基于压力测痛的慢性胃炎患者督脉皮肤微循环特征研究  

Study on the Characteristics of Microcirculation of Governor Vessel Skin in Patients with Chronic Gastritis:Based on Pressure Pain Measurement

作　　者：杨广印[1] 潘晓华[1] 黄倩茹[1] 朱小香[1] 兰彩莲[1] 许金森[1] 徐维[2] 陈麟[2] YANG Guangyin;PAN Xiaohua;HUANG Qianru;ZHU Xiaoxiang;LAN Cailian;XU Jinsen;XU Wei;CHEN Lin(Department of Meridian Research,Fujian Institute of Traditional Chinese Medicine,Fuzhou 350003;Fujian Provincial Hospital,Fuzhou 350001)

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

出　　处：《中医杂志》2020年第16期1426-1430,共5页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81573886);福建省自然科学基金(2015J01680);福建省经络感传重点实验室项目。

摘　　要：目的比较慢性胃炎患者和健康者督脉背段T4—T9段棘突下最低压痛阈值点的皮肤微循环血流灌注量(MBPV)的差异。方法 30例慢性胃炎患者为胃炎组,20例健康者为健康组。通过电子压力测痛的方法,对胃炎组和健康组受试者督脉T4—T9段棘突下、相应旁开4寸的非经非穴点和L3棘突下测定压痛值。选取两组督脉T4—T9段棘突下最低测痛值点为测试点,以自身测试点相应的旁开4寸及L3棘突下作为对照点,以三通道激光多谱勒血流仪记录测试点和对照点的MBPV。比较两组测试点及对照点的测痛值、MBPV,并进行两组测痛值与相应MBPV的相关性分析。结果与本组T4—T9段棘突下旁开4寸和L3棘突下测痛值比较,胃炎组T4—T9段棘突下最低测痛值明显降低(P<0.01),最低测痛阈值点MBPV明显升高(P<0.01);与健康组比较,胃炎组T4—T9段棘突下最低测痛值及T4—T9段棘突下旁开4寸和L3棘突下测痛值均明显升高(P<0.05或P<0.01);胃炎组T4—T9段棘突下最低测痛值点及旁开4寸的MBPV均明显升高(P<0.05或P<0.01)。胃炎组T4—T9段棘突下最低测痛值点、T4—T9段棘突下最低测痛值点旁开4寸的MBPV与各自对应的测痛点均具有相关关系(P<0.05或P<0.01),而L3棘突下不具有相关关系(P>0.05);健康组各点的MBPV与其各自相应的测痛阈值均不具有相关关系(P>0.05)。结论慢性胃炎患者督脉T4—T9段棘突下某些穴位或部位存在较低的压痛值和较高的MBPV特异性,且二者具有相关关系。Objective To compare the difference of skin microcirculation blood perfusion volume(MBPV) at the lowest tenderness threshold of T4-T9 spinous processes in the dorsal segment of Governor Vessel of patients with chronic gastritis and healthy subjects. Methods A total of 30 patients with chronic gastritis were in the gastritis group, and 20 healthy people were in the healthy group. Through the method of electronic pressure pain measurement, the tenderness values were measured under the spinous processes of the T4-T9 segment of the veins of the subjects in the gastritis group and the healthy group, the corresponding 4-inch non-acupoints and the L3 spinous process. The lowest pain measurement points under the spinous processes of the T4-T9 segments of the 2 groups of governor veins as the test points were selected, and the corresponding 4-inch side of the test points and the L3 spinous process was used as the control points, and a three-channel laser Doppler flowmeter Record the MBPV of the test and control points were used. The pain measurement values and MBPV of the test points and control points of the 2 groups were compared, and the correlation analysis between the pain measurement values of both groups and the corresponding MBPV was performed. Results Compared with T4-T9 segment under spinous process 4 inches and L3 subspinous process pain measurement value, the T4-T9 segment spinous process minimum pain measurement value in gastrointestinal group was significantly reduced(P<0.01), MBPV increased significantly at the lowest pain threshold(P<0.01);compared with the healthy group, the gastrointestinal group had the lowest pain measurement value under the spinous process T4-T9 segment, and the 4 inches below the spinous process T4-T9 segment and the pain measurement value under the L3 spinous process significantly increased compared with the healthy group(P<0.05 or P<0.01);T4-T9 segment of the lowest pain point under the spinous process in the gastrointestinal group and the 4-inch MBPV were significantly increased(P

关 键 词：慢性胃炎 督脉 压力测痛 微循环血流灌注量 穴位特异性 

分 类 号：R246.1[医药卫生—针灸推拿学]