干火法与艾灸对于畏寒症患者体表温度的影响及疗效研究
首发时间:2019-04-30
摘要:【目的】研究干火与艾灸对畏寒症患者体表温度和畏寒度的影响。【方法】将三个月以上下肢畏寒的阳虚患者作为受试对象,其中右侧小腿后侧采用干火法,左侧的合阳、承山穴采用艾灸。测量治疗前后的体表温度并评价VAS的临床疗效。【结果】 1) 两组的治疗后即刻测量小腿整体的平均温度,同治疗前相比,测量结果均有差异,并具有统计学意义(P<0.01),且干火法组的平均值明显高于艾灸组,两组有统计学意义的差异(P<0.01)。2) 第一次干火疗后即刻测量承山与合阳穴之间的平均温度有差异,并具有统计学意义(P<0.05),但第二次治疗后的测量结果没有明显差异;艾灸两次治疗后即刻合阳与承山穴的温度平均值均没有明显差异。 3)干火法组中,合阳、承山两穴与整体小腿之间在治疗后6分钟进行温度测定,共进行两次治疗,隔48小时。其中,第一次治疗后承山穴与整体小腿之间温度有显著性差异(P<0.05),第二次治疗后的承山穴以及两次合阳穴与整体小腿之间,温度平均值均无明显差异;而艾灸组两次治疗6分钟后进行温度测量,测量结果同未治疗前相比均具有统计学差异(P<0.05)。4)两组第二次治疗前的小腿整体平均温度值均低于第一次治疗前平均值,两次测量之间间隔48小时。5)两组的治疗前后VAS疗效评分均明显差异,并具有统计学意义(P<0.05);第一次治疗干火法组减少48%畏寒度、艾灸组减少40%,第二次干火法组减少56%畏寒度,艾灸组减少62%。【结论】结果说明干火法与艾灸均可以降低皮肤畏寒度,对畏寒症均有一定的疗效。干火法组的小腿整体温度分布比艾灸组均匀,但是艾灸组两穴之间的温度差小于干火法组。虽然两组的主观畏寒度均有所改善,但是治疗后48小时的客观表皮温度均有一定程度的降低。
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Research on the subcutaneous circulatory effects of dry fire treatment and moxibustion in the treatment of cold intolerance
Abstract:[Objective] To research the changes in surface temperature and degree of cold intolerance using dry fire treatment and moxibustion to treat yang deficient cold intolerance.[Methods] Subjects of the study had a history of at least 3 months of yang deficient cold intolerance in their lower limbs. Dry fire treatment was applied to the subject\'s right calf and moxibustion was applied at BL55 and BL57 on the left calf. An infrared camera was used to measure the surface temperature and VAS forms were used to assess the degree of cold intolerance before and after treatments. [Results] 1) Compared with pretreatment temperatures, both groups showed a significant temperature increase over the entire calf immediately after treatment(P<0.01), and the average temperature for the dry fire treatment group was significantly higher than that of the moxibustion group(P<0.01). 2)After the first treatment, the dry fire treatment group showed a significant average temperature difference between BL57 and BL55 (P<0.05),but showed no difference after the second treatment. The moxibustion group showed no difference after either treatment. 3) 6 min after dry fire treatment, a comparison of the surface temperature at the two points BL55, BL57 with the entire calf showed significant difference between BL57 and the entire calf for the first treatment (P<0.05), but no difference with either point during the second treatment. Moxibustion showed a significant difference between both points and the entire calf for both treatment sessions. (P<0.05) 4) For both groups, the pretreatment temperature for the second treatment was lower than the pretreatment temperature for the first treatment; the two treatments were 48 hours apart. 5) Both groups showed a statistically significant improvement in VAS scores (P<0.05); for the first treatment the dry fire treatment group decreased 48% in cold intolerance, and moxibustion decreased 40%; for the second treatment, dry fire decreased 56% and moxibustion decreased 62%.[Discussion] The results show that both dry fire treatment and moxibustion can decrease cold intolerance, and are both effective treatments for cold intolerance. Dry fire treatment shows greater uniformity of heat distribution over the entire calf than does moxibustion, but moxibustion shows less temperature difference between the two treatment points. Although both treatment groups showed significant improvement in cold intolerance, but both groups also showed a decrease in surface temperature after 48 hours.
Keywords: dry fire treatment infrared imaging moxibustion surface temperature thermotherapy
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干火法与艾灸对于畏寒症患者体表温度的影响及疗效研究
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