本文選題：腰痛　切入點(diǎn)：十二井穴　出處：《北京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：測(cè)定慢性腰痛人群與無(wú)腰痛人群十二井穴的溫度并將兩組人群溫差值進(jìn)行比較,從而發(fā)現(xiàn)慢性腰痛患者穴位溫度變化規(guī)律的特異性,探討慢性腰痛患者穴位溫度失衡經(jīng)脈與中醫(yī)經(jīng)絡(luò)辨證的關(guān)系,為針灸的經(jīng)絡(luò)辨證提供客觀依據(jù),進(jìn)一步揭示穴位溫度測(cè)量在經(jīng)絡(luò)辨證中的應(yīng)用價(jià)值。方法：采用AZ8852熱電偶溫度計(jì)測(cè)量符合納入標(biāo)準(zhǔn)的93例慢性腰痛患者及79例無(wú)腰痛受試者雙側(cè)十二井穴及后溪的溫度,計(jì)算雙側(cè)同名穴位溫度差值及溫差值陽(yáng)性率。采用SPSS20.0軟件進(jìn)行數(shù)據(jù)統(tǒng)計(jì)分析,判斷慢性腰痛患者溫差值與無(wú)腰痛患者溫差值是否存在差異,觀察存在差異的經(jīng)穴有哪些特點(diǎn),從而推斷穴位溫度測(cè)量在臨床應(yīng)用中是否存在價(jià)值。研究結(jié)果：(1)觀察組溫差值統(tǒng)計(jì)結(jié)果：慢性腰痛患者各穴位溫差值分布呈現(xiàn)出部分穴位溫差較高的特點(diǎn)；溫差值的均值與中值結(jié)果一致,最大的四個(gè)穴位依次為足竅陰、至陰、涌泉、厲兌,均值與中值均≥0.5℃,其余穴位溫度的均值及中值均在0.5℃以下。(2)對(duì)照組溫差值統(tǒng)計(jì)結(jié)果：各穴位溫差值中值相近,且均≤0.5℃。(3)觀察組與對(duì)照組各穴位溫差值進(jìn)行(非正態(tài)分布)秩和檢驗(yàn),結(jié)果為：足竅陰,少?zèng)_溫差值在兩組間差異具有統(tǒng)計(jì)學(xué)意義。足竅陰表現(xiàn)為觀察組溫差值大于對(duì)照組,而少?zèng)_則為對(duì)照組大于觀察組。(4)觀察組溫差值陽(yáng)性率最高的穴位依次是：足竅陰、至陰、厲兌、涌泉；觀察組與對(duì)照組受試者穴位溫差陽(yáng)性率對(duì)比,兩組之間差異最大的依次是足竅陰、厲兌、少?zèng)_、至陰。其中足竅陰、厲兌、少?zèng)_溫差陽(yáng)性率組間具有顯著性差異。觀察組足竅陰、厲兌陽(yáng)性率高于對(duì)照組,而少?zèng)_的陽(yáng)性率低于對(duì)照組。(5)將觀察組中腰椎間盤(pán)突出癥患者與腰肌勞損患者溫差值及陽(yáng)性率進(jìn)行對(duì)比分析,其中商陽(yáng)溫差值及陽(yáng)性率在兩組之間具有顯著性差異(p0.05),腰椎間盤(pán)突出癥患者高于腰肌勞損。厲兌、足竅陰、至陰、涌泉、少?zèng)_差異較小(p0.05)。(6)對(duì)照組內(nèi)健康人群穴位溫差值統(tǒng)計(jì)結(jié)果：健康人群溫差值中值均不超過(guò)0.5℃,;各穴位溫差陽(yáng)性率最高為44%(中沖、大敦、至陰),最低為16%(商陽(yáng))。(7)對(duì)照組內(nèi)有不適癥狀與健康人群溫差陽(yáng)性率對(duì)比：涌泉具有顯著性差異,有不適癥狀人群高于健康人群。結(jié)論：(1)慢性腰痛患者可以反應(yīng)在膽經(jīng)、膀胱經(jīng)、腎經(jīng)、胃經(jīng)井穴溫差值的升高。其中膽經(jīng)、胃經(jīng)井穴溫度上的改變較無(wú)腰痛對(duì)照組具有顯著性差異。慢性腰痛患者膽經(jīng)、胃經(jīng)井穴溫差陽(yáng)性率高于無(wú)腰痛人群。(2)腰肌勞損與腰椎間盤(pán)突出癥均可表現(xiàn)為膽經(jīng)、膀胱經(jīng)、腎經(jīng)、胃經(jīng)井穴溫度上的改變,組間無(wú)顯著性差異。腰椎間盤(pán)突出癥大腸經(jīng)井穴溫差值及陽(yáng)性率均顯著高于腰肌勞損患者。(3)井穴溫度失衡與經(jīng)絡(luò)辨證存在著相關(guān)性。
[Abstract]:Objective: to determine the temperature of 12 well points in patients with chronic low back pain and those without low back pain, and to compare the temperature difference between the two groups, so as to find out the specificity of the change of temperature at acupoints in patients with chronic low back pain. To explore the relationship between the temperature imbalance of acupoints in patients with chronic low back pain and the differentiation of meridians and collaterals of traditional Chinese medicine, and to provide an objective basis for differentiation of meridians and collaterals of acupuncture and moxibustion. Methods: AZ8852 thermocouple thermometer was used to measure the temperature of 12 wells and Houxi in 93 patients with chronic low back pain and 79 subjects without low back pain. To calculate the temperature difference and the positive rate of temperature difference at the points of the same name on both sides. The data were statistically analyzed by SPSS20.0 software to determine whether there was a difference between the temperature difference of patients with chronic low back pain and that of patients without low back pain, and to observe the characteristics of different meridian points. It is concluded that there is a value of point temperature measurement in clinical application. The results of the study are as follows: the distribution of temperature difference at each point in patients with chronic low back pain shows the characteristics of higher temperature difference at some points; The mean value of temperature difference is consistent with that of median value. The largest four acupoints are in order: foot orifices Yin, Yin to Yin, Yongquan, strict, mean value and median value 鈮，

本文編號(hào)：1685882