摘要
目的:探讨肝区经穴反映病症的生物医学基础。阐明经穴效应局部特异性对肝区血流变化与穴位下组织形态改变的影响及相关临床意义。方法:采用彩色超声多普勒技术和定点低频超声方法对比172例不同健康状态患者的步廊穴对应的肝脏解剖组织结构检出率以及门静脉主干血管内径(DPV)、平均血流速度(VPV),计算门静脉充血指数(CI)。依据不同健康状态进行资料分组。统计分析步廊穴下组织形态改变与血液动力学数据变化的相关性。结果:慢乙肝组DPV与CI均高于肺结核患者(P<0.05);疾病组步廊穴下门静脉系统分支比例高于健康对照组(P<0.05);肝硬化组门静脉高压患者步廊穴下检出门静脉矢状部比率较其他组升高(P<0.05)。结论:肝脏疾病状态中穴位深层解剖结构变异是步廊穴敏化的关键因素之一。
Objective：To investigate the basic biomedical conditions of liver meridian.To clarify the changes of liver blood meridian and acupoint specificity under the effect of local pathological changes and clinical significance.Methods：By using color Doppler ultrasound technique and fixed-point low frequency ultrasound,we contrasted the detection rates of liver anatomy structure under Bulang（KI22） of 172 cases of different health status and measured the diameter of portal vein（DPV）,blood velocity of portal vein（VPV） and calculated the portal venous congestion index（CI）.The data based on different health status was classified.The correlation between morphological changes and hemodynamic data were analyzed.Results：（1）The DPV and CI of chronic hepatitis B group were significantly higher than those in patients with pulmonary tuberculosis（P〈0.05）.（2） The relevance ratio of portal vein system under Bulang（KI22） of disease group was higher than that of the healthy control group（P〈0.05）.（3）The rate of the portal vein sagittal section of cirrhotic patients with portal hypertension was increased in the lower part of Bulang（KI22）（P〈0.05）.Conclusion：The variation of deep anatomical structure of acupoints in liver diseases is one of the key factors for the sensitization of the acupoints.
出处
《中华中医药学刊》
CAS
北大核心
2016年第12期2987-2989,I0034,共4页
Chinese Archives of Traditional Chinese Medicine
基金
辽宁省自然科学基金面上项目(原优秀人才培育项目)(2015020371)
沈阳市科技创新专项资金-应用基础研究专项项目(F15-199-1-09)
