针刺委中穴对轻中度腰痛局部温度变化的影响
|
摘要
目的:利用红外热成像仪观察针刺委中穴、曲泉穴及非经非穴对轻中度腰痛患者腰部局部的温度变化响。方法:2016年11月至2017年3月从北京中医药大学的在校学生中招募腰痛ODI评分为50%以下的轻中度腰痛受试者75例,随机分观察组(针刺委中穴)25例、对照组1(针刺曲泉穴)25例、对照组2(针刺非经非穴)25例。分别利用红外热成像仪观察针刺前、针刺后2 min、5 min、10 min、15 min、20 min、25 min、30 min、出针后5 min的腰部局部温度变化。结果:3组受试者在针刺过程中腰部温度均有不同程度的变化,针刺委中组相对于针刺曲泉组和非经非穴组温度升高的时间长,升高的总例数高于其他组(P<0.05),温度升高节段多聚集在L3~5。结论:针刺委中及腘膝部其他穴位均能使腰部局部温度升高,但委中组温度升高幅度大、持续时间长。
Objective: To observe the effects of Weizhong( BL40),Ququan( LV8) acupoints and some sham acupoints acupuncture on lumbar temperature change of mild and moderate lumbago patients with thermal infrared imager.Methods: A randomized control trail was applied in this study,in which 75 students from Beijing University of Chinese Medicine who suffered mild and moderate lumbago and scored below 50% of the Oswestry Index( ODI) were divided into three groups,among which 25 patients were in the experiment group( acupuncturing Weizhong( BL 40)),25 patients were in the first control group( acupuncturing Ququan( LV8)),and 25 patients were in the second control group( acupuncturing sham acupoints).The lumbar temperature changes were observed separately before acupuncture,and 2 minutes,5 minutes,10 minutes,15 minutes,20 minutes,25 minutes,and 30 minutes during acupuncture,and 5 minutes after acupuncture with thermal infrared imager.Results: The lumbar temperature of patients among all the three groups were improved,of which temperature of the experiment group improved more and lasted longer than the other groups( P < 0.05),and the lumbar segments L3 ~ L5 showed more obvious temperature improvement than other parts of the body.Conclusion: Both acupuncturing Weizhong( BL40) and other points around the knee improves the lumbar temperature,but acupuncturing Weizhong( BL40) improves more and lasts longer.
Objective: To observe the effects of Weizhong( BL40),Ququan( LV8) acupoints and some sham acupoints acupuncture on lumbar temperature change of mild and moderate lumbago patients with thermal infrared imager.Methods: A randomized control trail was applied in this study,in which 75 students from Beijing University of Chinese Medicine who suffered mild and moderate lumbago and scored below 50% of the Oswestry Index( ODI) were divided into three groups,among which 25 patients were in the experiment group( acupuncturing Weizhong( BL 40)),25 patients were in the first control group( acupuncturing Ququan( LV8)),and 25 patients were in the second control group( acupuncturing sham acupoints).The lumbar temperature changes were observed separately before acupuncture,and 2 minutes,5 minutes,10 minutes,15 minutes,20 minutes,25 minutes,and 30 minutes during acupuncture,and 5 minutes after acupuncture with thermal infrared imager.Results: The lumbar temperature of patients among all the three groups were improved,of which temperature of the experiment group improved more and lasted longer than the other groups( P < 0.05),and the lumbar segments L3 ~ L5 showed more obvious temperature improvement than other parts of the body.Conclusion: Both acupuncturing Weizhong( BL40) and other points around the knee improves the lumbar temperature,but acupuncturing Weizhong( BL40) improves more and lasts longer.
引文
[1]刘丁龙,方晓丽,蒲瑞生,等.针刺健康人委中穴对腰部即刻温度的影响[J].中医临床研究,2015,7(1):42-44.
[2]Inmak R,Baltaci G,Ergun N.Long term test-retest reliability of Oswestry Disability Index in male office workers[J].Work,2015,53(3):639-642.
