不同穴位组合刺激对健康志愿者肠运动即时效应的比较  

Comparison of the immediate effects of different acupoints combination stimulate bowel movements in healthy volunteers

作　　者：钟峰[1] 陈敏[2] 任驰[1] 覃海知[1] 杜勇军[2] 李瑛[1] 

机构地区：[1]成都中医药大学,成都610075 [2]成都中医药大学附属医院,成都610075

出　　处：《中华中医药杂志》2013年第11期3227-3231,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)(No.2011CB505205);成都中医药大学科技发展基金(No.ZRZD201104)~~

摘　　要：目的:观察不同穴位组合刺激对健康志愿者肠运动即时效应的影响,探讨正常生理状态下腧穴配伍的协同与拮抗效应对机体的影响。方法:40名健康志愿者前后进行3种不同穴位组合的针刺,大肠俞募配伍组(A组:天枢、大肠俞穴)、合穴下合穴配伍组(B组:双侧曲池、上巨虚穴)、合募俞配伍组(C组:单侧天枢、大肠俞、曲池、上巨虚穴),采用自身前后对照,观察针刺前后肠电平均幅值、频率、节律及差值的变化,纵向比较不同穴位组合针刺前后对肠运动即时效应影响的差异,横向比较各组针刺前后差值。结果:B组降结肠的肠电平均幅值针刺前后比较差异有统计学意义(P<0.05)。在平均幅值的针刺前后差值比较中,C组在降结肠段与A组比较差异有统计学意义(P<0.05),在直肠段与合穴下合穴组比较差异有统计学意义(P<0.05)。各组针刺前后,肠电平均频率和胃肠节律紊乱率虽有不同程度的改变,但差异无统计学意义。结论:穴位配伍的协同与拮抗效应可能是基于机体的病理状态,并不是生理状态。Objective： Observing the immediate effects of different acupoints combination on bowel movements of healthy volunteers, and studying synergistic and antagonistic effects of acupoints compatibility at the normal physiological state. Methods： 40 healthy volunteers were assigned to Dachang Shu-Mu compatibility group （Group A： bilateral Tianshu, large intestine Shu points）, or Hexue-Xiahexue compatibility group （Group B： bilateral Quchi, Shangjuxu points）, or He-Mu-Shu compatibility group （Group C： unilateral Tianshu, large intestine Shu, Quchi, Shangjuxu points）. Using self before-after study mode, observing intestinal electrical average amplitude, frequency, gastrointestinal dysrhythmia rate and the difference before and after acupuncture, longitudinally comparing differences of instant effects of bowel movements of different acupoints combination of before and after acupuncture, horizontally comparing different values of each group before and after acupuncture. Results： At group B, comparison of the average amplitude of the descending colon intestinal before and after electrical acupuncture was statistically significant （P〈0.05）. Comparison of average amplitude difference between the before and after acupuncture, C group in the descending colonic segment compared with group A was statistically significant （P〈0.05）, while in the rectum compared with group B was statistically significant （P〈0.05）. There were different degrees of changes at intestinal electrical average frequency and gastrointestinal dysrhythmia rate of each group before and after acupuncture, but was not statistically significant. Conclusion： Synergistic and antagonistic effects of acupoint compatibility may be based on the pathological state of the organism, not the normal physiological state.

关 键 词：针刺 穴位配伍 肠运动 协同效应 拮抗效应 生理状态 病理状态 

分 类 号：R246[医药卫生—针灸推拿学]