【摘要】：目的:對受試者針刺其陽陵泉穴、經(jīng)脈非穴、非經(jīng)非穴進(jìn)行針刺;通過分析循經(jīng)感傳強(qiáng)度與末梢血流灌注量的相關(guān)性,探討循經(jīng)感傳效應(yīng)的科學(xué)性以及影響因素。材料與方法:(1)通過發(fā)布招募廣告招募受試者,通過篩選募集到符合納入標(biāo)準(zhǔn)的受試者共計53名作為研究對象。(2)分別在受試者的“陽陵泉”穴、經(jīng)脈非穴、非經(jīng)非穴進(jìn)行針刺,不同位置針刺時須間隔48小時。針刺操作均由具有多年臨床經(jīng)驗的同一位醫(yī)生進(jìn)行。進(jìn)針后行針,出現(xiàn)得氣現(xiàn)象后,繼續(xù)行針60秒。讓受試者在之前拍好的照片中實時指出感傳情況,包括范圍或感傳距離的變化,并做好記錄。(3)利用moor FLPI-2激光散斑血流成像系統(tǒng),采集受試者足竅陰、俠溪、足臨泣、丘墟穴的皮膚血流灌注情況,并通過專業(yè)分析軟件moor FLPI-2 Review V4.0根據(jù)所需要選取自定區(qū)域-ROI內(nèi)的平均血流值進(jìn)行分析。(4)數(shù)據(jù)采用數(shù)學(xué)方法,SPSS17.0軟件進(jìn)行統(tǒng)計分析,所有結(jié)果采用均值±標(biāo)準(zhǔn)差(X±S)表示方法進(jìn)行表達(dá),采用方差分析方法進(jìn)行整體評價,循經(jīng)感傳的量化采用秩和檢驗,P0.05表示為具有顯著性差異。結(jié)果:1.疾病組與健康組針刺陽陵泉穴時,循經(jīng)感傳的激發(fā)程度均要優(yōu)于經(jīng)脈非穴組,具有統(tǒng)計學(xué)意義P0.05;疾病組針刺陽陵泉穴時Ⅱ、Ⅲ級感傳的發(fā)生率相同為45%,健康組Ⅲ級發(fā)生率較高為50%,疾病組與健康組針刺經(jīng)脈非穴時Ⅱ級感傳的發(fā)生率均較高分別為60%、50%。2.針刺陽陵泉穴,全部受試者的足竅陰穴的感傳強(qiáng)度與血流灌注量的變化呈正相關(guān)性,相關(guān)系數(shù)為P0.05。疾病組感傳強(qiáng)度與觀測穴位出針后血流灌注量無明顯相關(guān)性P0.05;健康組感傳強(qiáng)度與觀測穴位中的足竅陰穴、丘墟穴的出針后血流灌注量呈正相關(guān)性P0.05。針刺經(jīng)脈非穴時,全部受試者的觀測穴位感傳強(qiáng)度與血流變化無明顯相關(guān)性,相關(guān)系數(shù)為P0.05。針刺經(jīng)脈非穴,疾病組與健康組感傳強(qiáng)度均與出針后血流灌注量無明顯相關(guān)性P0.05。3.針刺陽陵泉穴,疾病組的低、高感傳出針后觀測穴位血流灌注量,不具有統(tǒng)計學(xué)意義P0.05;健康組的低、高感傳出針后觀測穴位足竅陰穴與丘墟穴血流灌注量,具有統(tǒng)計學(xué)意義P0.05。針刺經(jīng)脈非穴,疾病組與健康組的低、高感傳出針后觀測穴位血流灌注量均不具有統(tǒng)計學(xué)意義P0.05。結(jié)論:1.針刺陽陵泉穴對肢體遠(yuǎn)端血流灌注量具有調(diào)節(jié)效應(yīng),并受循經(jīng)感傳激發(fā)程度影響,且體現(xiàn)了經(jīng)穴特異性。2.針刺陽陵泉循經(jīng)感傳激發(fā)程度受臟腑功能狀態(tài)的影響。
[Abstract]:Objective: to acupuncture the acupoints of Yanglingquan, non-meridian and non-meridian, and to explore the scientific nature and influencing factors of the sensory transmission along meridian by analyzing the correlation between the intensity of sensory transmission along the meridian and the blood perfusion at the end of the meridian. Materials and methods: (1) recruitment advertisements were published to recruit subjects, and 53 subjects who met the inclusion criteria were recruited. (2) Acupuncture was performed on "Yanglingquan" point, non-meridian point, and non-meridian point, respectively, in the subjects'"Yanglingquan" point, non-meridian point and non-meridian point. There should be an interval of 48 hours between acupuncture at different positions. Acupuncture operations were performed by the same doctor with many years of clinical experience. Enter the needle after the needle, after the appearance of Qi phenomenon, continue to needle 60 seconds. The subjects were asked to record the changes of the range or range in the photos they had taken in real time. (3) using the moor FLPI-2 laser speckle imaging system, the subjects' feet were collected. The skin blood perfusion of Qiu Hui acupoint was analyzed by the professional analysis software moor FLPI-2 Review V4.0. (4) the data were analyzed by mathematical method and the SPSS17.0 software was used to analyze the mean blood flow value in ROI. All the results were expressed by the mean 鹵standard deviation (X 鹵S) method, the analysis of variance method was used to evaluate the whole body, and the rank sum test was used to quantify the transmission along the meridian, which was expressed as significant difference (P0.05). The result is 1: 1. The stimulating degree of sensory transmission along meridian was better in disease group and healthy group than that in non-acupoint group (P0.05), and in disease group 鈪，

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