电针单、双侧阳陵泉穴对胆囊收缩功能的影响
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摘要
目的：分别电针左、右和双侧阳陵泉穴,在B超下观察胆囊炎和胆石症患者胆囊收缩功能的变化,为针灸临床优选腧穴提供试验依据。
方法：选择慢性胆囊炎或胆石症患者99例,随机分为左侧阳陵泉、右侧阳陵泉和双侧阳陵泉穴三组,每组各33例。针刺前在B超下测定胆囊容积,然后分别针刺相应穴位,得气后接电针,疏密波,留针30min后起针,于起针后10min再测定胆囊容积,根据胆囊容积求得胆囊收缩率,进行统计学处理,比较各组间差异。
结果：针刺前后胆囊容积比较,三组均有显著性差异(P<0.05)。胆囊收缩率比较,双侧阳陵泉穴组分别与左、右侧阳陵泉穴组之间均无显著性差异(P>0.05)；左、右侧阳陵泉穴组之间亦无显著性差异(P>0.05)。
结论：分别针刺左、右侧阳陵泉穴和同时针刺双侧阳陵泉穴皆可影响慢性胆囊炎患者的胆囊收缩功能,左、右及双侧阳陵泉穴间对胆囊收缩率均无显著性差异。提示临床取单侧穴位与取双侧穴位具有相同的治疗作用。
Objective:To provide experimental bases of optimizing point in acupuncture clinical practice by means of electroacupuncturing one side and both sides of Yanglingquan Point under B-ultrasound. Method:99 cases of chronic cholecystitus or cholelithiasis were randomly divided into left Yanglingquan Point group, right Yanglingquan Point group and both sides Yanglingquan Point group. There were 33 cases in one group. The gallbladder volume was both measured under B-ultrasound before and after the acupuncturing which was performed with dilatational wave for twenty minutes, and comparing the gallbladder shrinkage. Then statistical treatment was performed and the differences between the groups were compared. Results:The gallbladder volume carries on the comparison the acupuncture around, and there are significant differences in every group of the three ones (P<0.05). Regarding to the gallbladder contraction rate, there is no significant differences between acupuncturing the both sides Yanglingquan Point and left or right Yanglingquan Point (P>0.05), there is also no significant difference between acupuncturing left Yanglingquan Point and right Yanglingquan Point (P>0.05). Conclusion:Acupuncture left, right or both sides Yanglingquan point all may affect the chronic cholecystitus patient's gallbladder contraction function, and there are no significant differences between the three groups. The conclusion indicates that acupuncturing one-sided Yanglingquan point has the same therapeutic effects to acupuncturing the two-sided ones in clinical practice.
方法：选择慢性胆囊炎或胆石症患者99例,随机分为左侧阳陵泉、右侧阳陵泉和双侧阳陵泉穴三组,每组各33例。针刺前在B超下测定胆囊容积,然后分别针刺相应穴位,得气后接电针,疏密波,留针30min后起针,于起针后10min再测定胆囊容积,根据胆囊容积求得胆囊收缩率,进行统计学处理,比较各组间差异。
结果：针刺前后胆囊容积比较,三组均有显著性差异(P<0.05)。胆囊收缩率比较,双侧阳陵泉穴组分别与左、右侧阳陵泉穴组之间均无显著性差异(P>0.05)；左、右侧阳陵泉穴组之间亦无显著性差异(P>0.05)。
结论：分别针刺左、右侧阳陵泉穴和同时针刺双侧阳陵泉穴皆可影响慢性胆囊炎患者的胆囊收缩功能,左、右及双侧阳陵泉穴间对胆囊收缩率均无显著性差异。提示临床取单侧穴位与取双侧穴位具有相同的治疗作用。
Objective:To provide experimental bases of optimizing point in acupuncture clinical practice by means of electroacupuncturing one side and both sides of Yanglingquan Point under B-ultrasound. Method:99 cases of chronic cholecystitus or cholelithiasis were randomly divided into left Yanglingquan Point group, right Yanglingquan Point group and both sides Yanglingquan Point group. There were 33 cases in one group. The gallbladder volume was both measured under B-ultrasound before and after the acupuncturing which was performed with dilatational wave for twenty minutes, and comparing the gallbladder shrinkage. Then statistical treatment was performed and the differences between the groups were compared. Results:The gallbladder volume carries on the comparison the acupuncture around, and there are significant differences in every group of the three ones (P<0.05). Regarding to the gallbladder contraction rate, there is no significant differences between acupuncturing the both sides Yanglingquan Point and left or right Yanglingquan Point (P>0.05), there is also no significant difference between acupuncturing left Yanglingquan Point and right Yanglingquan Point (P>0.05). Conclusion:Acupuncture left, right or both sides Yanglingquan point all may affect the chronic cholecystitus patient's gallbladder contraction function, and there are no significant differences between the three groups. The conclusion indicates that acupuncturing one-sided Yanglingquan point has the same therapeutic effects to acupuncturing the two-sided ones in clinical practice.
