俞募穴隔姜灸对恶性肿瘤化疗患者各时段热感度对比的研究

Contrast research of Shumu point moxibustion on thermal sensitivity of cancer patients receiving chemotherapy in each period

目的:测定肿瘤患者背俞穴和腹募穴在隔姜灸刺激下的皮肤初感温度、舒适温度和耐受温度的阈值区间,以期更好地指导该疗法在临床上的应用,并且对于艾灸医疗器械研制中治疗及安全参数的设定具有一定参考价值。方法:用电子测温仪分别测量患者的背俞穴和腹募穴在隔姜灸刺激下的初感温度、舒适温度和耐受温度值,将测得数据用SPSS18.0进行统计分析。结果:恶性肿瘤患者的背俞穴和腹募穴在隔姜灸刺激下的初感温度、舒适温度和耐受温度依次升高,且背俞穴的耐受温度(42.99±3.27)℃高于腹募穴(40.35±3.54)℃,差异具有统计学意义(P<0.05)。结论:俞募穴隔姜灸对恶性肿瘤患者各时段热感度对比研究发现,二者的耐受温度存在差异,背俞穴热感温度的耐受阈值明显高于腹募穴;在舒适温度和耐受温度之间,有一个稍高于患者身体温度的最佳温度阈值,我们认为治疗疾病过程中,如何适当延长该温度的作用时间,是提高临床疗效的关键;耐受温度作为患者接受隔姜灸刺激的极限温度,为临床灸法的安全使用提供了重要依据。

Objective： To measure the threshold determination of cancer patients of Beishu and Fumu points in abdomen ginger moxibustion stimulus of the initial temperature, comfortable temperature and temperature tolerance, to better guide the therapy in the clinical treatment, and has certain reference value for the development of medical equipment in moxibustion treatment and safety parameter setting. Methods： The patients of Beishu and Fumu points in abdomen ginger moxibustion stimulus of the initial temperature, comforta-ble temperature and temperature tolerance values were measured using electronic temperature measurement;the measured data were analyzed by SPSS18.0. Results： Patients with malignant tumor of Beishu and Front-Mu points in abdomen ginger moxibustion stimulus of the initial temperature, comfortable temperature and tolerance to temperature rises;and the Beishu points the tolerance temperature of （42.99±177; 3.27）℃higher than abdominal Fumu point （40.35±177;3.54）℃, the difference was statistically significant （P〈0.05）. Conclusion： Shumu point and moxibustion with ginger on each period of patients with malignant tumor thermal contrast study found that the two are different, the temperature tolerance, tolerance threshold of Back-Shu thermal temperature was higher than that of abdominal Fumu point;between the comfortable temperature and temperature tolerance, has a slightly higher than the optimum temperature threshold in＆amp;nbsp;patients with body temperature, we think treatment of the disease process, how to prolong the acting time of the temperature, is the key to improve the clinical curative effect;temperature tolerance as patients receiving the limit temperature of ginger moxibustion stimulation, provide an important basis for the safety of clinical application of moxibustion.