胆心综合征与冠心病患者穴位压痛阈值的比较观察

摘要

Objective:To measure and observe pressure pain threshold in patients with chole-heart syndrome and coronary heart disease, and to find the relationship and differences between them so as to contribute to the clinical differential diagnosis of the two diseases. Methods:Pressure pain threshold of 10 relevant acupuncture points were measured on 30 patients with chole-heart syndrome,30 pa-tients with coronary heart disease and 30 healthy people.Results:Compared with the healthy group,the pressure pain threshold of acu-puncture points related to gallbladder in chole-heart syndrome patients decreased significantly,and the difference was statistically signifi-cant(P<0.01),while the difference of acupuncture points related to heart between the two groups was not significantly different(P>0.05 ).Compared with the healthy group,the pressure pain threshold of acupuncture points related to heart in coronary heart disease pa-tients decreased significantly,and the difference was statistically significant(P<0.05 ),while the difference of acupuncture points relat-ed to gallbladder between the two groups was not significantly different (P>0.05 ).Comparing chole-heart syndrome patients with coro-nary heart disease patients,pressure pain threshold of acupuncture points related to heart in chole-heart syndrome patients was higher, and the difference was statistically significant (P<0.01);pressure pain threshold of acupuncture points related to gallbladder in chole-heart syndrome patients was lower,and the difference was statistically significant (P<0.01 ).Conclusion:The study has proved the existence of differences in the two diseases in terms of their pressure pain threshold of related acupuncture points.The chole-heart syn-drome patients appear hyperalgesia phenomenon in their acupuncture points related to gallbladder,and the patients with coronary heart disease appear hyperalgesia phenomenon in their acupuncture points related to heart.%目的：测量胆心综合征与冠心病患者穴位压痛阈值，观察这两种相似疾病在穴位上的不同体现，寻求两者间具有统计学意义的差异，希望对临床鉴别诊断两病有所帮助。方法：测量胆心综合征患者组30例，冠心病患者组30例和健康志愿者30例10个相关穴位的压痛阈值。结果：与健康组比较，胆心综合征组与胆相关穴位压痛阈值下降明显，差异有统计学意义（P＜0.01），与心相关穴位其差异则无统计学意义（P＞0.05）；冠心病组与心相关穴位压痛阈值下降明显，差异有统计学意义（P＜0.05），与胆相关穴位则无统计学差异（P＞0.05）。胆心综合征组与冠心病组比较，与心相关穴位压痛阈值，胆心综合征组高于冠心病组，差异有统计学意义（P＜0.01）；与胆相关穴位压痛阈值，胆心综合征组低于冠心病组，差异有统计学意义（P＜0.01）；结论：证明了两病在穴位压痛阈值上存在差异，胆心综合征患者与胆相关穴组出现痛觉敏感，冠心病患者与心相关穴组出现痛觉敏感，此规律可用于辅助临床鉴别诊断胆心综合征与冠心病。