针刺得气与不同机体状态下风池穴压痛阈关系的探究

目的:客观评价针刺得气与不同机体状态下受试者风池穴压痛阈值的关系。方法:选取2017年9月至2017年11月期间成都中医药大学附属医院针灸科门诊和住院纳入的符合纳入和排除标准的入受试者60例,其中健康者30例,颈痛患者30例。根据受试者的入组的先后顺序由同一名针灸医师进行一次针灸治疗,并进行针刺得气感的评价。运用SLY-HFM手持式测痛仪在受试者接受针刺治疗前对受试者的颈部风池穴的压痛阈值进行测量。结果:颈痛患者的风池穴压痛阈值比健康受试者风池穴压痛阈值低,差异有统计学意义(P0.05)。健康组受试者风池穴压痛阈存在性别差异,女性压痛阈值更低(P0.05)。患者得气感痛感存在性别差异,女性更容易出现痛感(P0.05)。结论:机体不同状态疾病特异性腧穴压痛阈值不同,以患者压痛阈值更低;患者得气感痛感及压痛阈值存在性别差异,两者之间并无相关性。

Study on the Relationship Between Arrival of Qi and Pressure Pain Threshold on Fengchi (GB 20) under Different Body Conditions

To evaluate the relationship between arrival of qi and pressure pain threshold (PPT) on Fengchi (GB 20) under different body conditions. Methods:A total of 60 subjects in our hospital from September 2017 to November 2017 were enrolled according to the inclusion and exclusion criteria, of whom 30 were healthy people and 30 were neck pain patients. All the subjects according to the enrolled order accepted one acupuncture treatment by the same acupuncturist and completed the arrival of qi evaluation. The PPT on Fengchi (GB 20) of the subjects was measured prior to the acupuncture treatment by using a SLY-HFM hand-held pain measuring instrument. Results:The PPT on Fengchi (GB 20) in patient with neck pain was lower than that in healthy people (P<0.05). There were gender differences in pressure pain threshold on Fengchi (GB 20) in the health group, and the pressure pain threshold of female was lower than male (P<0.05). There were gender differences in the pain feeling in arrival of qi in the neck pain patients, and the female were more likely to suffer from pains (P<0.05). Conclusion:Different body conditions present different PPT on specific acupoint, which the PPT of patients was lower. There were gender differences on patients'' pains and the PPT, but there was no correlation between pains and the PPT.