股骨头缺血性坏死患者腧穴痛点分布规律探析

Analysis on Distribution Regularity of Acupoint Pain Spots in Patients with Avascular Necrosis of Femoral Head

目的:探索股骨头缺血性坏死患者腧穴痛点分布规律。方法:纳入股骨头缺血性坏死患者30例作为患者组,健康师生30例作为对照组。比较两组在各腧穴痛点频数、各经络痛点数量、各区域痛点数量方面的差异,以及患者组各肌群在不同分期的痛点数量差异。结果:①患者组府舍穴、冲门穴痛点频数最高,对照组腰椎夹脊穴痛点频数最高。②患者组分布在足阳明胃经、足太阴脾经、足少阳胆经、足厥阴肝经上的痛点多于对照组,差异有统计学意义(P<0.001);③患者组分布在髋部前群、大腿侧群、大腿前群、大腿后群的痛点多于对照组,差异有统计学意义(P<0.01);④患者组髋部前群、大腿前群在不同分期的痛点数量差异有统计学意义(P<0.05);髋部前群各分期之间两两比较,痛点数量差异均有统计学意义(P<0.001),各分期痛点数量平均值顺序为:Ⅰ期>Ⅱ期>Ⅲ期>Ⅳ期;大腿前群Ⅰ期、Ⅱ期、Ⅲ期的痛点数量平均值均高于Ⅳ期,差异均有统计学意义(P<0.05)。结论:①股骨头缺血性坏死患者的腧穴痛点分布与足阳明胃经、足太阴脾经、足少阳胆经、足厥阴肝经有关;②随着疾病进展,股骨头缺血性坏死患者在髋部前群中出现的痛点越来越少;在大腿前群中,Ⅳ期患者比Ⅰ期、Ⅱ期、Ⅲ期患者出现的痛点少。

Objective:To explore the distribution regularity of acupoint pain spots in patients with avascular necrosis of femoral head.Methods:A total of 30 patients with avascular necrosis of femoral head were included in the study as the patients group,and 30 healthy teachers and students were included as the control group.The differences of the follow items between the two groups were compared:the frequency of each acupoint pain spot,the number of pain spots in each meridian,the number of pain spots in each body region.In the patients group,the number of pain spots at different clinical stage in the same muscle group were also analyzed.Results:①In the patients group,Fushe(SP13)and Chongmen(SP12)were pain spots with highest frequency.In the control group,Jiaji(EX-B2)in lumbar vertebra was the pain spot with highest frequency.②The pain spots distributed in the stomach meridian of foot yang brightness,spleen meridian of foot greater yin,gallbladder meridian of foot lesser yang,and liver meridian of foot reverting yin in the patients group were more than those distributed in the same meridians in the control group(P<0.001).③The pain spots distributed in the anterior hip muscles,side thigh muscles,anterior thigh muscles,and posterior thigh muscles in the patients group were more than those distributed in the same muscle groups in the control group(P<0.01).④In the patients group,the number of pain spots in anterior hip muscles and anterior thigh muscles were different at different stages,and the differences were statistically significant(P<0.05).When compared by pairs,the differences of the number of pain spots in anterior hip muscles at different stages were statistically significant(P<0.001).The order of the average number of pain spots at each stage was:stage Ⅰ>stage Ⅱ>stage Ⅲ>stage Ⅳ.In the anterior thigh muscles,the average number of pain spots at stage Ⅳ was lower than that at stage Ⅰ,Ⅱ,and Ⅲ,and the differences were statistically significant(P<0.05).Conclusions:①The distribution of acupoint pain spots of patients with avascular necrosis of femoral head is related to the stomach meridian of foot yang brightness,spleen meridian of foot greater yin,gallbladder meridian of foot lesser yang,and liver meridian of foot reverting yin.②In anterior hip muscles,the number of pain spots decreased with the progress of the disease.Patients at stageⅣhad fewer pain spots in anterior thigh muscles than those at stage Ⅰ,Ⅱ,and Ⅲ.