基于经穴-脏腑相关理论对原发性肝癌TACE术患者穴位温度的研究  

The Relative Specificity of Acupoints Temperature in Patients with Primary Liver Cancer TACE Based on Meridian Points-Zangfu Organs Correlation Theory

作　　者：刘玉婷 嵇波[1] 赵国桢[2] 刘翼天 李威 张永超 韩娜娜 张靖宇 方洋 葛云鹏 谢亚娜 LIU Yuting;JI Bo;ZHAO Guozhen;LIU Yitian;LI Wei;ZHANG Yongchao;HAN Nana;ZHANG Jingyu;FANG Yang;GE Yunpeng;XIE Yana(School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]首都医科大学附属北京中医医院,北京100010 [3]首都医科大学附属北京地坛医院,北京100015

出　　处：《中医药导报》2022年第9期66-70,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(81674059)。

摘　　要：目的:比较原发性肝癌经肝动脉化疗栓塞术(TACE)患者和健康受试者肝经与心包经特定穴的体表温度,探究腧穴反应脏腑状态的相对特异性及穴位反应对原发性肝癌的早期诊断作用。方法:收集行TACE术的原发性肝癌患者30例作为观察组,健康受试者30例作为对照组。采用非接触式红外测温技术检测受试者的肝经及心包经的原穴、络穴、背俞穴及募穴的温度。结果:观察组术前太冲穴体表温度高于对照组(P<0.05);观察组术前太冲穴、蠡沟穴体表温度均高于观察组术后(P<0.05);对照组及观察组术后心包经及肝经特定穴的右侧体表温度与左侧比较,差异均无统计学意义(P>0.05);观察组术前心包经特定穴右侧体表温度与左侧比较,差异无统计学意义(P>0.05);右侧蠡沟、期门穴体表温度与左侧比较,差异无统计学意义(P>0.05);而右侧太冲及肝俞穴体表温度与左侧比较,差异有统计学意义(P<0.05)。结论:肝经的太冲(原穴)、蠡沟(络穴)和肝俞(背俞穴)在反映肝脏的病理变化方面更明显,穴位反应能一定程度协助原发性肝癌的早期诊断。Objective:To compare the body surface temperature of specific points of liver meridian and pericardium meridian in patients with primary liver cancer undergoing transcatheter arterial chemoembolization(TACE)and healthy volunteers,and to explore the relative specificity of acupoint reactions to visceral states and the role of acupoint reactions in the early diagnosis of primary liver cancer.Methods:Totally 30 patients with primary liver cancer who underwent TACE were collected as the observation group and 30 healthy volunteers were collected as control group.Temperatures of the Yuan points,Luo points,Bei-shu points and Mu points in the liver meridian and pericardial meridian was measured by non-contact infrared temperature measurement technology.Results:The observation group showed higher preoperative temperature of Taichong(LR3)than control group(P<0.05);The preoperative temperature of Taichong(LR3)and Ligou(LR5)was higher than postoperative temperature of Taichong(LR3)and Ligou(LR5)in observation group(P<0.05);There was no significant difference in postoperative temperature of specific points of pericardial meridian and liver meridian between the right body and left body surface in observation and control groups (P>0.05). There was no significant difference in preoperative temperature of specific points of pericardial meridian between the right body and left body surface in observation group (P>0.05). There was no significant difference in preoperative temperature of Ligou (LR5) and Qimen (LR14) between the right body and left body surface in observation group (P>0.05). There was significant difference in preoperative temperature of Taichong (LR3) and Ganshu (BL18) between the right body and left body surface in observation group (P<0.05). Conclusion: Taichong (LR3) (Yuan point), Ligou (LR5) (Luo point) and Ganshu (BL18) (Bei-shu point) can reflect the liver disease. The pathological response of acupoint can assist the early diagnosis of primary liver cancer to a certain extent.

关 键 词：原发性肝癌 非接触式红外测温 经穴特异性 经穴诊断 

分 类 号：R246.5[医药卫生—针灸推拿学]