针刺得气与不同机体状态下风池穴压痛阈关系的探究
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摘要
目的:客观评价针刺得气与不同机体状态下受试者风池穴压痛阈值的关系。方法:选取2017年9月至2017年11月期间成都中医药大学附属医院针灸科门诊和住院纳入的符合纳入和排除标准的入受试者60例,其中健康者30例,颈痛患者30例。根据受试者的入组的先后顺序由同一名针灸医师进行一次针灸治疗,并进行针刺得气感的评价。运用SLY-HFM手持式测痛仪在受试者接受针刺治疗前对受试者的颈部风池穴的压痛阈值进行测量。结果:颈痛患者的风池穴压痛阈值比健康受试者风池穴压痛阈值低,差异有统计学意义(P<0.05)。健康组受试者风池穴压痛阈存在性别差异,女性压痛阈值更低(P<0.05)。患者得气感痛感存在性别差异,女性更容易出现痛感(P<0.05)。结论:机体不同状态疾病特异性腧穴压痛阈值不同,以患者压痛阈值更低;患者得气感痛感及压痛阈值存在性别差异,两者之间并无相关性。
Objective: To evaluate the relationship between arrival of qi and pressure pain threshold( PPT) on Fengchi( GB 20)under different body conditions.Methods: A total of 60 subjects in our hospital from September 2017 to November 2017 were enrolled according to the inclusion and exclusion criteria,of whom 30 were healthy people and 30 were neck pain patients.All the subjects according to the enrolled order accepted one acupuncture treatment by the same acupuncturist and completed the arrival of qi evaluation.The PPT on Fengchi( GB 20) of the subjects was measured prior to the acupuncture treatment by using a SLY-HFM hand-held pain measuring instrument.Results: The PPT on Fengchi( GB 20) in patient with neck pain was lower than that in healthy people( P < 0.05).There were gender differences in pressure pain threshold on Fengchi( GB 20) in the health group,and the pressure pain threshold of female was lower than male( P < 0.05).There were gender differences in the pain feeling in arrival of qi in the neck pain patients,and the female were more likely to suffer from pains( P < 0.05).Conclusion: Different body conditions present different PPT on specific acupoint,which the PPT of patients was lower.There were gender differences on patients' pains and the PPT,but there was no correlation between pains and the PPT.
Objective: To evaluate the relationship between arrival of qi and pressure pain threshold( PPT) on Fengchi( GB 20)under different body conditions.Methods: A total of 60 subjects in our hospital from September 2017 to November 2017 were enrolled according to the inclusion and exclusion criteria,of whom 30 were healthy people and 30 were neck pain patients.All the subjects according to the enrolled order accepted one acupuncture treatment by the same acupuncturist and completed the arrival of qi evaluation.The PPT on Fengchi( GB 20) of the subjects was measured prior to the acupuncture treatment by using a SLY-HFM hand-held pain measuring instrument.Results: The PPT on Fengchi( GB 20) in patient with neck pain was lower than that in healthy people( P < 0.05).There were gender differences in pressure pain threshold on Fengchi( GB 20) in the health group,and the pressure pain threshold of female was lower than male( P < 0.05).There were gender differences in the pain feeling in arrival of qi in the neck pain patients,and the female were more likely to suffer from pains( P < 0.05).Conclusion: Different body conditions present different PPT on specific acupoint,which the PPT of patients was lower.There were gender differences on patients' pains and the PPT,but there was no correlation between pains and the PPT.
引文
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[8]王宁华.实验痛评测方法之一:压痛阈[J].国外医学·物理医学与康复医学分册,2004,24(3):97.
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[12]Fisher AA.Pressure algometry over normal muscles.Standard values,validity and reproducibility of pressure threshold[J].Pain,1987,30(1):115.
[13]Jensen K,Andersen HO,Olesen J,et al.Pressure pain threshold in human temporal region.Evaluation of a new pressure algometer[J].Pain,1986,25(3):313.
[14]陈静霞,刘阳阳,赵雪,等.浅论腧穴敏化[J].河北中医,2011,33(7):1039-1041.
[15]陈日新,康明非,陈明人.岐伯归来—论腧穴“敏化状态说”[J].中国针灸,2011,31(2):134-138.
[16]石宏,程斌,李江慧,等.肥大细胞和P物质参与急性胃黏膜损伤大鼠体表穴位的敏化过程[J].针刺研究,2010,35(5):323-329.
[17]焦琳,迟振海,陈日新,等.由热敏灸引发的对腧穴原始内涵的审视[J].中国针灸2009,29(12):1008.
[18]肖文斌,刘玉兰,赵丽莉.性别对健康成人内脏和体表痛阈的影响[J].中国疼痛医学杂志,2003,9(1):11-14.
