胆心综合征与冠心病患者穴位压痛阈值的比较观察

目的:测量胆心综合征与冠心病患者穴位压痛阈值,观察这两种相似疾病在穴位上的不同体现,寻求两者间具有统计学意义的差异,希望对临床鉴别诊断两病有所帮助。方法:测量胆心综合征患者组30例,冠心病患者组30例和健康志愿者30例10个相关穴位的压痛阈值。结果:与健康组比较,胆心综合征组与胆相关穴位压痛阈值下降明显,差异有统计学意义(P0.01),与心相关穴位其差异则无统计学意义(P0.05);冠心病组与心相关穴位压痛阈值下降明显,差异有统计学意义(P0.05),与胆相关穴位则无统计学差异(P0.05)。胆心综合征组与冠心病组比较,与心相关穴位压痛阈值,胆心综合征组高于冠心病组,差异有统计学意义(P0.01);与胆相关穴位压痛阈值,胆心综合征组低于冠心病组,差异有统计学意义(P0.01);结论:证明了两病在穴位压痛阈值上存在差异,胆心综合征患者与胆相关穴组出现痛觉敏感,冠心病患者与心相关穴组出现痛觉敏感,此规律可用于辅助临床鉴别诊断胆心综合征与冠心病。

Observation on the Pressure Pain Threshold of Patients with Chole-heart Syndrome and Coronary Heart Disease

Objective：To measure and observe pressure pain threshold in patients with chole-heart syndrome and coronary heart disease, and to find the relationship and differences between them so as to contribute to the clinical differential diagnosis of the two diseases. Methods：Pressure pain threshold of 10 relevant acupuncture points were measured on 30 patients with chole-heart syndrome,30 pa-tients with coronary heart disease and 30 healthy people.Results：Compared with the healthy group,the pressure pain threshold of acu-puncture points related to gallbladder in chole-heart syndrome patients decreased significantly,and the difference was statistically signifi-cant（P〈0.01）,while the difference of acupuncture points related to heart between the two groups was not significantly different（P〉0.05 ）.Compared with the healthy group,the pressure pain threshold of acupuncture points related to heart in coronary heart disease pa-tients decreased significantly,and the difference was statistically significant（P〈0.05 ）,while the difference of acupuncture points relat-ed to gallbladder between the two groups was not significantly different （P〉0.05 ）.Comparing chole-heart syndrome patients with coro-nary heart disease patients,pressure pain threshold of acupuncture points related to heart in chole-heart syndrome patients was higher, and the difference was statistically significant （P〈0.01）;pressure pain threshold of acupuncture points related to gallbladder in chole-heart syndrome patients was lower,and the difference was statistically significant （P〈0.01 ）.Conclusion：The study has proved the existence of differences in the two diseases in terms of their pressure pain threshold of related acupuncture points.The chole-heart syn-drome patients appear hyperalgesia phenomenon in their acupuncture points related to gallbladder,and the patients with coronary heart disease appear hyperalgesia phenomenon in their acupuncture points related to heart.