引文
[1]陈濒珠.实用内科学.人民卫生出版社,1998.
[2]郑筱萸.《中药新药治疗慢性胆囊炎的临床研究指导原则(2002年)》,中国医药科技出版社,2002年,281-285.
[3]沈雪勇.经络腧穴学.中国中医药出版社,2006.
[4]廖明松.胆结石患者胆囊排空功能的超声研究[J].中国超声医学杂志,1995,1(1)：699.
[5]庄勋,李立明.胆石症危险因素的流行病学研究[J].中华流行病学杂志,1999,20(3)：181.
[6]方兴,许晓峰.慢性胆囊炎与细菌L型.医师进修杂志,2001,24(3)：48-49.
[7]焦兴元,黄洁夫,吕明德,等.L型细菌的研究及其与胆囊病变的关系.中国现代普外科进展,2001,4(2)：71-74.
[8]王和,陈峥宏,余秀专.慢性胆囊炎与胆囊结石的细菌L型病因学研究.医学研究通讯,2002,33(4)：32-33.
[9]杨敏,尹军,杨汉新.慢性非结石性胆囊炎60例报告.成都医药,2003,29(5)：289-290.
[10]朱友根,周君富,杨金禄,等,一氧化氮等自由基与慢性胆囊炎伴结石的关系.中华肝胆外科杂志,2001,7(3)：164.
[11]刘黎霞,卢宁.慢性胆囊炎患者心理社会因素分析.预防医学情报,2001,17(2)：72,76.
[12]顾树南.胆道外科学.甘肃科学技术出版社,1994年10月.
[13]张朝佑.系统解剖学.人民卫生出版社,1992年7月.
[14]李忠仁.实验针灸学.中国中医药出版社,2003年7月第1版.
[15]陈树林,李育良.内关、心俞与心脏相关的神经基础[J].中国针灸,1996；16(12)：33-35.
[16]张茹华.电针阳陵泉穴对兔胆囊压力变化的影响[J].山东中医学院学报,1995；19(3)：197-198.
[17]刘玉群.电针足三里、阳陵泉对家兔胃胆运动及其相关脑肠肽影响的研究[J].湖南中医学院2003届博士毕业论文.
[1]贾福林,张海燕.针灸治疗胆囊炎87例临床观察[J].针灸临床杂志,2004,20(5)25-26.
[2]杜翠云,李研.针灸日月穴治疗慢性胆囊炎的临床观察[J].针灸临床杂志,2007,23(4)：35-36.
[3]王洪玲.电针治疗胆结石268例[J].上海针灸杂志,2004,23(7)：25.
[4]刘涛,刘臣,高鹏翔,等.“佐金平木法”治疗慢性胆囊炎临床研究[J].中国针灸,2005,25(12)：855-856.
[5]张仲前,孙霞.穴位注射治疗胆囊炎胆绞痛疗效观察[J].中国针灸,2002,22(5)：299-300.
