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原发性痛经患者敏化穴的红外热成像分析。

An infrared thermographic analysis of the sensitization acupoints of women with primary dysmenorrhea.

机构信息

Graduate School, Hebei University of Chinese Medicine, Shijiazhuang 050091, China.

Depeartment of TCM Pediatric, Shijiazhuang Maternity and Child Healthcare Hospital, Shijiazhuang 050051, China.

出版信息

J Tradit Chin Med. 2022 Oct;42(5):825-832. doi: 10.19852/j.cnki.jtcm.20220707.004.

DOI:10.19852/j.cnki.jtcm.20220707.004
PMID:36083492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9924691/
Abstract

OBJECTIVE

To explore the sensitization acupoints of women with primary dysmenorrhea (PD) by comparing infrared radiation temperatures between acupoints and non-acupoints.

METHODS

We tested 10 acupoints of every woman with PD and healthy subjects on premenstrual, menstrual, and postmenstrual days using an infrared imaging device. The primary outcome was the absolute value of body surface temperature difference (AVTD) between the left and right sides of the same testing point.

RESULTS

A total of 58 PD patients and 57 healthy volunteers completed the test from May 2016 to May 2017. Compared with the healthy group, we observed a significant reduction and increase in the AVTD in Taichong (LR3) and Sanyinjiao (SP6), respectively, during menstrual days in the PD group (= 0.01; = 0.04); while during postmenstrual days, all AVTDs of Shuiquan (KI5), Diji (SP8), and Xuehai (SP10) were diminished in the PD group (= 0.01; = 0.03; = 0.01, respectively). No significant differences in AVTD were detected at any other points or testing times.

CONCLUSIONS

Compared with the healthy group, the AVTDs of Taichong (LR3), Sanyinjiao (SP6), Shuiquan (KI5), Diji (SP8), and Xuehai (SP10) at menstruation-relevant points of PD patients were sensitized, providing a reference for the selection of acupoints in the treatment of PD.

摘要

目的

通过比较原发性痛经(PD)患者与健康女性穴位与非穴位的红外辐射温度,探讨 PD 患者的敏化穴位。

方法

采用红外成像仪,于经前期、经期和经后期对 PD 患者和健康女性的每一个穴位进行测试。主要结局指标为同一测试点左右两侧体表温度差(AVTD)的绝对值。

结果

共有 58 例 PD 患者和 57 例健康志愿者于 2016 年 5 月至 2017 年 5 月完成了该项测试。与健康组相比,PD 组在经期时,LR3 穴太冲和 SP6 穴三阴交的 AVTD 明显降低和升高(=0.01;=0.04);而在经后期,PD 组的 KI5 穴水泉、SP8 穴地机和 SP10 穴血海的所有 AVTD 均降低(=0.01;=0.03;=0.01,分别)。在其他穴位或测试时间点,未发现 AVTD 有显著差异。

结论

与健康组相比,PD 患者在与经期相关的穴位上,LR3 穴太冲、SP6 穴三阴交、KI5 穴水泉、SP8 穴地机和 SP10 穴血海的 AVTD 出现敏化,为 PD 的穴位选择提供了参考。

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本文引用的文献

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Diagnosis and Management of Primary Dysmenorrhea.原发性痛经的诊断与管理
JAMA. 2020 Jan 21;323(3):268-269. doi: 10.1001/jama.2019.16921.
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Influence of the Intensity, Components, and Spreading of the Deqi Sensation on the Analgesic Effect of SP6 Needling in Primary Dysmenorrhea Patients: A Secondary Analysis of a Randomised Controlled Trial.得气感觉的强度、成分及传导对原发性痛经患者三阴交针刺镇痛效果的影响:一项随机对照试验的二次分析
Evid Based Complement Alternat Med. 2019 May 16;2019:6462576. doi: 10.1155/2019/6462576. eCollection 2019.
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[The sensitization phenomenon of acupoint and biological significances].[穴位的敏化现象及其生物学意义]
Zhongguo Zhen Jiu. 2019 Feb 12;39(2):115-21. doi: 10.13703/j.0255-2930.2019.02.001.
5
The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis.针刺治疗原发性痛经女性的疗效与安全性:一项系统评价和荟萃分析。
Medicine (Baltimore). 2018 Jun;97(23):e11007. doi: 10.1097/MD.0000000000011007.
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No. 345-Primary Dysmenorrhea Consensus Guideline.第345号——原发性痛经共识指南。
J Obstet Gynaecol Can. 2017 Jul;39(7):585-595. doi: 10.1016/j.jogc.2016.12.023.
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