基于压痛反应和压痛阈探析慢性胃炎与督脉相关穴位的特异性  

Analysis on the specificity of the relevant points along the governor vessel in chronic gastritis based on tenderness reaction and tenderness threshold

作　　者：杨广印[1] 徐维[2] 陈麟[2] 潘晓华[1] 黄倩茹[1] 朱小香[1] 许金森[1] YANG Guang-yin;XU Wei;CHEN Lin;PAN Xiao-hua;HUANG Qian-ru;ZHU Xiao-xiang;XU Jin-sen(Meridian Institute, Fujian Academy of TCM, Fuzhou 350003,China;Fujian Provincial Hospital)

机构地区：[1]福建省中医药研究院经络研究所,福州350003 [2]福建省立医院

出　　处：《中国针灸》2019年第6期615-618,共4页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金项目:81573886;福建省自然科学基金资助项目:2015J01680;福建省经络感传重点实验室资助

摘　　要：目的:通过对慢性胃炎患者与健康受试者督脉背段压痛反应和压痛阈的同步观察对比,探析慢性胃炎与督脉背段相关穴位或部位的特异性。方法:选取慢性胃炎患者和健康受试者各30例,同步对比观察督脉背段T_1～L_3棘突下的经穴和经上非穴点的压痛反应和机械压力痛阈。结果:胃炎组与健康组督脉背段各棘突下压痛反应出现率对比,差异有统计学意义(P<0.01);胃炎组督脉背段T_1～L_3各棘突下的压痛阈均比健康组低,T_4～T_9、T_(12)的组间比较差异有统计学意义(P<0.01,P<0.05);胃炎组在督脉背段各棘突下的压痛反应出现率和压痛阈呈显著性负相关关系(P<0.01);健康组则呈无相关关系(P>0.05)。结论:督脉T_4棘突下、神道(T_5)、灵台(T_6)3个穴位或部位为慢性胃炎与督脉背段相关的高度特异性穴位,可供针灸临床参考;高压痛反应出现率和低压痛阈值可能是慢性胃炎在督脉背段穴位特异性的重要表现形式。Objective To explore the specificity of the relevant points along the governor vessel in chronic gastritis through the synchronous observation of the tenderness reaction and tenderness threshold on the back along the governor vessel in the volunteers with chronic gastritis and make the comparison with healthy volunteers. Methods A chronic gastritis group and a healthy volunteer group were prepared, 30 cases in each one. Using synchronous comparison, the tenderness reaction at the point inferior to each of the spinous processes from T1 to L3 along the governor vessel was observed. The mechanical pressure pain threshold was determined. Results Regarding the tenderness reaction at the point inferior to each spinous process on the back along the governor vessel, the occurrence rate was different significantly between the chronic gastritis group and the healthy volunteer group(P<0.01). The tenderness threshold at the point inferior to each spinous process from T1 to L3 along the governor vessel in the chronic gastritis group was lower than the healthy volunteer group, the tenderness thresholds from T4 to T9 and T12 were different significantly between the two groups(P<0.01, P<0.05). The tenderness reaction at the point inferior to each spinous process on the back along the governor vessel presented the significant negative correlation with the tenderness threshold in the chronic gastritis group(P<0.01), and the correlation was not displayed in the healthy volunteer group(P>0.05). Conclusion The point inferior to the spoinous process of T4 on the governor vessel, Shendao(GV 11, T5) and Lingtai(GV 10, T6) are the points with the high specificity in chronic gastritis, which provides the reference to clinical treatment with acupuncture and moxibustion. The occurrence rate of high tenderness reaction and the low tenderness threshold may be the important manifestation of the point specificity on the back along the governor vessel in chronic gastritis.

关 键 词：慢性胃炎 督脉 压痛反应 压痛阈 穴位特异性 

分 类 号：R246.1[医药卫生—针灸推拿学]