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宫腔镜检查前后的耳部穴位探测:能否在外耳上阐明子宫的表现?

Ear acupoint detection before and after hysteroscopy: is it possible to clarify the representation of the uterus on the outer ear?

机构信息

Department of Gynaecology and Obstetrics, University of Turin, Turin I-10137, Italy.

出版信息

Acupunct Med. 2010 Dec;28(4):169-73. doi: 10.1136/aim.2009.002196. Epub 2010 Oct 5.

DOI:10.1136/aim.2009.002196
PMID:20923940
Abstract

BACKGROUND

In the auricular maps introduced over the past 50 years by the French and Chinese schools, most organs and systems overlap consistently. One exception is the reproductive system, which shows a markedly different somatotopic representation-for example, for the uterus and the ovary.

OBJECTIVE

To identify the distribution of points with increased tenderness to pressure or with reduced electrical resistance, on the outer ear of a group of women undergoing hysteroscopy.

METHODS

For diagnostic purposes the auricles of 78 women were examined before and after hysteroscopy using a pain-pressure test and electrical skin resistance test. The points identified were transcribed onto a graphic system called Sectogram. Spatial cluster analysis was used to identify the statistically significant clusters of sectors with a higher concentration of points appearing after hysteroscopy.

RESULTS

The points identified after hysteroscopy tend to be concentrated in specific areas not previously recognised and which only partially overlap with the French and Chinese representation of the uterus.

CONCLUSION

When auricular acupuncture is applied to reduce discomfort during hysteroscopy, particular attention must be paid when choosing the points/areas to be stimulated, which are not only those indicated in the Chinese or French maps.

摘要

背景

在过去 50 年中,法中两国学校分别提出了耳部图谱,这些图谱中的大多数器官和系统都存在一致的重叠现象。但有一个例外,即生殖系统,其躯体定位存在明显不同——例如,子宫和卵巢。

目的

确定一组接受宫腔镜检查的女性外耳上压痛或电阻降低点的分布。

方法

为了诊断目的,对 78 名女性的耳廓在宫腔镜检查前后进行了疼痛压痛试验和皮肤电阻试验。将确定的点转录到 Sectogram 图形系统中。使用空间聚类分析来识别在宫腔镜检查后出现的、具有更高浓度点的统计显著的扇区簇。

结果

宫腔镜检查后确定的点倾向于集中在特定区域,这些区域以前未被识别,且仅部分与子宫的中法代表重叠。

结论

当应用耳针来减轻宫腔镜检查时的不适时,在选择要刺激的点/区域时必须特别注意,这些点/区域不仅限于中国或法国地图上所指示的那些。

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Ear acupoint detection before and after hysteroscopy: is it possible to clarify the representation of the uterus on the outer ear?宫腔镜检查前后的耳部穴位探测:能否在外耳上阐明子宫的表现?
Acupunct Med. 2010 Dec;28(4):169-73. doi: 10.1136/aim.2009.002196. Epub 2010 Oct 5.
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