电针近部穴位与远部穴位对肠鸣音影响的比较
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摘要
目的观察电针近部和远部代表性穴位对人体肠鸣音的影响,为近部取穴和远部取穴的针刺效应比较提供一方面的试验依据。方法将90例志愿者采用随机排列表的方式随机分为天枢组、足三里组和空白组各30例,2组均取单侧穴,采用连续波分别电针天枢穴、足三里穴各30 min,观察针前、电针时、电针后共6个时段肠鸣音脉冲的变化情况,空白组在相应时间段未作任何处理。结果电针天枢、足三里穴的针后2个时段平均每分钟肠鸣音脉冲数分别与针前相比,各组差异均具有显著性(q检验,P<0.05或P<0.01),而空白组的相应时段平均每分钟肠鸣音脉冲数对比,差异无显著性(方差分析,P>0.05)。3组同时段的平均每分钟肠鸣音脉冲数进行组间比较没有显著性差异(方差分析,P>0.05)。结论近部取穴与远部取穴对人体肠鸣音均可产生显著的影响,但二者之间的针刺效应没有显著性差异。
Objective To observe the effect of electroacupuncture at the points on abdomen and lower limbs of stomach meridian for human abdominal sounds, and study on effects of acupuncture on gastrointestinal motility. Methods With randomized controlled study method by random permutation table, 90 volunteers were assigned to 3 groups: Tianshu(ST25) group, Zusanli(ST36) group and control group, with 30 cases in each group. One point and a auxiliary non-point(1.5 cm centripetal or centrifugal the corresponding point along meridian) were adopted in each group at one side of the corresponding meridian except the control group, and acupuncture the corresponding point and the auxiliary non-point by connecting to electroacupuncture machine for 30 min with consecutive electric pulses in each group. Changes of the pulses of abdominal sounds were investigated in the each group during 6 period of time. Results The pulses of abdominal sounds in per minute in two periods of time after electroacupuncture in the Tianshu group and Zusanli group with a significant difference compared with that before electroacupuncture in the each group(q test, P<0.05 or P<0.01), and in the control group with no significant difference in six period of time(Analysis of variance, P>0.05). Conclusion Electroacupuncturing at the Tianshu(ST25) or Zusanli(ST36) of stomach meridian can cause significant effects for abdominal sounds,but there was no significant difference between them.
Objective To observe the effect of electroacupuncture at the points on abdomen and lower limbs of stomach meridian for human abdominal sounds, and study on effects of acupuncture on gastrointestinal motility. Methods With randomized controlled study method by random permutation table, 90 volunteers were assigned to 3 groups: Tianshu(ST25) group, Zusanli(ST36) group and control group, with 30 cases in each group. One point and a auxiliary non-point(1.5 cm centripetal or centrifugal the corresponding point along meridian) were adopted in each group at one side of the corresponding meridian except the control group, and acupuncture the corresponding point and the auxiliary non-point by connecting to electroacupuncture machine for 30 min with consecutive electric pulses in each group. Changes of the pulses of abdominal sounds were investigated in the each group during 6 period of time. Results The pulses of abdominal sounds in per minute in two periods of time after electroacupuncture in the Tianshu group and Zusanli group with a significant difference compared with that before electroacupuncture in the each group(q test, P<0.05 or P<0.01), and in the control group with no significant difference in six period of time(Analysis of variance, P>0.05). Conclusion Electroacupuncturing at the Tianshu(ST25) or Zusanli(ST36) of stomach meridian can cause significant effects for abdominal sounds,but there was no significant difference between them.
引文
[1]何希俊,谭吉林,李国辉.局部取穴与循经取穴治疗周围性面神经麻痹的对比研究[J].新中医,2006,38(6):58-59.
[2]马婷婷,田小平,梁繁荣.循经远取与局部取穴针刺改善胃肠功能的临床疗效差异[J].成都中医药大学学报,2015,38(3):48-51,65.
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[8]杨广印,胡翔龙,陈凌,等.肠鸣音与胃肠运动相关性的初步观察[J].福建中医学院学报,2009,19(3):41-43.
[9]易受香,阳仁达,严洁,等.胃经循经逐点动态刺激对家兔胃排空影响的观察[J].湖南中医学院学报,1995,15(4):50-53.
[10]陈凌,姚志芳.针刺胃经下肢段及非经非穴点对胃电的影响[J].福建中医学院学报,2008,18(3):40-42.
[11]赵艳玲,常小荣.足阳明经对大鼠胃肌电穴位特异性研究[J].中医研究,2005,18(12):9-12.
[12]赵宁侠,郭瑞林,任秦有,等.针刺肺俞穴及非经非穴点对肺功能影响的对照研究[J].中国针灸,2003,23(8):461-462.
[13]褚自宏,黄裕新,史恒军,等.针刺健康人肠经募合穴前后胃动素的变化[J].中国针灸,1998,18(6):341-343.
[2]马婷婷,田小平,梁繁荣.循经远取与局部取穴针刺改善胃肠功能的临床疗效差异[J].成都中医药大学学报,2015,38(3):48-51,65.
[3]Peixun Y U,Bing GAO,Yujun XIA.Meta-analysis of the effect of distal or local point selection on acupuncture efficacy[J].World Journal of Acupuncture Moxibustion,2018,28:44-50.
[4]李江山,严洁,常小荣.电针足阳明经穴对家兔胃运动和胃动素的影响[J].中国中医基础医学杂志,2004,10(3):36-39.
[5]刘辉,赵鸿.近10年来针刺足阳明胃经对胃肠功能影响的研究概况[J].湖南中医药导报,1999,5(7):9-11.
[6]常小荣,严洁,林亚平,等.针刺足三里对功能性消化不良患者胃运动总功率的影响[J].中国中医药信息杂志,2001,8(10):72.
[7]王富春,逢紫千.针灸天枢穴对脾虚泄泻大鼠肠道功能影响的实验研究[J].长春中医学院学报,2005,21(1):52-54.
[8]杨广印,胡翔龙,陈凌,等.肠鸣音与胃肠运动相关性的初步观察[J].福建中医学院学报,2009,19(3):41-43.
[9]易受香,阳仁达,严洁,等.胃经循经逐点动态刺激对家兔胃排空影响的观察[J].湖南中医学院学报,1995,15(4):50-53.
[10]陈凌,姚志芳.针刺胃经下肢段及非经非穴点对胃电的影响[J].福建中医学院学报,2008,18(3):40-42.
[11]赵艳玲,常小荣.足阳明经对大鼠胃肌电穴位特异性研究[J].中医研究,2005,18(12):9-12.
[12]赵宁侠,郭瑞林,任秦有,等.针刺肺俞穴及非经非穴点对肺功能影响的对照研究[J].中国针灸,2003,23(8):461-462.
[13]褚自宏,黄裕新,史恒军,等.针刺健康人肠经募合穴前后胃动素的变化[J].中国针灸,1998,18(6):341-343.