[3]李征宇,孙兮文,张效初,等.按揉委中穴对脑愉悦回路的影响[J].上海中医药大学学报,2008,22(4):51-53.
[4]Carlezon WA Jr,Wise RA.Rewarding actions of phencyclidine and related drugs in nucleus accumbens shell and frontal cortex[J].Neurosc,1996,16(9):3112-3122.
[5]邹德辉,陈玉佩,刘通,等.电针“委中”对布比卡因致大鼠腰多裂肌损伤后形态学及CK、IL-17表达的影响[J].中国针灸,2017,37(9):971-976.
[6]Albert,etal.Thermographyinorthopeadies.Ann NYAead Sei1964;121:157.
[7]文梅,张栋,王淑友,等.热像、血流、活体成像技术在针灸研究中的应用现状[J].中华中医药杂志,2014,29(10):3173-3176.
[8]傅志俭,王珺楠,谢珺田.红外热像图与疼痛临床[J].中国疼痛医学杂志,2005,11(3):138-139.
[9]朱琦,付钰,倪金霞,等.基于红外热成像技术的支气管哮喘患者肺经与大肠经相关腧穴体表温度研究[J].中医杂志,2013,54(22):1926-1928,1932.
[10]潘晓华,许金森,郑淑霞,兰彩莲.基于红外技术的人体经脉热传输特性探讨[J].中华中医药杂志.2012,27(7):1781-1784,1727.
[11]潘晓华,郑淑霞,许金森,兰彩莲.加热时皮肤温度变化沿任脉线的扩散速度[J].福建中医药大学学报,2011,21(5):1-3.
[12]石玉清.基于光电及红外技术的人体经络现象探索[D].福州:福建师范大学,2007:82.
[13]姚文芳,薛毅珑,罗芸,等.远红外热成像图对缺血性脑血管病的诊断价值及疗效评价的意义[J].中国激光医学杂志2007,16(2):6-4.
[2]Inmak R,Baltaci G,Ergun N.Long term test-retest reliability of Oswestry Disability Index in male office workers[J].Work,2015,53(3):639-642.
[3]李征宇,孙兮文,张效初,等.按揉委中穴对脑愉悦回路的影响[J].上海中医药大学学报,2008,22(4):51-53.
[4]Carlezon WA Jr,Wise RA.Rewarding actions of phencyclidine and related drugs in nucleus accumbens shell and frontal cortex[J].Neurosc,1996,16(9):3112-3122.
[5]邹德辉,陈玉佩,刘通,等.电针“委中”对布比卡因致大鼠腰多裂肌损伤后形态学及CK、IL-17表达的影响[J].中国针灸,2017,37(9):971-976.
[6]Albert,etal.Thermographyinorthopeadies.Ann NYAead Sei1964;121:157.
[7]文梅,张栋,王淑友,等.热像、血流、活体成像技术在针灸研究中的应用现状[J].中华中医药杂志,2014,29(10):3173-3176.
[8]傅志俭,王珺楠,谢珺田.红外热像图与疼痛临床[J].中国疼痛医学杂志,2005,11(3):138-139.
[9]朱琦,付钰,倪金霞,等.基于红外热成像技术的支气管哮喘患者肺经与大肠经相关腧穴体表温度研究[J].中医杂志,2013,54(22):1926-1928,1932.
[10]潘晓华,许金森,郑淑霞,兰彩莲.基于红外技术的人体经脉热传输特性探讨[J].中华中医药杂志.2012,27(7):1781-1784,1727.
[11]潘晓华,郑淑霞,许金森,兰彩莲.加热时皮肤温度变化沿任脉线的扩散速度[J].福建中医药大学学报,2011,21(5):1-3.
[12]石玉清.基于光电及红外技术的人体经络现象探索[D].福州:福建师范大学,2007:82.
[13]姚文芳,薛毅珑,罗芸,等.远红外热成像图对缺血性脑血管病的诊断价值及疗效评价的意义[J].中国激光医学杂志2007,16(2):6-4.