腹部透灸时温度变化的研究  

Abdominal skin temperature changes in penetrating moxibustion

作　　者：高希言[1] 陈岩[1] 王鑫[1] 陈新旺[1] 高肞 杨旭光[1] 周艳丽[1] 任珊[1] 

机构地区：[1]河南中医学院针灸推拿学院,郑州450003

出　　处：《中国针灸》2015年第1期45-49,共5页Chinese Acupuncture & Moxibustion

基　　金：河南省科技攻关计划项目:112102310637

摘　　要：目的：通过观察腹部艾灸的时间、温度及灸后的效应,探讨腹部透灸的温控操作技术,为临床寻找安全有效、便于推广的透灸方法。方法：选取32例患者作为试验组、32例健康人作为对照组。试验组针对不同病症选取相应穴位针刺并实行透灸操作技术,对照组在以肚脐为中心的腹部进行艾灸。在施灸开始后每分钟记录温度一次,记录知热温度、知热时间、知降温度、降温时间、皮温差、透灸时程及患者艾灸时的反应。结果：试验组与对照组的知热温度、知热时间、透灸时程比较差异均有统计学意义（均P〈0.01）,知降温度、降温时间和皮温差比较差异无统计学意义（均P〉0.05）;两组出现花斑、灸时反应（胃肠蠕动、寒战、蚁行感、饥饿感等）的现象比较差异有统计学意义（P〈0.01）,出现潮红、汗出、水泡的现象比较差异无统计学意义（均P〉0.05）。结论：1试验组对温度敏感程度比对照组低,透灸过程中更易出现胃肠蠕动、寒战、蚁行感、饥饿感等感觉,提示机体向良性方向自我调整;2透灸过程中温热感不仅从表皮向腹腔、腰部透达,而且向上到头部、向下到膝部透达;3潮红、汗出、花斑是透灸效果的重要指标;4对温度的控制是透灸的核心技术,通过透灸操作可持续28~32min,把艾灸的温度控制在43~45℃之间,既解决了艾灸烟雾对室内环境的影响,又不会给患者造成痛苦。Objective To explore the technique of temperature control on the abdomen in penetrating moxibustion through observing moxibustion time on the abdomen, abdominal skin temperature and effect after moxibustion so as to provide the safe, effeetive and easily applicable method for penetrating moxibusdon. Methods Thirty-two patients were selected in an observation group, 32 healthy persons in a control group. In the observation group, the penetrating moxibustion was applied to the corresponding aeupoint locations according to different symptoms. In the control group, moxibustion was used on the abdomen around the umbilicus. The skin temperature was recorded once every minute. The skin temperature of known heat sensation, the time of known heat sensation, the known reduced temperature, the time of temperature reducing, the skin temperature difference, the duration of penetrating moxibustion and the reaction of moxibustion from participants were recorded. Results The differences in the skin temperature of known heat sensation, the time of known heat sensation and the duration of penetrating moxibustion were significant statistically in comparison between the observation group and the control group （all P 〈0.01）. The differences in the known reduced temperature, the time of temperature reducing and the skin temperature difference were not significant （all P〈0.05）. The differences were significant statistically in skin rashes and moxibustion reaction （gastrointestinal peristalsis, chills, ant climbing feeling and hunger, etc. ） between the two groups （P〈0.01）. The differences were not significant statistically in flushing, sweating and blisters （all P〉0.05）. Conclusion ①The level of temperature sensitivity in the observation group is lower than that in the control group. During penetrating moxibustion, the sensations such as gastrointestinal peristalsis, chills, ant climbing feeling and hunger appear easily, suggesting the positive self-adjustment in the hody. ②During penetrat-ing moxibustio

关 键 词：透灸法 操作技术 腹部 温度 

分 类 号：R245.8[医药卫生—针灸推拿学]