胃食管反流病患者在督脉背段的压痛反应规律

Response rules of pressing pain on back section in Governor Vessel in patients with gastroesophageal reflux disease

研究胃食管反流病（GERD）患者在督脉背段的压痛反应规律，为胃食管反流病的诊断和针灸治疗提供参考依据。以GERD患者76例为观察组，健康人30例为对照组，采用“人体力学压痛测定仪”测定压痛阈值的方法观察GERD患者和健康人在督脉背段的压痛情况，检测范围为第1胸椎至第12胸椎（T，～T12）棘突下，包括督脉经穴和经上非穴。发现观察组在T。～T7节段棘突间隙（即神道、灵台、至阳三穴）的压痛阈值低于对照组（P〉0．05）。说明GERD患者在T5～T，节段棘突间隙存在显著压痛，可作为GERD辅助诊断的重要参考，并为针灸治疗GERD选穴提供新思路。

The response rules of pressing pain on the back section in the Governor Vessel in patients with gas- tro-esophageal reflux disease （GERD） were studied to provide references for the diagnosis and treatment of GERD. Seventy-six cases of GERD were included into an observation group while 30 healthy volunteers were recruited into a control group. A mechanical measurement device of pressing pain that could measure the pain threshold was a- dapted to observe the pressing pain on the back section in the Governor Vessel in GERD patients and healthy vol- unteers. The test area is from spinous process of the 1st thoracic vertebra to that of the 12th thoracic vertebra （T1 ∽T12 ）, including acupoints and non-acupoints on the Governor Vessel. As a result, in the observation group the pain threshold of Ts ∽T7 spinous process clearance, which was the location of Shendao （GV 11）, Lingtai （GV 10） and Zhiyang （GV 9）, was lower than that in the control group （all P%O. 05）. This result indicated that there was significant pressing pain in T5∽T7 spinous process clearance in patients with GERD, which eould be taken as an important auxiliary diagnosis and a new thinking method in the treatment of GERD with acupuncture;