基于压痛反应和压痛阈探析慢性胃炎与督脉相关穴位的特异性
|
摘要
目的:通过对慢性胃炎患者与健康受试者督脉背段压痛反应和压痛阈的同步观察对比,探析慢性胃炎与督脉背段相关穴位或部位的特异性。方法:选取慢性胃炎患者和健康受试者各30例,同步对比观察督脉背段T_1～L_3棘突下的经穴和经上非穴点的压痛反应和机械压力痛阈。结果:胃炎组与健康组督脉背段各棘突下压痛反应出现率对比,差异有统计学意义(P<0.01);胃炎组督脉背段T_1～L_3各棘突下的压痛阈均比健康组低,T_4～T_9、T_(12)的组间比较差异有统计学意义(P<0.01,P<0.05);胃炎组在督脉背段各棘突下的压痛反应出现率和压痛阈呈显著性负相关关系(P<0.01);健康组则呈无相关关系(P>0.05)。结论:督脉T_4棘突下、神道(T_5)、灵台(T_6)3个穴位或部位为慢性胃炎与督脉背段相关的高度特异性穴位,可供针灸临床参考;高压痛反应出现率和低压痛阈值可能是慢性胃炎在督脉背段穴位特异性的重要表现形式。
Objective To explore the specificity of the relevant points along the governor vessel in chronic gastritis through the synchronous observation of the tenderness reaction and tenderness threshold on the back along the governor vessel in the volunteers with chronic gastritis and make the comparison with healthy volunteers. Methods A chronic gastritis group and a healthy volunteer group were prepared, 30 cases in each one. Using synchronous comparison, the tenderness reaction at the point inferior to each of the spinous processes from T_1 to L_3 along the governor vessel was observed. The mechanical pressure pain threshold was determined. Results Regarding the tenderness reaction at the point inferior to each spinous process on the back along the governor vessel, the occurrence rate was different significantly between the chronic gastritis group and the healthy volunteer group(P<0.01). The tenderness threshold at the point inferior to each spinous process from T_1 to L_3 along the governor vessel in the chronic gastritis group was lower than the healthy volunteer group, the tenderness thresholds from T_4 to T_9 and T_(12) were different significantly between the two groups(P<0.01, P<0.05). The tenderness reaction at the point inferior to each spinous process on the back along the governor vessel presented the significant negative correlation with the tenderness threshold in the chronic gastritis group(P<0.01), and the correlation was not displayed in the healthy volunteer group(P>0.05). Conclusion The point inferior to the spoinous process of T_4 on the governor vessel, Shendao(GV 11, T_5) and Lingtai(GV 10, T_6) are the points with the high specificity in chronic gastritis, which provides the reference to clinical treatment with acupuncture and moxibustion. The occurrence rate of high tenderness reaction and the low tenderness threshold may be the important manifestation of the point specificity on the back along the governor vessel in chronic gastritis.
Objective To explore the specificity of the relevant points along the governor vessel in chronic gastritis through the synchronous observation of the tenderness reaction and tenderness threshold on the back along the governor vessel in the volunteers with chronic gastritis and make the comparison with healthy volunteers. Methods A chronic gastritis group and a healthy volunteer group were prepared, 30 cases in each one. Using synchronous comparison, the tenderness reaction at the point inferior to each of the spinous processes from T_1 to L_3 along the governor vessel was observed. The mechanical pressure pain threshold was determined. Results Regarding the tenderness reaction at the point inferior to each spinous process on the back along the governor vessel, the occurrence rate was different significantly between the chronic gastritis group and the healthy volunteer group(P<0.01). The tenderness threshold at the point inferior to each spinous process from T_1 to L_3 along the governor vessel in the chronic gastritis group was lower than the healthy volunteer group, the tenderness thresholds from T_4 to T_9 and T_(12) were different significantly between the two groups(P<0.01, P<0.05). The tenderness reaction at the point inferior to each spinous process on the back along the governor vessel presented the significant negative correlation with the tenderness threshold in the chronic gastritis group(P<0.01), and the correlation was not displayed in the healthy volunteer group(P>0.05). Conclusion The point inferior to the spoinous process of T_4 on the governor vessel, Shendao(GV 11, T_5) and Lingtai(GV 10, T_6) are the points with the high specificity in chronic gastritis, which provides the reference to clinical treatment with acupuncture and moxibustion. The occurrence rate of high tenderness reaction and the low tenderness threshold may be the important manifestation of the point specificity on the back along the governor vessel in chronic gastritis.
引文
[1]贲卉,荣培晶,李亮,等.胃溃疡和胃炎患者皮肤压痛阈及体表敏感点的观察[J].上海针灸杂志,2012,31(2):128-130.
[2]苗艳换,赵吉平,云洁,等.痛经患者三阴交穴压痛反应研究[J].针刺研究,2014,39(5):401-405.
[3]漆学智,陈李圳,张晓宁,等.肠癌患者痛敏穴位的分布[J].中国针灸,2017,39(9):963-966.
