基于经络检测探讨尿潜血阳性与经络分布相关性  

Discussion on the Correlation between Positive Urinary Occult Blood and Meridian Distribution Based on Meridian Detection

作　　者：黄艳霞 江健俐 朱敏 蔡学华 潘爱珍[1] HUANG Yanxia;JIANG Jianli;ZHU Min;CAI Xuehua;PAN Aizhen(Department of Traditional Chinese Medicine,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangdong Province,Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院中医科,广东广州510120

出　　处：《光明中医》2025年第4期642-644,730,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：广东省基础与应用基础研究基金项目(No.2019A1515111105);广东省自然科学基金面上项目(No.2021A1515010239)。

摘　　要：目的探讨尿潜血阳性与中医经络分布的相关性,为临床中医药治疗尿潜血提供参考。方法收集440例健康体检者行经络检测,分析尿潜血阳性体检者的中医经络分布特征。结果440例健康体检者共检出118例尿潜血阳性,其中男性47例,女性71例,差异有统计学意义(P<0.05)。尿潜血阳性年龄方面显示中老年患者,即51~60岁发病率最高(51.69%)。中医经络检测结果显示异常经络例数最高的分别为手太阳小肠经、足太阳膀胱经和足太阴脾经。各年龄组尿潜血阳性在中医经络分布,差异无统计学意义(P>0.05),性别差异是尿潜血阳性体检者小肠经异常的影响因素之一。结论尿潜血阳性发生率高,其中中老年及女性发生率更高,主要涉及小肠经、膀胱经、脾经,其中性别是尿潜血阳性小肠经异常的影响因素之一,说明尿潜血阳性与中医经络分布之间具有相关性,为中医药防治尿潜血阳性提供新思路。Objective To investigate the correlation between positive urinary occult blood and traditional Chinese medicine(TCM)meridian distribution,and to provide reference for the clinical treatment of positive urinary occult blood with TCM.Methods The distribution characteristics of TCM meridians were analyzed among 440 healthy participants.Results A total of 118 cases of urine occult blood were detected in 440 healthy subjects,including 47 males and 71 females,and the difference was statistically significant(P<0.05).In terms of the age of positive urine occult blood,the incidence was the highest in middle-aged and elderly patients,that is,51-60 years old(51.69%).The results of TCM meridians examination showed that the highest number of abnormal meridians were Taiyang small intestine channel of hand,Taiyang bladder channel of foot and Taiyin spleen channel of foot.There was no significant difference in the distribution of positive urinary occult blood in TCM meridians among all age groups(P>0.05).Gender difference was one of the factors affecting the abnormal small intestine meridian in patients with positive urinary occult blood physical examination.Conclusion The incidence of positive urinary occult blood is high,among which the incidence is higher in middle-aged and elderly people and women,mainly involving small intestine,bladder channel and spleen channel,among which gender is one of the factors affecting the abnormal small intestine channel of positive urinary occult blood,indicating that positive urinary occult blood is correlated with the distribution of TCM meridian,providing new ideas for the prevention and treatment of positive urinary occult blood by TCM.

关 键 词：血淋 尿潜血阳性 中医经络检测 尿常规 健康体检 

分 类 号：R277.5[医药卫生—中医学]