摘要
目的通过检测颈型颈椎病患者位于督脉和膀胱经颈、背段穴位/部位的压痛阈并与自身及健康受试者对比,定位与之相关的压痛敏化穴位。方法采用数显机械压力测痛仪分别对颈型颈椎病患者35例和健康受试者30名的督脉和膀胱经颈、背段循行路线上的穴位/部位进行压痛阈测定,通过与自身非敏化部位、健康组相应部位的对比来确定压痛敏化穴位。结果与颈型颈椎病相关的压痛敏化穴位/部位的定位分别为膀胱经颈段第二侧线的C1~C5棘突下水平位置、第一侧线的C3~C5棘突下水平位置和督脉颈段的C3棘突下水平位置;精选最优与次优的敏化穴位/部位分别为膀胱经颈段第一、二侧线的C3和C4棘突下水平和督脉颈段的C3棘突下水平位置。督脉和膀胱经背段未探及压痛敏化穴位/部位。结论颈型颈椎病患者督脉和膀胱经颈项段存在与之相关的压痛敏化穴位/部位,其定位可为针灸临床治疗颈型颈椎病精确取穴提供参考。
Objective To locate the relevant tenderness sensitization acupoints/locations by detecting the tenderness threshold of acupoint/locations located in cervical and dorsal segments of the governor vein and bladder meridian of patients with cervical spondylosis and comparing with themselves control point and healthy subjects.Methods A digital display mechanical pressure pain meter was used to determine the tenderness threshold of 35 patients with cervical spondylosis and 30 healthy subjects at the acupoints/locations along the cervical and dorsal routes of the governor vein and bladder.The acupoints of tenderness sensitization were determined by comparing with their own non-sensitized parts and the corresponding parts in the healthy group.Results The location of the acupoints/locations associated with cervical spondylopathy were C1~C5 subspinous process of the second lateral line of the bladder,C3~C5 subspinous process of the first lateral line,and C3 subspinous process of the cervical segment of the governor vein,respectively;The optimal and suboptimal sensitizing acupoints/locations were subspinous process of C3 and C4 in the first and second lateral lines of the cervical segment of the bladder and subspinous process of C3 in the cervical segment of the governor vein,respectively.No tenderness sensitive acupoints/locations were detected in the governor vein and bladder meridian on the back.Conclusion In patients with cervical spondylotic disease,there are tenderness sensitive acupoints/locations related to the governor vein and bladder meridian in the neck.Its location can provide reference for precise acupoint selection in clinical treatment of cervical spondylosis.
作者
杨广印
杨素音
罗来
刘淑如
叶笑然
周丽莉
兰彩莲
YANG Guangyin;YANG Suyin;LUO Lai;LIU Shuru;YE Xiaoran;ZHOU Lili;LAN Cailian(Fujian Academy of Chinese Medical Sciences,Fuzhou 350003,China)
出处
《云南中医药大学学报》
2023年第3期52-57,共6页
Journal of Yunnan University of Chinese Medicine
基金
福建省自然科学基金(2020J01722)
福建省经络感传重点实验室项目。
关键词
颈型颈椎病
压痛阈
压力测痛
穴位敏化
cervical spondylosis
tenderness threshold
pressure measuring pain
acupoint sensitization
