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对循环系统的作用
推拿具有扩张血管,增强血液循环,改善心肌供氧,加强心脏功能,从而对人体的体温、脉博、血压等产生一系列调节的作用。
(1)对血管的作用:推拿能使毛细血管开放数量增加,也能使其直径和容积扩大,增加血流量,改善肢体循环,因而大大地改善局部组织供血和营养。
(2)加速血液流动:手法作用于体表,其压力却能传递到血管壁,使其有节律地被压瘪、复原,复原后受阻的血流骤然流动,使血液旺盛,流速加快。由于动脉内压力很高,不容易压瘪,静脉内又有静脉瓣存在,不能逆流,实际上微循环受益较大,血液从小动脉端流向小静脉端的速度得到提高。微循环是血液与组织间进行物质及气体交换的场所,而动脉、静脉只是流通的管道,促进微循环内血液流动,对生命具有重要意义。
(3)降低血液粘稠度:瘀血状态下血液流速降低而使血液粘稠度增高,粘稠度增高又进一步使流速降低,形成恶性循环,最终使血液凝集、凝固。通过推拿有节律的机械刺激,迫使血液重新流动并提高血液流速,从而降低了血液粘稠度,使流速与粘稠度之间进入良性循环状态。
(4)对心脏功能的作用:推拿可使冠心病患者解除精神紧张,消除疲劳,使其心率减慢,心脏作功减轻,氧耗减少,同时使左心室收缩力增强,使冠状动脉灌注得到改善,从而改善心肌缺血缺氧状态(产生与口含硝酸甘油相似的疗效)。在临床上选择适宜病例,掌握好相应的推拿强度和方法,就可使心绞痛发作逐渐缓解,心功能得到明显改善,促进全身的血液循环及心脏冠状动脉侧支循环的形成,增强物质代谢过程。
(5)对脑血流的作用:对脑动脉硬化患者脑血流图观察发现,推拿后其波幅增加,流入时间缩短,脑动脉搏动性供血改善。 제주출장마사지 。

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