腰椎间盘突出症患者热敏腧穴温度觉特征研究
发布时间:2018-04-25 16:07
本文选题:腰椎间盘突出症 + 热敏腧穴 ; 参考:《中华中医药杂志》2017年09期
【摘要】:目的:观察腰椎间盘突出症患者热敏态腧穴温度觉阈值特征,为临床温控激发优化参数的选择、辨敏选穴提供科学依据。方法:纳入腰椎间盘突出症患者40例,采用温度觉定量测定技术,分别检测患者腰阳关穴、腰俞穴、关元俞穴的热觉阈、热痛阈、热耐痛阈值,根据每个腧穴是否出现热敏灸感分为热敏组和非热敏组,比较其温度觉阈值差异;并在此基础上,对热敏态关元俞穴给予42℃进行温控激发,观察热敏灸感的差异。结果:腰阳关穴、腰俞穴、关元俞穴热敏组热觉阈值、热痛阈值和热耐痛阈值分别显著高于同一穴位非热敏组(P0.01)。与热敏态关元俞穴激发温度为40℃时比较,42℃时灸感强度更强、效应期时间更长、潜伏期时间更短(P0.01,P0.05)。结论:腰椎间盘突出症患者热敏态腧穴与非热敏态腧穴具有不同温度觉阈值特征,热敏态腧穴热觉阈、热痛阈、热耐痛阈值均高于非热敏态腧穴;不同的激发温度,热敏灸感出现的灸感强度、潜伏期、效应期时间不同,42℃为临床较佳激发温度。
[Abstract]:Objective: to observe the temperature threshold characteristics of heat-sensitive acupoints in patients with lumbar disc herniation, and to provide scientific basis for the selection of optimal parameters for clinical temperature-controlled excitation and the selection of heat-sensitive acupoints. Methods: a total of 40 patients with lumbar disc herniation were included. The heat perception threshold, thermal pain threshold and heat tolerance threshold of the points of Yaoyangguan, Yaoshu and Guanyanshu were measured by temperature sensing quantitative measurement technique. According to whether or not each acupoint has heat sensitive moxibustion, it is divided into heat sensitive group and non thermal sensitive group, and the difference of temperature perception threshold is compared, and on this basis, the heat sensitive state of Guanyanshu point is stimulated by temperature control at 42 鈩,
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