80例气滞血瘀型颈型颈椎病患者脉图参数特征研究  

Research on characteristics of pulse graph parameters for 80 patients of cervical spondylosis with type of qi stagnation and blood stasis

作　　者：杜小磊 陈跃来 明树人 李福凤[2] 徐鸽[2] DU Xiaolei;CHEN Yuelai;MING Shuren;LI Fufeng;XU Ge(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]上海中医药大学,上海201203

出　　处：《上海中医药大学学报》2023年第5期67-72,共6页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：国家重点研发计划中医药现代化研究重点专项项目(2018YFC1707600)。

摘　　要：目的:分析气滞血瘀型颈型颈椎病患者的脉图参数特征及其与患者疼痛程度的相关性,为传统脉诊理论和现代临床应用提供实验依据。方法:纳入气滞血瘀型颈型颈椎病患者80例作为患者组,健康志愿者76例作为健康组。应用ZM-300型脉诊仪采集所有受试者的脉图,提取时域参数h1、h3、h4、h5、h3/h1、h4/h1、h5/h1、w、w/t、t1、t4、t5、t、Ad和As值,分析组间差异。采用视觉模拟量表(VAS)评分评估患者的颈椎疼痛程度,分析脉图参数与疼痛VAS评分的相关性。结果:健康组中2例受试者被剔除,最终纳入统计分析者健康组74例、患者组80例。(1)患者组受试者的h1、h3、h4、t5、t、As值明显低于健康组(P<0.05,P<0.01),h3/h1、w/t值明显高于健康组(P<0.05)。(2)患者组受试者的脉图参数h1、As值与VAS评分呈负相关(P<0.05,P<0.01),w、w/t、h3/h1、h4/h1值与VAS评分呈正相关(P<0.05)。结论:气滞血瘀型颈型颈椎病患者的脉图参数有一定程度的改变,体现出脉力减弱、紧张度增加的脉象特征,符合弦细脉的特点,提示此类患者的心脏射血功能减弱和输出量减少、血管顺应性下降、血管外周阻力增加,且患者脉图参数变化与疼痛程度具有一定的相关性。Objective:To analyze the characteristics of pulse graph parameters and its correlation with pain degree in patients of cervical spondylosis with type of qi stagnation and blood stasis,in order to provide the experimental basis for traditional pulse diagnosis theory and modern clinical application.Methods:Eighty patients of cervical spondylosis with type of qi stagnation and blood stasis and seventy-six healthy volunteers were included as the patient group and the health group,respectively.The ZM-300 pulse condition instrument was used to collect the pulse graphs of all the subjects,the time-domain parameter values including hl,h3,h4,h5,h3/h1,h4/h1,h5/h1,w,w/t,t1,t4,t5,t,Ad and As were extracted,and the differences between the two groups were analyzed.The visual analogue scale(VAS)score was used to assess the cervical pain degree of the patients,and the correlation between pulse graph parameters and VAS scores of pain was analyzed.Results:Two cases in the health group were excluded,finally 74 cases in the health group and 80 cases in the patient group were included in the statistical analysis.①The values of hl,h3,h4,t5,t and As in the patient group were significantly lower than those in the health group(P<0.05,P<0.01),and the values of h3/hl and w/t were significantly higher than those in the health group(P<0.05).②The pulse graph parameters hl and As values of the patient group were negatively correlated with the VAS score(P<0.05,P<0.01),and the values of w,w/t,h3/h1 and h4/h1 were positively correlated with the VAS score(P<0.05).Conclusion:The pulse graph parameters of cervical spondylosis patients with type of qi stagnation and blood stasis are altered to a certain extent,reflecting the pulse characteristics of weakened pulse force and increased tension,which is in line with the characteristics of string and thin pulse.It indicates that such patients have weakened cardiac ejection function and low cardiac output,decreased vascular compliance,and increased peripheral resistance.In addition,there is a certain

关 键 词：颈型颈椎病 气滞血瘀型 脉图 时域参数 疼痛程度 

分 类 号：R274.9[医药卫生—中西医结合]