الملخص
Objective To investigate the effects of Uyghur indoor sand therapy on the hemodynamics of femoral artery bidirectional fluid-solid coupling,and to discuss the influence of Uyghur indoor sand therapy on the formation of atherosclerosis as well as on the rupture of blood vessels.Methods This study of indoor Uyghur sand therapy was conducted in young healthy volunteers.The heart rate,peak value of femoral artery blood flow velocity and inner diameter were determined,and the results were statistically analyzed.Three dimensional fluid-solid coupling model of human femoral artery was reconstructed.Taking the sine function as the initial condition,the non-steady field bidirectional fluid-solid coupling simulation was conducted by using Fluent software,and the effect of indoor Uyghur sand therapy on femoral artery wall shear stress as well as on yon Mises equivalent stress was evaluated.Results The average heart rates before and after indoor Uyghur sand therapy were (76.32±11.40) beats per minute and (92.69±16.09) beats per minute respectively,the difference was statistically significant (P＜0.05).The Renolds number of femoral artery before and after indoor Uyghur sand therapy was 1855.35 and 2518.4 respectively.The Uyghur sand therapy had more obvious influence on the increase of femoral artery wall shear stress and von Mises equivalent stress.Conclusion Uyghur sand therapy can increase Renolds number of femoral artery and improve the blood flow state of human femoral artery,but after the treatment the femoral artery blood flow pattern changed from laminar flow to turbulence flow,which may lead to the formation of hemangioma,therefore,for patients whose inner wall of blood vessel are thinner the sand-buried time,burying-sand thickness and temperature should be strictly controlled.Uyghur sand therapy can also increase wall shear stress,which plays a certain positive role in preventing atherosclerosis and thrombosis caused by thickening of the arterial wall.After Uyghur sand therapy,the von Mises equivalent stress is remarkably increased,which can increase the possibility of angiorrhexis at femoral artery bifurcation,thus,full attention should be paid to patients during the performance of Uyghur sand therapy.
الملخص
Objective To study effects from sand therapy of Uyghur medicine on hemodynamics in femoral artery branch and stress, so as to further discuss the functions and mechanisms of Uyghur sand therapy for treatment of femoral artery thrombosis formation. Methods Uyghur sand therapy was conducted on the subjects by indoor Uyghur sand therapy system. The peak values of blood flow velocity, inner diameter and resistance index (RI) of femoral artery before and after receiving Uyghur sand therapy were measured by the ultra-portable Doppler Diagnostic Ultrasound System for statistic analysis. Three-dimensional fluid-solid coupling model of femoral artery branch was reconstructed, and blood flow velocity, pressure, wall shear stress in the flow field as well as the equivalent stress, strain, total displacement on femoral artery wall were simulated and analyzed by the ANSYS Workbench. Results After receiving Uyghur sand therapy, the mean peak values of blood flow velocity and inner diameter of femoral artery increased by 32.43% and 2.68%, while the mean values of RI decreased by 4.88%, which showed it had the statistical difference(P0.05).Besides, the maximum values of blood flow velocity, pressure and wall shear stress increased by 29.91%，68.51%,46.54%,respectively, while the maximum values of equivalent stress, equivalent strain, total displacement on femoral artery wall increased by 65.85%，45.45%，44%, respectively, after receiving Uyghur sand therapy. Conclusions Uyghur sand therapy can increase blood flow velocity and decrease RI obviously，and help to expand the inner diameter of femoral artery to make blood circulation inside improved. With Uyghur sand therapy, the shear stress, blood flow velocity, pressure as well as the stress, strain, total displacement on femoral artery walls also increase, meanwhile，high pressure area on femoral artery branch reduces to some extent, which shows it plays a certain positive role in reducing atherosclerosis and thrombus formation inside femoral artery.