【摘要】 目的比较慢性胃炎患者和健康者督脉背段T₄—T₉段棘突下最低压痛阈值点的皮肤微循环血流灌注量（MBPV）的差异。方法 30例慢性胃炎患者为胃炎组,20例健康者为健康组。通过电子压力测痛的方法,对胃炎组和健康组受试者督脉T₄—T₉段棘突下、相应旁开4寸的非经非穴点和L₃棘突下测定压痛值。选取两组督脉T₄—T₉段棘突下最低测痛值点为测试点,以自身测试点相应的旁开4寸及L₃棘突下作为对照点,以三通道激光多谱勒血流仪记录测试点和对照点的MBPV。比较两组测试点及对照点的测痛值、MBPV,并进行两组测痛值与相应MBPV的相关性分析。结果与本组T₄—T₉段棘突下旁开4寸和L₃棘突下测痛值比较,胃炎组T₄—T₉段棘突下最低测痛值明显降低（P<0.01）,最低测痛阈值点MBPV明显升高（P<0.01）;与健康组比较,胃炎组T₄—T₉段棘突下最低测痛值及T₄—T₉段棘突下旁开4寸和L₃棘突下测痛值均明显升高（P<0.05或P<0.01）;胃炎组T₄—T₉段棘突下最低测痛值点及旁开4寸的MBPV均明显升高（P<0.05或P<0.01）。胃炎组T₄—T₉段棘突下最低测痛值点、T₄—T₉段棘突下最低测痛值点旁开4寸的MBPV与各自对应的测痛点均具有相关关系（P<0.05或P<0.01）,而L₃棘突下不具有相关关系（P>0.05）;健康组各点的MBPV与其各自相应的测痛阈值均不具有相关关系（P>0.05）。结论慢性胃炎患者督脉T₄—T₉段棘突下某些穴位或部位存在较低的压痛值和较高的MBPV特异性,且二者具有相关关系。更多还原

【Abstract】 Objective To compare the difference of skin microcirculation blood perfusion volume（MBPV） at the lowest tenderness threshold of T₄-T₉ spinous processes in the dorsal segment of Governor Vessel of patients with chronic gastritis and healthy subjects. Methods A total of 30 patients with chronic gastritis were in the gastritis group, and 20 healthy people were in the healthy group. Through the method of electronic pressure pain measurement, the tenderness values were measured under the spinous processes of the T₄-T₉ segment of the veins of the subjects in the gastritis group and the healthy group, the corresponding 4-inch non-acupoints and the L₃ spinous process. The lowest pain measurement points under the spinous processes of the T₄-T₉ segments of the 2 groups of governor veins as the test points were selected, and the corresponding 4-inch side of the test points and the L₃ spinous process was used as the control points, and a three-channel laser Doppler flowmeter Record the MBPV of the test and control points were used. The pain measurement values and MBPV of the test points and control points of the 2 groups were compared, and the correlation analysis between the pain measurement values of both groups and the corresponding MBPV was performed. Results Compared with T₄-T₉ segment under spinous process 4 inches and L₃ subspinous process pain measurement value, the T₄-T₉ segment spinous process minimum pain measurement value in gastrointestinal group was significantly reduced（P<0.01）, MBPV increased significantly at the lowest pain threshold（P<0.01）; compared with the healthy group, the gastrointestinal group had the lowest pain measurement value under the spinous process T₄-T₉ segment, and the 4 inches below the spinous process T₄-T₉ segment and the pain measurement value under the L₃ spinous process significantly increased compared with the healthy group（P<0.05 or P<0.01）; T₄-T₉ segment of the lowest pain point under the spinous process in the gastrointestinal group and the 4-inch MBPV were significantly increased（P<0.05 or P<0.01）. In the gastritis group, the lowest pain measurement point under the spinous process T₄-T₉, and the 4-inch MBPV below the spinous process at the T₄-T₉ segment were correlated with the corresponding pain measurement points（P<0.05 or P<0.01）, and there is no correlation between L₃ spinous processes（P>0.05）; MBPV at all points in the healthy group and their respective pain thresholds has no correlation（P>0.05）. Conclusion There are lower tenderness values and higher MBPV specificity in some points or locations under the spinous process of T₄-T₉ segment of Governor Vessel in patients with chronic gastritis, and there is a correlation between the two.更多还原