毫针、砭贴疗法对手厥阴心包经相关穴区血流灌注量影响的比较观察  

Comparative observation on the effect of filiform needle and bian paste therapies on blood perfusion at acupoints of the hand jueyin pericardium channel

作　　者：王登辉 侯中伟[1] 王淑友[2] 贾术永[2] 李晓雅 吴春花 王梦杰 闫颖洁 WANG Denghui;HOU Zhongwei;WANG Shuyou;JIA Shuyong;LI Xiaoya;WU Chunhua;WANG Mengjie;YAN Yingjie(School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029;Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]中国中医科学院针灸研究所

出　　处：《现代中医临床》2022年第3期7-12,18,共7页Modern Chinese Clinical Medicine

基　　金：国家社会科学基金特别委托项目(No.14@ZH001);北京中医药大学教育基金会资助项目(No.1000062620191)。

摘　　要：目的观察毫针疗法和砭贴疗法对手厥阴心包经相关穴区血流灌注量的影响。方法招募45名健康受试者,随机分成砭贴组、毫针组、空白对照组各15名,采用激光微循环血流成像技术,观察相关穴区血流灌注量。结果空白对照组的内关穴血流灌注量随干预时间增加而下降,差异有统计学意义(F=2.995,P<0.05),血流灌注量在干预12 min、结束后4 min与干预前4 min比较,均有下降,差异均有统计学意义(P<0.05)。毫针组内关穴血流灌注量随干预时间增加而上升,差异有统计学意义(F=10.042,P<0.05),血流灌注量在干预0 min、干预4 min、干预8 min、干预12 min、干预16 min、结束后4 min与干预前4 min比较,均有升高,差异均有统计学意义(P<0.05)。干预16 min、干预后4 min,3组内关穴血流灌注量差异有统计学意义(P<0.05),毫针组均高于砭贴组与空白对照组,差异均有统计学意义(P<0.05)。空白对照组间使穴、郄门穴、同经非穴、非经非穴血流灌注量随干预时间增加均下降,差异均有统计学意义(P<0.05)。砭贴组郄门穴血流灌注量随干预时间增加而下降,差异有统计学意义(F=2.346,P<0.05),血流灌注量在干预0 min、干预4 min、干预12 min与干预前4 min比较,均有下降,差异均有统计学意义(P<0.05)。结论毫针疗法和砭贴疗法均可提升心包经相关穴区的皮肤血流灌注量,但不同疗法调节微循环的规律有其特异性。Objective To observe the effect of filiform needle therapy and bian paste therapy on blood perfusion at acupoints of of the hand jueyin pericardium channel.Methods Forty-five healthy subjects were randomly divided into bian paste group(n=15),filiform needle group(n=15)and control group(n=15).Laser speckle imaging for microcirculation blood flow measurements was used to observe the blood perfusion at the selected acupoints.Results The blood flow perfusion at Neiguan(PC 6)of the subjects in the control group decreased during the experiment,and the difference was statistically significant(F=2.995,P<0.05).The blood perfusion at this location at 12 min of intervention and 4 min post-intervention was significantly lower than that of 4 min pre-intervention(P<0.05).In the filiform acupuncture group,the blood flow perfusion at Neiguan increased with the intervention time,and the difference was statistically significant(F=10.042,P<0.05).The blood flow at this acupoint at 0 min of intervention,4 min of intervention,8 min of intervention,12 min of intervention,16 min of intervention and 4 min post-intervention were significantly higher than those before intervention(P<0.05).The blood perfusion at Neiguan at 16 min of intervention and 4 min post-intervention was significantly higher in the filiform needle group than that in the bian paste group and the control group(P<0.05).The blood perfusion at Jianshi(PC 5),Ximen(PC 4),non-acupoint locations on the channel,and non-acupoint locations in non-channel areas in the control group decreased as the intervention progressed,and the differences were statistically significant(P<0.05).In the bian paste group,the blood perfusion at Ximen decreased with the intervention time,and the difference was statistically significant(F=2.346,P<0.05).The blood perfusion at this acupoint at 0 min of intervention,4 min of intervention and 12 min of intervention was significantly lower than that of 4 min pre-intervention(P<0.05).Conclusions Both filiform needle therapy and bian paste therapy can increa

关 键 词：砭贴疗法 毫针疗法 心包经 内关穴 皮肤血流量 

分 类 号：R246.9[医药卫生—针灸推拿学]