腹部常用穴穴区微循环血流灌注量的差异及不同温度艾灸的影响

发布时间：2019-02-12 23:30

【摘要】：目的观察正常生理状态下腹部常用穴穴区微循环的规律特点,比较不同温度艾灸对其微循环的影响差异。方法纳入52例正常青年志愿者(男18,女34),采用激光多普勒血流仪依次测量其腹部的神阙、肓俞、天枢、大横、水分、气海、关元、中脘穴穴区皮肤微循环值;随后从中选取神阙、天枢穴进行不同温度(40~43℃和43℃,44℃)艾灸干预,连续灸7次,每次2种温度各2min,观察不同温度艾灸对该两穴穴区皮肤微循环的影响。结果 (1)正常生理状态下,神阙穴穴区微循环值明显高于其他所测穴位穴区的微循环值(P0.01);肓俞穴微循环值高于天枢穴(P0.05)、大横穴(P0.01);天枢穴微循环值高于大横穴(P0.01)。(2)艾灸后神阙、天枢穴微循环值均升高且神阙穴在2种温度艾灸时的微循环均值、最大值、与艾灸前的差值皆大于天枢穴(P0.01);在艾灸刺激下,神阙穴微循环值较天枢穴先出现变化并且晚进入平台期;神阙穴微循环值对艾灸温度变化的反应比天枢穴敏感。结论腹部常用穴位中,神阙穴穴区的皮肤微循环值最高;腹部水平平脐的穴位整体表现出越接近脐,其皮肤微循环值越高的趋势。同等温灸条件下神阙穴穴区皮肤微循环值的升高速度、幅度和持续升高时间都优于天枢穴。初步明确神阙穴在腹部常用穴位中具有微循环的特殊性与优越性,为穴位微循环结构特异性提供有效的证据支撑。
[Abstract]:Objective to observe the characteristics of microcirculation at common points in abdomen under normal physiological conditions and to compare the effect of moxibustion at different temperatures on microcirculation. Methods 52 healthy young volunteers (male 18, female 34) were enrolled. The skin microcirculation values of Shenque, Baishu, Tianshu, water, Qihai, Guanyuan and Zhongwan acupoints were measured by laser Doppler flow analyzer. Then Shenque and Tianshu acupoints were selected for different temperature (40 鈩，

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