胆心综合征与冠心病患者穴位压痛阈值的比较观察
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国家级大学生创新性实验计划项目(编号:201210026070)


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

    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(P<0.01),与心相关穴位其差异则无统计学意义(P>0.05);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(P<0.05),与胆相关穴位则无统计学差异(P>0.05)。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(P<0.01);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(P<0.01);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。

    Abstract:

    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 patients with coronary heart disease and 30 healthy people. Results: Compared with the healthy group, the pressure pain threshold of acupuncture points related to gallbladder in chole-heart syndrome patients decreased significantly, and the difference was statistically significant(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 patients decreased significantly, and the difference was statistically significant(P<0.05), while the difference of acupuncture points related to gallbladder between the two groups was not significantly different (P>0.05). Comparing chole-heart syndrome patients with coronary 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 syndrome 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.

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王诗惠 龙 杞 刘清国.胆心综合征与冠心病患者穴位压痛阈值的比较观察[J].世界中医药,2014,9(08).

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  • 收稿日期:2014-03-20
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  • 在线发布日期: 2014-08-25
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