针刺阳陵泉循经感传强度与末梢血流灌注量相关性研究
发布时间：2018-10-20 10:18
【摘要】：目的:对受试者针刺其阳陵泉穴、经脉非穴、非经非穴进行针刺;通过分析循经感传强度与末梢血流灌注量的相关性,探讨循经感传效应的科学性以及影响因素。材料与方法:(1)通过发布招募广告招募受试者,通过筛选募集到符合纳入标准的受试者共计53名作为研究对象。(2)分别在受试者的“阳陵泉”穴、经脉非穴、非经非穴进行针刺,不同位置针刺时须间隔48小时。针刺操作均由具有多年临床经验的同一位医生进行。进针后行针,出现得气现象后,继续行针60秒。让受试者在之前拍好的照片中实时指出感传情况,包括范围或感传距离的变化,并做好记录。(3)利用moor FLPI-2激光散斑血流成像系统,采集受试者足窍阴、侠溪、足临泣、丘墟穴的皮肤血流灌注情况,并通过专业分析软件moor FLPI-2 Review V4.0根据所需要选取自定区域-ROI内的平均血流值进行分析。(4)数据采用数学方法,SPSS17.0软件进行统计分析,所有结果采用均值±标准差(X±S)表示方法进行表达,采用方差分析方法进行整体评价,循经感传的量化采用秩和检验,P0.05表示为具有显著性差异。结果:1.疾病组与健康组针刺阳陵泉穴时,循经感传的激发程度均要优于经脉非穴组,具有统计学意义P0.05;疾病组针刺阳陵泉穴时Ⅱ、Ⅲ级感传的发生率相同为45%,健康组Ⅲ级发生率较高为50%,疾病组与健康组针刺经脉非穴时Ⅱ级感传的发生率均较高分别为60%、50%。2.针刺阳陵泉穴,全部受试者的足窍阴穴的感传强度与血流灌注量的变化呈正相关性,相关系数为P0.05。疾病组感传强度与观测穴位出针后血流灌注量无明显相关性P0.05;健康组感传强度与观测穴位中的足窍阴穴、丘墟穴的出针后血流灌注量呈正相关性P0.05。针刺经脉非穴时,全部受试者的观测穴位感传强度与血流变化无明显相关性,相关系数为P0.05。针刺经脉非穴,疾病组与健康组感传强度均与出针后血流灌注量无明显相关性P0.05。3.针刺阳陵泉穴,疾病组的低、高感传出针后观测穴位血流灌注量,不具有统计学意义P0.05;健康组的低、高感传出针后观测穴位足窍阴穴与丘墟穴血流灌注量,具有统计学意义P0.05。针刺经脉非穴,疾病组与健康组的低、高感传出针后观测穴位血流灌注量均不具有统计学意义P0.05。结论:1.针刺阳陵泉穴对肢体远端血流灌注量具有调节效应,并受循经感传激发程度影响,且体现了经穴特异性。2.针刺阳陵泉循经感传激发程度受脏腑功能状态的影响。
[Abstract]:Objective: to acupuncture the acupoints of Yanglingquan, non-meridian and non-meridian, and to explore the scientific nature and influencing factors of the sensory transmission along meridian by analyzing the correlation between the intensity of sensory transmission along the meridian and the blood perfusion at the end of the meridian. Materials and methods: (1) recruitment advertisements were published to recruit subjects, and 53 subjects who met the inclusion criteria were recruited. (2) Acupuncture was performed on "Yanglingquan" point, non-meridian point, and non-meridian point, respectively, in the subjects'"Yanglingquan" point, non-meridian point and non-meridian point. There should be an interval of 48 hours between acupuncture at different positions. Acupuncture operations were performed by the same doctor with many years of clinical experience. Enter the needle after the needle, after the appearance of Qi phenomenon, continue to needle 60 seconds. The subjects were asked to record the changes of the range or range in the photos they had taken in real time. (3) using the moor FLPI-2 laser speckle imaging system, the subjects' feet were collected. The skin blood perfusion of Qiu Hui acupoint was analyzed by the professional analysis software moor FLPI-2 Review V4.0. (4) the data were analyzed by mathematical method and the SPSS17.0 software was used to analyze the mean blood flow value in ROI. All the results were expressed by the mean 卤standard deviation (X 卤S) method, the analysis of variance method was used to evaluate the whole body, and the rank sum test was used to quantify the transmission along the meridian, which was expressed as significant difference (P0.05). The result is 1: 1. The stimulating degree of sensory transmission along meridian was better in disease group and healthy group than that in non-acupoint group (P0.05), and in disease group 鈪，
本文编号：2282846
[Abstract]:Objective: to acupuncture the acupoints of Yanglingquan, non-meridian and non-meridian, and to explore the scientific nature and influencing factors of the sensory transmission along meridian by analyzing the correlation between the intensity of sensory transmission along the meridian and the blood perfusion at the end of the meridian. Materials and methods: (1) recruitment advertisements were published to recruit subjects, and 53 subjects who met the inclusion criteria were recruited. (2) Acupuncture was performed on "Yanglingquan" point, non-meridian point, and non-meridian point, respectively, in the subjects'"Yanglingquan" point, non-meridian point and non-meridian point. There should be an interval of 48 hours between acupuncture at different positions. Acupuncture operations were performed by the same doctor with many years of clinical experience. Enter the needle after the needle, after the appearance of Qi phenomenon, continue to needle 60 seconds. The subjects were asked to record the changes of the range or range in the photos they had taken in real time. (3) using the moor FLPI-2 laser speckle imaging system, the subjects' feet were collected. The skin blood perfusion of Qiu Hui acupoint was analyzed by the professional analysis software moor FLPI-2 Review V4.0. (4) the data were analyzed by mathematical method and the SPSS17.0 software was used to analyze the mean blood flow value in ROI. All the results were expressed by the mean 卤standard deviation (X 卤S) method, the analysis of variance method was used to evaluate the whole body, and the rank sum test was used to quantify the transmission along the meridian, which was expressed as significant difference (P0.05). The result is 1: 1. The stimulating degree of sensory transmission along meridian was better in disease group and healthy group than that in non-acupoint group (P0.05), and in disease group 鈪，
本文编号：2282846
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