耳鸣患者督脉压敏穴的分布及其聚类分析  

Distibution and cluster analysis of pressure-sensitive points in Du meridian of tinnitus patients

作　　者：田珊珊[1] 冀美琦 刘岱[1] 张伟[1] 解秸萍[1] 张亚力[2] 李春华[3] 高艳 

机构地区：[1]北京中医药大学针灸推拿学院,硕士研究生100029 [2]北京中医药大学东直门医院耳鼻喉科 [3]首都医科大学电力教学医院理疗科 [4]展览路社区卫生服务中心中医全科

出　　处：《环球中医药》2017年第2期150-154,共5页Global Traditional Chinese Medicine

摘　　要：目的研究耳鸣患者督脉(头颈胸腰段)压敏穴的分布特点,为针灸临床诊治耳鸣提供选穴依据。方法对63例耳鸣患者督脉腧穴进行循经按压,记录出现的压敏穴位,并进行聚类分析。结果在诊察范围内,63例耳鸣患者中,58.7%的患者出现压敏阳性反应,聚类分析结果显示了压敏穴数排名前三类的穴位为:(1)身柱、神道(并列),其压敏阳性反应率均占43.2%;(2)百会、至阳、命门(并列),百会和至阳均占21.6%,命门占18.9%;(3)陶道、大椎(并列),陶道占16.2%,大椎为13.5%。结论耳鸣与督脉上的百会、大椎、身柱、神道、至阳、陶道以及命门等特定腧穴存在着高度的相关性。Objective To study the distribution of pressure-sensitive points in Du meridian（ Du）（ head and neck thoracolumbar） of tinnitus patients and to provide the basis for the selection of points of acupuncture diagnosis. Methods 63 patients with tinnitus were pressed acupoint along the Du acupoints,recorded the pressure-sensitive points and made cluster analysis. Results In the diagnostic range,63 ca-ses of patients with tinnitus,58. 7% of patients appeared pressure-sensitive positive reaction,cluster analysis result showed that the number of pressure-sensitive points ranked the top three types of acupoints are：（ 1） Shenzhu（ DU12）,Shendao（ DU11）,the pressure sensitive positive reaction rate was 43. 2%;（ 2）the positive reaction rate of Baihui（ DU20）,Zhiyang（ DU9）,Mingmen（ DU4）,Baihui and Zhiyang was21. 6%,Mingmen was 18. 9%;（ 3） The positive reaction rate of Taodao was 16. 2% while that was 13.5% of Dazhui. Conclusion Tinnitus has a high degree of correlation with Baihui,Dazhui,Shenzhu,Shendao,Zhiyang,Taodao and Mingmen.

关 键 词：耳鸣 督脉 经络循按 聚类分析 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]