[6]祝来友.电针取穴治疗胆石症胆囊炎临床报道[J].浙江中医学院学报,2000,24(6)： 59-60.
[7]胡宝生,王尚全,卢秀珍.耳穴治疗胆绞痛144例临床观察[J].中国针灸,1995,(2)：15-16.
[8]贾志义.耳穴贴压治疗慢性胆囊炎66例[J].中国民间疗法,2009,17(2)：12.
[9]高安泽.耳穴贴压治疗胆结石120例临床总结[J].中国针灸,1994,增刊：30-32
[10]刘桂珍,郑丽丽.耳穴贴压和胆宁片综合治疗胆囊疾病200例[J].上海针灸杂志,2001,10(5)： 12-13.
[11]石尚忠.耳体针治疗慢性胆囊炎疗效观察[J].中国针灸,1998,5(11)：651-651.
[12]沈麒根,黄德仙.针灸治疗胆囊炎100例疗效观察[J].JCAM.MAY,2003,19,(5)：14.
[13]张林昌,陈英红.B超直视下观察针刺耳穴贴压治疗胆囊炎疗效[J].中国针灸,2003,23(8)：455-456.
[14]周胜红.针刺配合大柴胡汤加减治疗慢性胆囊炎30例[J].中医杂志,2007,48(10)：9-10.
[15]李景义,魏秀兰,李桂芬.针药并用治疗慢性胆囊炎140例[J].上海针灸杂志,2003,22(4)：30-31.
[16]黄东源.健脾利胆汤配合针灸治疗慢性胆囊炎42例[J].中医药临床杂志,2005,17(5)：481.
[17]杨清杰,杨改丽.针药结合治疗胆石症的临床观察[J].针灸临床杂志,2008,24(6)：23-24.
[18]胡涛,田明.针药并用治疗慢性胆囊炎52例[J].上海针灸杂志,2005,24(3)：14-15.
[19]张庆宁,张庆光.脐针治疗慢性胆囊炎39例[J].中医外治杂志,2008,17(1)：36-37.
[20]李淑华.耳穴埋针法治疗胆囊炎35例[J].针灸临床杂志,2001,17(6)：11.
[21]孟昭奇.穴位埋线治疗慢性胆囊炎90例[J].中医外治杂志,2001,10(2)：23.
[22]张义梅.推按运经仪治疗急慢性胆囊炎104例.长春中医药大学学报,2007,23(6)：209.
[23]王宗江,李福臻.耳穴配合艾灸治疗慢性胆囊炎80例[J].中国针灸,2000,(8)：500.
[2]郑筱萸.《中药新药治疗慢性胆囊炎的临床研究指导原则(2002年)》,中国医药科技出版社,2002年,281-285.
[3]沈雪勇.经络腧穴学.中国中医药出版社,2006.
[4]廖明松.胆结石患者胆囊排空功能的超声研究[J].中国超声医学杂志,1995,1(1)：699.
[5]庄勋,李立明.胆石症危险因素的流行病学研究[J].中华流行病学杂志,1999,20(3)：181.
[6]方兴,许晓峰.慢性胆囊炎与细菌L型.医师进修杂志,2001,24(3)：48-49.
[7]焦兴元,黄洁夫,吕明德,等.L型细菌的研究及其与胆囊病变的关系.中国现代普外科进展,2001,4(2)：71-74.
[8]王和,陈峥宏,余秀专.慢性胆囊炎与胆囊结石的细菌L型病因学研究.医学研究通讯,2002,33(4)：32-33.
[9]杨敏,尹军,杨汉新.慢性非结石性胆囊炎60例报告.成都医药,2003,29(5)：289-290.
[10]朱友根,周君富,杨金禄,等,一氧化氮等自由基与慢性胆囊炎伴结石的关系.中华肝胆外科杂志,2001,7(3)：164.
[11]刘黎霞,卢宁.慢性胆囊炎患者心理社会因素分析.预防医学情报,2001,17(2)：72,76.
