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健康志愿者与原发性痛经患者月经期间穴位皮肤温度反应的对比研究。

Comparative study on skin temperature response to menstruation at acupuncture points in healthy volunteers and primary dysmenorrhea patients.

作者信息

She Yanfen, Ma Liangxiao, Zhu Jiang, Qi Conghui, Wang Yanxia, Tang Ling, Li Chunhua, Yuan Hongwen, Liu Yuqi, Song Jiashan

出版信息

J Tradit Chin Med. 2017 Apr;37(2):220-8. doi: 10.1016/s0254-6272(17)30048-1.

Abstract

OBJECTIVE

To assess skin temperature response to menstruation at acupuncture points in primary dysmenorrhea (PD) patients and healthy volunteers so as to explore acupuncture point specificity in reflecting diseases in the light of skin temperature.

METHODS

Fifty-two PD patients and 49 healthy volunteers were recruited. Skin temperature measurements were performed with a skin temperature assessment device at 10 points. Absolute difference between skin temperature of the same point on the left and right side is used as main outcome measure.

RESULTS

On the first day of menstruation, when menstrual pain attacking in PD patients, a significant increase in skin temperature difference was detected at Taixi (KI 3) compared with the healthy group (P < 0.01). A significant reduction in skin temperature difference was detected at Taixi (KI 3) in the first day of menstruation compared with those values in the third day after menstruation (P < 0.01) in the healthy group. On the third day after menstruation, a significant reduction in skin temperature difference was found at Zhongdu (LR 6) in PD group compared with the healthy group (P < 0.05). No significant differences of skin temperature were detected at other points (P > 0.05).

CONCLUSION

The skin temperature difference at menstruation-relevant points in PD patients did not all change significantly more than those in women without PD. Significant difference was only found in Taixi (KI 3), the Yuan-source point of Kidney meridian.

摘要

目的

评估原发性痛经(PD)患者和健康志愿者月经期间穴位处的皮肤温度反应,以便从皮肤温度角度探索穴位反映疾病的特异性。

方法

招募52例PD患者和49名健康志愿者。使用皮肤温度评估设备在10个穴位测量皮肤温度。以左右两侧同一点皮肤温度的绝对差值作为主要观察指标。

结果

月经第一天,PD患者痛经发作时,与健康组相比,太溪穴(KI 3)皮肤温度差值显著升高(P<0.01)。健康组月经第一天太溪穴(KI 3)皮肤温度差值与月经后第三天相比显著降低(P<0.01)。月经后第三天,与健康组相比,PD组中都穴(LR 6)皮肤温度差值显著降低(P<0.05)。其他穴位未检测到皮肤温度的显著差异(P>0.05)。

结论

PD患者与月经相关穴位的皮肤温度差值并非都比非PD女性有更显著变化。仅在肾经原穴太溪穴(KI 3)发现显著差异。

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