本文選題：腰椎間盤突出癥 + 熱敏腧穴�。� 參考：《中華中醫(yī)藥雜志》2017年09期

【摘要】：目的:觀察腰椎間盤突出癥患者熱敏態(tài)腧穴溫度覺閾值特征,為臨床溫控激發(fā)優(yōu)化參數(shù)的選擇、辨敏選穴提供科學(xué)依據(jù)。方法:納入腰椎間盤突出癥患者40例,采用溫度覺定量測定技術(shù),分別檢測患者腰陽關(guān)穴、腰俞穴、關(guān)元俞穴的熱覺閾、熱痛閾、熱耐痛閾值,根據(jù)每個腧穴是否出現(xiàn)熱敏灸感分為熱敏組和非熱敏組,比較其溫度覺閾值差異;并在此基礎(chǔ)上,對熱敏態(tài)關(guān)元俞穴給予42℃進行溫控激發(fā),觀察熱敏灸感的差異。結(jié)果:腰陽關(guān)穴、腰俞穴、關(guān)元俞穴熱敏組熱覺閾值、熱痛閾值和熱耐痛閾值分別顯著高于同一穴位非熱敏組(P0.01)。與熱敏態(tài)關(guān)元俞穴激發(fā)溫度為40℃時比較,42℃時灸感強度更強、效應(yīng)期時間更長、潛伏期時間更短(P0.01,P0.05)。結(jié)論:腰椎間盤突出癥患者熱敏態(tài)腧穴與非熱敏態(tài)腧穴具有不同溫度覺閾值特征,熱敏態(tài)腧穴熱覺閾、熱痛閾、熱耐痛閾值均高于非熱敏態(tài)腧穴;不同的激發(fā)溫度,熱敏灸感出現(xiàn)的灸感強度、潛伏期、效應(yīng)期時間不同,42℃為臨床較佳激發(fā)溫度。
[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，

本文編號：1802038