基于“肺主皮毛”理论探讨哮喘慢性持续期患者相关背俞穴表皮温度与肺通气功能的相关性  

Correlation between the skin surface temperature at the related back-shu points and the pulmonary ventilation function in patients with chronic persistent asthma based on the theory of"lung governing the skin and hair"

作　　者：赵少倩 傅梦玉 黄楠馨 周吉鹏 黄镜霖 刘威 王和生 刘兰英 ZHAO Shaoqian;FU Mengyu;HUANG Nanxin;ZHOU Jipeng;HUANG Jinglin;LIU Wei;WANG Hesheng;LIU Lanying(Department of Acupuncture-Moxibustion and Rehabilitation,Afiliated Hospital of Nanjing University of Chinese Medicine/Jiangsu Province Hospital of CM,Nanjing 210029,China;First Clinical Medical College of Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu Province;Institute of Health and Wellness of Jiangsu Open University)

机构地区：[1]南京中医药大学附属医院/江苏省中医院针灸康复科,南京210029 [2]南京中医药大学第一临床医学院,江苏南京210023 [3]江苏开放大学健康养生研究所

出　　处：《中国针灸》2025年第3期274-279,共6页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金面上项目:82274632;江苏省中医药管理局中医药科技发展计划项目:ZT202205;江苏省中医药管理局领军人才项目:SLJ0309;江苏省研究生实践创新计划项目:SJCX24_0998;江苏省中医院高峰人才项目:y2021rc14。

摘　　要：目的:观察不同肺通气功能水平的哮喘慢性持续期患者相关背俞穴表皮温度,并基于“肺主皮毛”理论研究其腧穴表皮温度与肺通气功能指标的相关性。方法:将哮喘慢性持续期患者61例,依据肺通气功能水平分为肺通气功能降低组(32例)和肺通气功能正常组(29例),检测两组患者双侧肺俞、膈俞、脾俞、肾俞穴表皮温度,以及肺通气功能指标[用力肺活量占预计值百分比(FVC%pred)、第1秒用力呼气容积占预计值百分比(FEV1%pred)、第1秒用力呼气容积与用力肺活量的比值占预计值百分比(FEV1/FVC%pred)、呼气峰值流量占预计值百分比(PEF%pred)],并进行腧穴表皮温度与肺通气功能之间的相关性分析。结果:肺通气功能降低组患者双侧肺俞、膈俞、脾俞、肾俞穴表皮温度较肺通气功能正常组升高(P<0.05,P<0.01)。肺通气功能降低组患者FEV1%pred、FEV1/FVC%pred、PEF%pred较肺通气功能正常组降低(P<0.001),肺通气功能降低组患者FVC%pred与肺通气功能正常组比较差异无统计学意义(P>0.05)。61例哮喘慢性持续期患者双侧肺俞、膈俞、脾俞、肾俞穴表皮温度与FVC%pred、FEV1%pred、FEV1/FVC%pred和PEF%pred呈负相关(P<0.001,P<0.01,P<0.05)。结论:哮喘慢性持续期患者相关背俞穴表皮温度随着肺通气功能下降而升高,与肺通气功能指标呈负相关,初步验证了背俞穴有反应脏腑疾患的特征。Objective To observe the skin surface temperature at the related back-shu points in the patients with the different levels of pulmonary ventilation function in chronic persistent asthma,and to explore the correlation between the skin temperature at the back-shu points and pulmonary ventilation function indexes based on"lung governing the skin and hair".Methods Sixty-one patients with chronic persistent asthma,based on the level of pulmonary ventilation function,were assigned into a reduced pulmonary ventilation function group(reduced function group,32 cases)and a normal pulmonary ventilation function group(normal function group,29 cases).In the two groups,the skin surface temperature was measured in the sites of bilateral Feishu(BL13),Geshu(BL17),Pishu(BL20)and Shenshu(BL23);and the pulmonary ventilation function indexes(the percentage of predicted value of forced vital capacity[FVC%pred],the percentage of predicted value of forced expiratory volume in the first second[FEV1%pred],the percentage of predicted value of FEV1/FVC[FEV1/FVC%pred]and the percentage of predicted value of the peak expiratory flow[PEF%pred])were recorded.The correlation between the skin surface temperature of acupoints and pulmonary ventilation function was analyzed.Results Compared with the normal function group,the surface skin temperature at the bilateral Feishu(BL13),Geshu(BL17),Pishu(BL20)and Shenshu(BL23)was higher in the reduced function group(P<0.05,P<0.01).Compared with the normal function group,FEV1%pred,FEV1/FVC%pred and PEF%pred were decreased in the reduced function group(P<0.001).There was no significant difference in FVC%pred between the two groups(P>0.05).The skin surface temperature at the bilateral Feishu(BL13),Geshu(BL17),Pishu(BL20)and Shenshu(BL23)was negatively correlated with FVC%pred,FEV1%pred,FEV1/FVC%pred and PEF%pred in 61 patients with chronic persistent asthma(P<0.001,P<0.01,P<0.05).Conclusion The skin surface temperature at back-shu points is elevated in line with the the decline of pulmonary ventilation functi

关 键 词：哮喘慢性持续期 背俞穴 表皮温度 肺主皮毛 肺通气功能 红外热成像 穴位特异性 

分 类 号：R246.1[医药卫生—针灸推拿学]