[19]Berkley KJ.Sex differences in pain[J].Behav Brain Sci,1997,20,371-380.
[20]Paller CJ,Campbell CM,Edwards RR,et al.Sex-based differences in pain perception and treatment[J].Pain Med,2009,10(2):289-299.
[21]Ali BH,Sharif SI,Elkadi A.Sex differences and the effect of gonadectomy on morphine induced antinociception and dependence in rats and mice[J].Clin Exp Pharmacol Physiol,1995,22:342-344.
[22]Nishizawa S,Benkelfat C,Young SN,et al.Differences between males and females in rates of serotonin synthesis in human brain[J].Pro Natl A-cad Sci USA,1997,94 5308-5313.
[23]Giamberardino MA,Berkley KJ,Iezzi S,et al.Pain threshold variations in somatic wall tissues as a function of menstrual cycle,segmental site and tissue depth in nondysmenorrheic women,dysmenorrheic women and men[J].Pain,1997,71:187-197.
[2]黄涛,孔健,黄鑫,等.有关得气的误解:从历史回顾到实验研究[J].中国针灸,2008,28(2):105-109.
[3]White P,Lewith G,Prescott P.Acupuncture versus placebo for the treantment of chronic mechanical neck pain:a randomized,conrolled trial.Ann Intern Med,2004 Dec 21,141(12):911-919.
[4]于鹏.针灸治疗慢性颈痛的随机对照临床研究[D].广州:广州中医药大学,2008.
[5]UK workers at pains to stay at their desks.Occupational Health,2005NOV,57(11):P4-4.
[6]石学敏.针灸学[M].北京:中国中医药出版社,2006.
[7]郭峥嵘,钱桂凤,潘秋银,等.机体状态对针刺得气影响的数据挖掘研究[J].华西医学,2014,29(6):1102-1105.
[8]王宁华.实验痛评测方法之一:压痛阈[J].国外医学·物理医学与康复医学分册,2004,24(3):97.
[9]Walton DM,Macdermid JC,Nielson W,et al.A descriptive study of pressure pain threshold at 2 standardized sites in people with acute or subacute neck pain[J].J Orthop Sports Phys Ther,2011,41(9):651-657.
[10]陈祢,李超,郭铁成,等.健康人压痛阈特点的初步研究[J].中国康复医学杂志,2010,25(9):858-863.
[11]Buchanan HM,Midgley JA.Evaluation of pain threshold using a simple pressure algometer[J].Clin Rheumatol,1987,6(4):510-517.
[12]Fisher AA.Pressure algometry over normal muscles.Standard values,validity and reproducibility of pressure threshold[J].Pain,1987,30(1):115.
[13]Jensen K,Andersen HO,Olesen J,et al.Pressure pain threshold in human temporal region.Evaluation of a new pressure algometer[J].Pain,1986,25(3):313.
[14]陈静霞,刘阳阳,赵雪,等.浅论腧穴敏化[J].河北中医,2011,33(7):1039-1041.
[15]陈日新,康明非,陈明人.岐伯归来—论腧穴“敏化状态说”[J].中国针灸,2011,31(2):134-138.
[16]石宏,程斌,李江慧,等.肥大细胞和P物质参与急性胃黏膜损伤大鼠体表穴位的敏化过程[J].针刺研究,2010,35(5):323-329.
[17]焦琳,迟振海,陈日新,等.由热敏灸引发的对腧穴原始内涵的审视[J].中国针灸2009,29(12):1008.
[18]肖文斌,刘玉兰,赵丽莉.性别对健康成人内脏和体表痛阈的影响[J].中国疼痛医学杂志,2003,9(1):11-14.
[19]Berkley KJ.Sex differences in pain[J].Behav Brain Sci,1997,20,371-380.
[20]Paller CJ,Campbell CM,Edwards RR,et al.Sex-based differences in pain perception and treatment[J].Pain Med,2009,10(2):289-299.
[21]Ali BH,Sharif SI,Elkadi A.Sex differences and the effect of gonadectomy on morphine induced antinociception and dependence in rats and mice[J].Clin Exp Pharmacol Physiol,1995,22:342-344.
[22]Nishizawa S,Benkelfat C,Young SN,et al.Differences between males and females in rates of serotonin synthesis in human brain[J].Pro Natl A-cad Sci USA,1997,94 5308-5313.
[23]Giamberardino MA,Berkley KJ,Iezzi S,et al.Pain threshold variations in somatic wall tissues as a function of menstrual cycle,segmental site and tissue depth in nondysmenorrheic women,dysmenorrheic women and men[J].Pain,1997,71:187-197.