支气管哮喘与慢性胃炎患者寸口6部脉图的比较研究  

Comparative Study on Cun-Kou Six-pulse Diagram between Chronic Gastritis and Bronchial Asthma

作　　者：李娜[1] 邹小娟[1] 王忆勤[2] 

机构地区：[1]湖北中医药大学基础医学院,武汉430065 [2]上海中医药大学基础医学院,上海201203

出　　处：《世界科学技术-中医药现代化》2015年第2期343-349,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：湖北省教育厅科研项目计划(Q20142001):基于寸口六部脉治疗前后变化的慢性胃炎脉证相关研究;负责人:李娜;上海市科委择优委托项目(09DZ1907902):中医四诊检测系统临床应用研究;负责人:王忆勤

摘　　要：目的:探讨不同疾病的寸口6部脉图的差异。方法:采用ZBOX-Ⅰ型脉象数字化分析仪分别采集支气管哮喘患者30例、慢性胃炎患者33例寸口6部脉图,提取时域分析特征,利用统计学方法进行比较。结果:疾病的不同对脉图时域特征的影响有统计学意义(P<0.05),左右侧的不同对脉图时域特征的影响有统计学意义(P<0.05)。支气管哮喘组与慢性胃炎组仅在左寸部的t4,右寸部的t4、h5,左尺部的t1\t4有统计学差异(P<0.05)。结论:慢性胃炎单周期脉图较支气管哮喘更宽大而非更高,支气管哮喘较慢性胃炎单周期脉图的收缩期所占比例更大。支气管哮喘与慢性胃炎在"寸"部存在脉图时域特征差异,与寸口分候脏腑理论"左寸候心,右寸候肺"相符,但尚未说明脾胃功能之间的差异。脉象的左右侧差异产生的机制还待进一步研究阐明。This study was aimed to discuss the difference of Cun-Kou six-pulse （CKSP） diagram of different diseases. The ZBOX-I Type Pulse Digital Analyzer was used to collect CKSP diagram of 30 bronchial asthma cases and 33 chronic gastritis cases. Time-domain parameter was extracted for analysis. Comparison was made by statistical methods. The results showed that there was statistical difference on time-domain parameter of pulse diagram for different diseases （P〈0.05）. There was statistical difference on time-domain parameter of pulse diagram between the left side and right side （P〈0.05）. There were statistical differences on t4 of left Cun, t4 and h5 of right Cun, t1／t4 of left Chi between bronchial asthma and chronic gastritis cases （P〈0.05）. It was concluded that the single-cycle pulse diagram of chronic gastritis was wider but no higher than that of bronchial asthma. The systole phase of single-cycle pulse diagram of bronchial asthma occupied greater proportion than that of chronic gastritis. There was difference on Cun of time-domain parameter in pulse diagram between bronchial asthma and chronic gastritis. It was consistent with the theory of Cun-Kou sub-designated zang-fu organs, which was “left Cun designates heart, right Cun designates lung.” However, there was no further explanation on functional differences between the spleen and stomach. The mechanism of pulse difference on the left and right side still required further illustration.

关 键 词：脉诊 寸关尺 慢性胃炎 支气管哮喘 

分 类 号：R241[医药卫生—中医诊断学]