| 引用本文:赵朋娜1，古菲菲1，李朝政2，王燕平3，宋晓晶4，张维波4.健康人十二经原穴经皮二氧化碳释放率失衡度的初步观察[J].世界中医药,2022,(18):. |
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| 健康人十二经原穴经皮二氧化碳释放率失衡度的初步观察 |
| Preliminary Observation on Imbalance Degree of Transcutaneous CO2 Emission Rate from Source Points of Twelve Meridians in Healthy People |
| 投稿时间：2021-04-29 |
| DOI：10.3969/j.issn.1673-7202.2022.18.020 |
| 中文关键词: 经皮二氧化碳释放率 失衡度 十二经 原穴 健康人 |
| English Keywords:Transcutaneous CO2 emission rate Imbalance degree Twelve meridians Source point Healthy people |
| 基金项目:中央级公益性科研院所基本科研业务费专项（ZZ202017008）；新奥集团资助项目（20200009） |
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| 中文摘要: |
| 目的：测算健康人十二经原穴经皮二氧化碳释放率（TCER）及其左右失衡度（IBD-LRM）、表里失衡度(IBD-EIM）、手足失衡度（IBD-HFM），为经络诊断奠定基础。方法：使用激光多普勒及经皮氧分压监测仪测量30例健康受试者十二经原穴的经皮二氧化碳分压曲线，用MATLAB程序对该曲线最小值之后的一段线性曲线进行最小二乘法线性拟合，以拟合直线的斜率作为TCER，再分别计算3种失衡度IBD-LRM、IBD-EIM和IBD-HFM及失衡度绝对值。结果：1）十二经TCER IBD-LRM均值为（-0.71±8.00）%，左右侧TCER分别为（2.21±0.56）和（2.24±0.59）mm Hg（1 mm Hg=0.133 kPa）/s，差异无统计学意义（P>0.05）；IBD-LRM绝对值在（14.04±9.66）%至（40.63±23.36）%之间，均值为（25.86±6.40）%。2）IBD-EIM均值为（-6.18±14.35）%，表里经TCER均值分别为（2.18±0.61）和（2.27±0.59）mm Hg/s，差异无统计学意义（P>0.05）；IBD-EIM绝对值在（20.26±14.82）%至（58.37±20.19）%之间，均值为（38.50±8.64）%。3）IBD-HFM均值为（13.63±16.93）%；手足同名经的TCER均值分别为（2.35±0.63）mm Hg/s和（2.10±0.64）mm Hg/s，手经显著高于足经（P<0.05）；IBD-HFM绝对值在（26.68±20.69）%到（56.55±18.29）%之间，均值为（41.12±7.19）%。结论：健康人十二经原穴左右侧的TCER十分接近，表里经之间也比较接近，但手经高于足经；TCER的左右失衡度较小，表里失衡度和左右失衡度较大。 |
| English Summary: |
| To lay a foundation for meridian diagnosis by measuring and calculating transcutaneous carbon dioxide(CO2) emission rate(TCER) and evaluating the imbalance degree of left-right meridians(IBD-LRM),the imbalance degree of exterior-interior meridians(IBD-EIM),and the imbalance degree of hand-foot meridians(IBD-HFM) in healthy people.Methods:A transcutaneous CO2 partial pressure curve at the source points of twelve meridians were measured on 30 healthy volunteers by PeriFlux Laser Doppler tcpO2/tcpCO2 System.A section of the linear curve after the minimum underwent the least square fitting with MATLAB,and the slope of the fitted curve was taken as TCER.Then,IBD-LRM,IBD-EIM,IBD-HFM and their absolute values were calculated.Results:1) The mean values of TCER in the left and right meridians were(2.21±0.56) and(2.24±0.59) mmHg/s,respectively,which showed no significant difference(P>0.05),and the mean IBD-LRM was(0.71±8.00)%.The absolute value of IBD-LRM ranged from(14.04±9.66)% to(40.63±23.36)%,with the mean of(25.86±6.40)%. 2) The mean values of TCER in the exterior and interior meridians were(2.18±0.61) and(2.27±0.59) mmHg/s,respectively,which had no statistical difference(P>0.05),and the mean IBD-EIM was(6.18±14.35)%.The absolute value of IBD-EIM ranged from(20.26±14.82)% to(58.37±20.19)%,with the mean of(38.50±8.64)%. 3) The mean values of TCER in the hand and foot meridians were(2.35±0.63) and(2.10±0.64) mmHg/s,respectively,which was higher in hand meridians than in foot meridians(P<0.05).The mean IBD-HFM was(13.63±16.93)%.The absolute value of IBD-HFM ranged from(26.68±20.69)% to(56.55±18.29)%,with the mean of(41.12±7.19)%.Conclusion:The mean TCERs from the source points are close between left and right meridians as well as between exterior and interior meridians,while they are higher in the hand meridians than in the foot meridians.The absolute value of IBD-LFM is low,while those of IBD-EIM and IBD-HFM are high in healthy people. |
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