不同r-AFS分期子宫内膜异位症患者腧穴热敏化现象的研究

Study on the Heat Sensitivity of Acupoints in Patients with Endometriosis in Different r-AFS Stages

目的:研究腹腔镜术后不同r-AFS分期的子宫内膜异位症患者热敏化腧穴的分布、热敏化现象表现形式及热敏化现象消失所需时间的差异。方法:将120例经腹腔镜手术诊断为子宫内膜异位症的患者分为Ⅰ期47例、Ⅱ期23例、Ⅲ期26例和Ⅳ期24例,在下腹部及腰背部穴位进行腧穴热敏化艾灸,观察不同分期的热敏化腧穴个数和频数、热敏化现象的表现形式及热敏化现象消失所需时间。结果:热敏化腧穴分布个数:Ⅰ期(5.45±1.75)个,Ⅱ期(10.88±2.97)个,Ⅲ期(15.42±2.94)个,Ⅳ期(20.04±2.89)个,差异有统计学意义(P<0.05);高频热敏化腧穴以关元、中极、十七椎为主。热敏化现象的表现形式:比较周围热扩散感和远处热传导感,Ⅰ期(25例、13例),Ⅱ期(15例、8例),Ⅲ期(18例、10例),Ⅳ期(17例、11例),差异无统计学意义(P>0.05);比较热敏化现象消失所需时间:Ⅰ期(10.40±2.48)d,Ⅱ期(15.17±2.27)d,Ⅲ期(21.92±3.36)d,Ⅳ期(26.17±2.05)d,差异有统计学意义(P<0.05)。结论:不同r-AFS分期的子宫内膜异位症患者在腧穴热敏化个数、热敏化现象消失所需时间上存在明显差异,提示临床中对于高分期的患者需注意选取更多的腧穴,且需要更长的治疗时间。

Objective:To study the distribution of heat-sensitized acupoints,the manifestations of heat-sensitization and the time required for the disappearance of heat-sensitization in patients with different r-AFS stages after laparoscopic surgery.Methods:A total of 120 patients diagnosed with endometriosis through laparoscopic surgery were divided into 47 cases in stageⅠ,23 cases in stageⅡ,26 cases in stageⅢand24 cases in stageⅣ.All the patients were treated with heat-sensitized moxibustion on acupoints on the lower abdomen and lower back.The number and frequency of heat sensitive acupoints in different stages,the manifestation of heat sensitive phenomenon and the time required for the disappearance of heat sensitive phenomenon were observed.Results:The number of heat-sensitized acupoints:stageⅠ(5.45±1.75),stageⅡ(10.88±2.97),stageⅢ(15.42±2.94),stageⅣ(20.04±2.89),the difference was statistically significant(P<0.05).High frequency heat sensitive acupoints are mainly Guanyuan(RN4),Zhongji(RN3)and Shiqizhui(EX-B7).The manifestation of heat sensitization phenomenon:compare the surrounding heat diffusion sensation and distant heat conduction sensation,stageⅠ(25 cases,13 cases),stageⅡ(15 cases,8 cases),stageⅢ(18 cases,10 cases),ⅣStage(17 cases,11 cases),the difference was not statistically significant(P>0.05).Compare the time required for the disappearance of heat sensitization:stageⅠ(10.40±2.48)d,stageⅡ(15.17±2.27)d,stageⅢ(21.92±3.36)d,stageⅣ(26.17±2.05)d,the difference was statistically significant(P<0.05).Conclusion:There are significant differences in the number of acupoints and the time required for the disappearance of heat sensitivity in patients with endometriosis with different r-AFS stages.It is suggested that more acupoints should be selected for patients with high r-AFS stage,and the treatment time should be longer.