不同病理状态下日月穴定点超声肝内解剖结构变化的比较研究

发布时间：2018-04-22 17:22

  本文选题：日月穴 + 经穴特异性　； 参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:通过对肝脏内部疾病组别、肝脏外部疾病、健康组的日月穴对应的肝脏内部解剖组织结构的变异情况进行比较研究。从肝脏的解剖形态学和组织形态学角度探讨胆经经穴、胆募日月反映病症效应的生物医学基础,论证特定穴理论的科学性,为部分阐明中医肝胆相表里理论的科学性提供研究依据。对象与方法:实验对象:采集疾病组病例176例,其中肺结核患者70例、慢乙肝患者52例、肝硬化患者33例、脂肪肝患者21例,健康组44例。实验方法:采用彩色多普勒超声技术,在受试者肝区日月穴实施定点低频超声垂直检测,以彩超视野中心为原点,记录距离原点最近的肝内系统组织形态,总结并汇总数据。分别进行肝脏内部不同疾病、肝内疾病与肝外疾病和健康对照组解剖组织结构检出率的组间配对检验。探讨肝脏不同病理状态,胆募日月肝脏内部解剖组织结构变异规律,探讨日月在肝脏疾病病理演变过程中,反应病症效应的生物医学基础。本实验数据采用SPSS17.0统计软件进行统计分析处理,无序计数资料采用卡方检验,计量资料用均数±标准差((?)±s)表示,两样本均数比较采用独立样本t检验,不属于正态分布和方差齐性的数据用非参数检验。统计检验结果P≤0.05为有统计学意义,P0.05为无统计学意义。结果:1.肝内疾病组(慢乙肝、肝硬化、脂肪肝)门静脉右干检出率高于健康组,P0.05。提示:肝脏内部解剖组织结构的病理变化---慢乙肝特有的门静脉系统的病理变化,是影响日月穴反映病症效应的因素之一。2.肝内疾病组门静脉右干检出率高于肝外疾病肺结核组,P0.05;提示,日月穴下解剖组织结构的变异具有针对肝脏病变的特异性。3.肺结核与健康对照组比较,P0.05。4.慢乙肝组、肝硬化组、脂肪肝组,组间配对检验均为,P0.05。提示日月穴下解剖组织结构的变异5.胆囊的检出率肝脏内部疾病具有增高的趋势,受试者工作特征曲线检验,ROCAUC50%。结论:1.日月穴下门静脉右干和胆囊在肝脏疾病发展过程中的检出率的变化是日月穴敏化的病理基础。2.胆经募穴日月变化规律符合中医学肝胆相表里理论,具有判断、揭示慢乙肝病理变化的应用价值。
[Abstract]:Objective: to compare the variation of the anatomical structure of the internal liver disease group, the liver external disease group and the healthy group. From the angle of anatomical morphology and histomorphology of the liver, this paper discusses the biomedical basis of the acupoints of the gallbladder meridian and the day and the moon reflecting the disease, and proves the scientific nature of the theory of specific acupoints. It provides the research basis for explaining the scientific nature of the theory of liver and gallbladder in Chinese medicine. Objects and methods: 176 cases of disease were collected, including 70 cases of pulmonary tuberculosis, 52 cases of chronic hepatitis B, 33 cases of liver cirrhosis, 21 cases of fatty liver and 44 cases of healthy group. Methods: the technique of color Doppler ultrasound was used to carry out the vertical detection of low-frequency ultrasound at the point of Ri Yue in the liver area of the subjects. The center of the field of vision of color Doppler ultrasound was taken as the origin, and the tissue morphology of the liver system nearest to the origin was recorded, and the data were summarized and collected. The detectable rates of anatomical tissue structure of different diseases within the liver, intrahepatic diseases, extrahepatic diseases and healthy controls were tested by paired test. To study the variation of liver anatomical tissue structure in different pathological states of liver, and to explore the biomedical basis of reflecting the effect of liver disease in the pathological process of liver diseases. The data of this experiment are analyzed by SPSS17.0 software, the random counting data are chi-square test, the measurement data are expressed by mean 卤standard deviation) 卤s), and the comparison of the two samples' mean is carried out by independent sample t test. Data that do not belong to normal distribution and homogeneity of variance are tested by non-parametric test. The results of statistical test P 鈮，

本文编号：1788201