[12]顾树南.胆道外科学.甘肃科学技术出版社,1994年10月.
[13]张朝佑.系统解剖学.人民卫生出版社,1992年7月.
[14]李忠仁.实验针灸学.中国中医药出版社,2003年7月第1版.
[15]陈树林,李育良.内关、心俞与心脏相关的神经基础[J].中国针灸,1996；16(12)：33-35.
[16]张茹华.电针阳陵泉穴对兔胆囊压力变化的影响[J].山东中医学院学报,1995；19(3)：197-198.
[17]刘玉群.电针足三里、阳陵泉对家兔胃胆运动及其相关脑肠肽影响的研究[J].湖南中医学院2003届博士毕业论文.
[1]贾福林,张海燕.针灸治疗胆囊炎87例临床观察[J].针灸临床杂志,2004,20(5)25-26.
[2]杜翠云,李研.针灸日月穴治疗慢性胆囊炎的临床观察[J].针灸临床杂志,2007,23(4)：35-36.
[3]王洪玲.电针治疗胆结石268例[J].上海针灸杂志,2004,23(7)：25.
[4]刘涛,刘臣,高鹏翔,等.“佐金平木法”治疗慢性胆囊炎临床研究[J].中国针灸,2005,25(12)：855-856.
[5]张仲前,孙霞.穴位注射治疗胆囊炎胆绞痛疗效观察[J].中国针灸,2002,22(5)：299-300.
[6]祝来友.电针取穴治疗胆石症胆囊炎临床报道[J].浙江中医学院学报,2000,24(6)： 59-60.
[7]胡宝生,王尚全,卢秀珍.耳穴治疗胆绞痛144例临床观察[J].中国针灸,1995,(2)：15-16.
[8]贾志义.耳穴贴压治疗慢性胆囊炎66例[J].中国民间疗法,2009,17(2)：12.
[9]高安泽.耳穴贴压治疗胆结石120例临床总结[J].中国针灸,1994,增刊：30-32
[10]刘桂珍,郑丽丽.耳穴贴压和胆宁片综合治疗胆囊疾病200例[J].上海针灸杂志,2001,10(5)： 12-13.
[11]石尚忠.耳体针治疗慢性胆囊炎疗效观察[J].中国针灸,1998,5(11)：651-651.
[12]沈麒根,黄德仙.针灸治疗胆囊炎100例疗效观察[J].JCAM.MAY,2003,19,(5)：14.
[13]张林昌,陈英红.B超直视下观察针刺耳穴贴压治疗胆囊炎疗效[J].中国针灸,2003,23(8)：455-456.
[14]周胜红.针刺配合大柴胡汤加减治疗慢性胆囊炎30例[J].中医杂志,2007,48(10)：9-10.
[15]李景义,魏秀兰,李桂芬.针药并用治疗慢性胆囊炎140例[J].上海针灸杂志,2003,22(4)：30-31.
[16]黄东源.健脾利胆汤配合针灸治疗慢性胆囊炎42例[J].中医药临床杂志,2005,17(5)：481.
[17]杨清杰,杨改丽.针药结合治疗胆石症的临床观察[J].针灸临床杂志,2008,24(6)：23-24.
[18]胡涛,田明.针药并用治疗慢性胆囊炎52例[J].上海针灸杂志,2005,24(3)：14-15.
[19]张庆宁,张庆光.脐针治疗慢性胆囊炎39例[J].中医外治杂志,2008,17(1)：36-37.
[20]李淑华.耳穴埋针法治疗胆囊炎35例[J].针灸临床杂志,2001,17(6)：11.
[21]孟昭奇.穴位埋线治疗慢性胆囊炎90例[J].中医外治杂志,2001,10(2)：23.
[22]张义梅.推按运经仪治疗急慢性胆囊炎104例.长春中医药大学学报,2007,23(6)：209.
[23]王宗江,李福臻.耳穴配合艾灸治疗慢性胆囊炎80例[J].中国针灸,2000,(8)：500.