICS MECHANISM OF CARDIAC QI-DEFICIENCY SYNDROME
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    摘要:

    目的 心气虚是中医临床常见的病证 ,作者根据中医气血理论和对血液 -组织液循环的分析建立了一个研究心气虚的血液动力学模型 ,从血液组织液循环角度阐述中医心气虚的动力学机理。方法 通过对模型的计算与分析得到了心血管系统动力学参数变化对全身气虚主要症状 -组织间隙水肿的影响规律 ,给出了心血管动力学参数与气虚水肿程度间的定量关系。结果 将理论计算结果与临床和动物实验气虚证研究的比较发现 ,本模型可以定量解释中医心气虚的生理病理学机理。当心血管系统的参数 (如血液总体积、外周阻力和心肌收缩特性等 )发生改变时 ,会引起组织液的体积增大进而会导致组织液蛋白质和其他营养物质浓度的降低。结论 中医心气虚证中的气和组织液中营养物质浓度有密切相关 ,血液中的血浆和水过多地扩散到组织液间隙中会稀释组织液中的营养物质 ,使细胞的外环境受到影响进而影响了细胞的生理功能 ,产生了气虚症状

    Abstract:

    Objective Cardiac Qi-Deficiency(CQD) is one of the main syndrome of TCM (Traditional Chinese Medicine). Based on Qi-Blood Transportation theory and blood-tissue fluid circulation analysis, a hemodynamics model describing CQD was set up to explore its dynamics mechanism.Methods Through analyzing the calculating results, the regulary influence of the vascular hemodynamics parameter′s changes on the interstitial edema's (main symptom of Qi-Deficiency) formation has been obtained, and quantitative relationship between the vascular hemodynamics parameters and the edema degree was given.Results To compare the theoretical results with the CQD research of clinical and animal experiments, it showed that our model could explain the physiological and pathological mechanism of CQD quantitatively. When the vascular parameters (for example, the total blood volume, the remote vascular resistance, and the cardiac contract force ) change, the interstitial volume will increase, which could lead to the decrease of the concentration of the protein and other nutritious contents.Conclusion the Qi content of CQD is closely relative to the nutrition concentration in the tissue fluid, when more water moves from blood to the inter-tissue, the content concentration in tissue-fluid will decrease, which will affect cell's physiological function and lead to symptoms of Qi-Deficient.

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丁光宏,姚伟,沈雪勇,杨静,陶岳辉,陈尔瑜.中医心气虚证的血液动力学机理研究[J].医用生物力学,2002,17(4):203-209

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