[4]张晨静,王玲玲,丁曙晴,等.慢性功能性便秘患者督脉脊柱段压痛点的临床观察[J].针灸临床杂志,2010,26(6):7-9.
[5]杨广印,许金森,吴祖星.消化系统疾病患者在督脉背段的压痛反应规律[J].中国针灸,2012,32(2):135-137.
[6]吴齐飞,吴继敏,白兴华,等.胃食管反流病患者在督脉背段的压痛反应规律[J].中国针灸,2014,34(8):775-777.
[7]杨广印,潘晓华,黄倩茹,等.胃溃疡胃炎患者在督脉背段压痛反应定位的规律探析[J].云南中医学院学报,2017,40(4):70-73.
[8]陈祢,李超,郭铁成,等.健康人压痛阈特点的初步研究[J].中国康复医学杂志,2010,25(9):858-863.
[9]陈灏珠,林果为.实用内科学[M].13版.北京:人民卫生出版社,2009:1973-1988.
[10]吴焕淦,姚伟,周恩华,等.经穴特异性研究的思考[J].中国针灸,2007,27(1):59-62.
[11]梁繁荣,唐勇,曾芳.经穴效应特异性国内外研究现状与展望[J].上海针灸杂志,2008,27(l2):43-45.
[12]Linde K,Streng A,Jürgens S,et a1.Acupuncture for patients with migraine:a randomized controlled trial[J].JAMA,2005,293(17):2118-2125.
[13]Cherkin D C,Sherman K J,Avins A L,et a1.A Randomized trial comparing acupuncture,simulated acupuncture,and usual care for chronic low back pain[J].Arch Intern Med,2009,169(9):858-866.
[14]李漾,罗纯.针刺治疗紧张性头痛疗效的系统评价[J].中国循证医学杂志,2005,5(l):117-124.
[15]喻晓春,朱兵,高俊虹,等.穴位动态过程的科学基础[J].中医杂志,2007,48(11):971-973.
[16]HU XL.Research on meridians in China[J].J Acu Tui Sci,2008(6):257-258.
[17]喻晓春,高俊虹,付卫星.论阿是穴与穴位特异性[J].针刺研究,2005,30(3):183-186.
[18]邱树华,韩玉清,严振国.正常人体解剖学[M].上海:上海科学出版社,1986:244-252.
[19]柏树令,应大君.系统解剖学[M].7版.北京:人民卫生出版社,2008:403-404.
[2]苗艳换,赵吉平,云洁,等.痛经患者三阴交穴压痛反应研究[J].针刺研究,2014,39(5):401-405.
[3]漆学智,陈李圳,张晓宁,等.肠癌患者痛敏穴位的分布[J].中国针灸,2017,39(9):963-966.
[4]张晨静,王玲玲,丁曙晴,等.慢性功能性便秘患者督脉脊柱段压痛点的临床观察[J].针灸临床杂志,2010,26(6):7-9.
[5]杨广印,许金森,吴祖星.消化系统疾病患者在督脉背段的压痛反应规律[J].中国针灸,2012,32(2):135-137.
[6]吴齐飞,吴继敏,白兴华,等.胃食管反流病患者在督脉背段的压痛反应规律[J].中国针灸,2014,34(8):775-777.
[7]杨广印,潘晓华,黄倩茹,等.胃溃疡胃炎患者在督脉背段压痛反应定位的规律探析[J].云南中医学院学报,2017,40(4):70-73.
[8]陈祢,李超,郭铁成,等.健康人压痛阈特点的初步研究[J].中国康复医学杂志,2010,25(9):858-863.
[9]陈灏珠,林果为.实用内科学[M].13版.北京:人民卫生出版社,2009:1973-1988.
[10]吴焕淦,姚伟,周恩华,等.经穴特异性研究的思考[J].中国针灸,2007,27(1):59-62.
[11]梁繁荣,唐勇,曾芳.经穴效应特异性国内外研究现状与展望[J].上海针灸杂志,2008,27(l2):43-45.
[12]Linde K,Streng A,Jürgens S,et a1.Acupuncture for patients with migraine:a randomized controlled trial[J].JAMA,2005,293(17):2118-2125.
[13]Cherkin D C,Sherman K J,Avins A L,et a1.A Randomized trial comparing acupuncture,simulated acupuncture,and usual care for chronic low back pain[J].Arch Intern Med,2009,169(9):858-866.
[14]李漾,罗纯.针刺治疗紧张性头痛疗效的系统评价[J].中国循证医学杂志,2005,5(l):117-124.
[15]喻晓春,朱兵,高俊虹,等.穴位动态过程的科学基础[J].中医杂志,2007,48(11):971-973.
[16]HU XL.Research on meridians in China[J].J Acu Tui Sci,2008(6):257-258.
[17]喻晓春,高俊虹,付卫星.论阿是穴与穴位特异性[J].针刺研究,2005,30(3):183-186.
[18]邱树华,韩玉清,严振国.正常人体解剖学[M].上海:上海科学出版社,1986:244-252.
[19]柏树令,应大君.系统解剖学[M].7版.北京:人民卫生出版社,2008:403-404.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |