1.北京中医药大学第三附属医院 北京 100029
2.中医骨伤治疗与运动康复智能化教育部工程研究中心
全锐,女,在读硕士生
#陈卫衡,男,博士,主任医师,博士生导师,E-mail:drchenweiheng@163.com
纸质出版日期:2023-11-30,
收稿日期:2022-12-07,
移动端阅览
全锐, 周峻, 贾雁, 等. 耳穴埋豆皮质下、神门、肾上腺穴对健康人痛阈的影响[J]. 现代中医临床, 2023,30(6):17-20.
QUAN Rui, ZHOU Jun, JIA Yan, et al. Effects of ear seed acupressure at the subcortex, Shenmen (TF4) and adrenal gland points on pressure pain thresholds and pain tolerance in healthy individuals[J]. Modern Chinese Clinical Medicine, 2023,30(6):17-20.
全锐, 周峻, 贾雁, 等. 耳穴埋豆皮质下、神门、肾上腺穴对健康人痛阈的影响[J]. 现代中医临床, 2023,30(6):17-20. DOI: 10.3969/j.issn.2095-6606.2023.06.004.
QUAN Rui, ZHOU Jun, JIA Yan, et al. Effects of ear seed acupressure at the subcortex, Shenmen (TF4) and adrenal gland points on pressure pain thresholds and pain tolerance in healthy individuals[J]. Modern Chinese Clinical Medicine, 2023,30(6):17-20. DOI: 10.3969/j.issn.2095-6606.2023.06.004.
目的
2
探讨耳穴埋豆对健康人痛阈的影响。
方法
2
60例均为2021年1月—2021年3月就读于北京中医药大学在校生,采用随机数字表法将入组受试者随机分为试验组30例、对照组30例。试验组采用皮质下穴、神门穴、肾上腺穴耳穴埋豆,对照组受试者采用假耳穴埋豆。分别于第1次耳穴埋豆干预前、干预后15 min、30 min、1 h,以及干预7 d、14 d,测量压痛阈值和耐痛阈值。
结果
2
2组不同时间点压痛阈比较结果显示:干预15 min后至干预第7天,试验组压痛阈值逐渐升高,不同时间点间差异有统计学意义(
F
时间
=39.526,
P
<
0.05);2组间压痛阈差异有统计学意义(
F
组间
=1.211,
P
<
0.05);耳穴埋豆干预与时间产生的交互因素对受试者压痛阈有影响(
F
交互
=29.831;
P
<
0.05)。2组不同时间点耐痛阈比较结果显示:干预15 min后至干预第7天,试验组耐痛阈值逐渐升高,不同时间点间差异有统计学意义(
F
时间
=18.805,
P
<
0.05);2组间耐痛阈差异有统计学意义(
F
组间
=0.251,
P
<
0.05);耳穴埋豆干预与时间产生的交互因素对受试者耐痛阈有影响(
F
交互
=14.914;
P
<
0.05)。
结论
2
耳穴埋豆有助于提高健康人痛阈水平,镇痛效果较好。
Objective
2
To investigate the effect of ear seed acupressure on pressure pain thresholds and pain tolerance in healthy individuals.
Methods
2
60 students of Beijing University of Chinese Medicine were enrolled in this study from January 2021 to March 2021
and the participants were randomly divided into the experimental group (
n
=30) and the control group (
n
=30) by the random number table method. The experimental group received the auricular acupressure at the subcortex
Shenmen (TF4)
and adrenal gland points on their ears
and the subjects in the control group received the technique at false points. The pressure pain thresholds and pain tolerance were measured before and 15 min
30 min
1 h after the first intervention
and 7 and 14 days afterwards.
Results
2
The comparison result of pressure pain thresholds at different time points in the two groups showed that the pressure pain thresholds of the experimental group gradually increased after 15 min to the 7th day
and the difference between the time points was statistically significant (
F
time
=39.526
P
<
0.05). There was a significant difference in pressure pain thresholds between the two groups (
F
=1.211
P
<
0.05). The interaction between the acupressure and duration had an effect on the pressure pain thresholds (F interaction=29.831;
P
<
0.05). The result of the comparison of pain tolerance at different time points in the two groups showed that the pain tolerance of the experimental group gradually increased after 15 minutes of intervention to the 7th day
and the difference between different time points was statistically significant (
F
time
=18.805
P
<
0.05). There was a significant difference in pain tolerance between the two groups (
F
=0.251
P
<
0.05). The interaction between the intervention and duration had an effect on the pain tolerance (
F
interaction
=14.914;
P
<
0.05).
Conclusion
2
Auricular acupressure with vaccaria seeds can help improve the pressure pain thresholds and pain tolerance of and thus exert an analgesic effect on healthy people.
耳穴埋豆压痛阈耐痛阈镇痛耳穴
ear seed acupressurepressure pain thresholdpain toleranceanalgesicsauricular acupoint
RAJA S N,CARR D B,COHEN M,et al. The revised International Association for the Study of Pain definition of pain: concepts,challenges,and compromises[J].Pain,2020, 161(9): 1976-1982.
史舒婷,符秋燕,邱宇欢,等.老年慢性疼痛的管理研究现状[J].护理实践与研究,2022, 19(9): 1307-1311.
王嘉熙,孔祥豪,郭代红,等.5 597例非甾体抗炎药的不良反应报告分析[J].药物流行病学杂志,2021, 30(7): 457-461.
陈月峰,陈卫衡,李,等.耳穴埋豆治疗骨科术后疼痛的疗效观察[J].中医临床研究,2014, 6(4): 1-3.
张慧,胡幼平.针药防治偏头痛生物学机制的研究概况[J].国医论坛,2013, 28(5): 60-62.
钟伟华,苟凌云,廖明军,等.耳穴压丸法辅助镇痛对原发性全膝关节置换术后下肢疼痛和膝关节功能的影响[J].亚太传统医药,2023, 19(3): 88-93.
王俊蕊,付菊芳,丁玉兰,等.耳穴埋籽超前镇痛对TLH患者术后早期康复效果研究[J].按摩与康复医学,2023, 14(9): 41-44.
周静珠,程宏亮,陈欢,等.基于自主神经论述耳穴疗法对胃肠道的调节作用[J].上海针灸杂志,2022, 41(1): 107-110.
董蕴,刘广林,赵淑敏.胃及十二指肠球部溃疡患者耳穴压痛阈的变化[J].中国针灸,1996, 16(8): 39-40.
国家质量监督检验检疫总局,中国国家标准化管理委员会.耳穴名称与定位:GB/T 13734—2008[S].北京:中国标准出版社,2008.
于晓华,张春萍,张议文.耳穴镇痛用穴规律的文献研究[J].山东中医杂志,2015, 34(2): 112-113.
许金海,查建林,王国栋,等.耳穴压豆对腰椎间盘突出症患者疼痛短期疗效影响的临床研究[J].上海中医药杂志,2019, 53(11): 61-66.
王玉茜,张亚文,黄培盈,等.腹腔镜手术老年患者术前痛阈与术后谵妄的相关性[J].临床麻醉学杂志,2022, 38(6): 665-668.
陈思佳,杜文文,黄陆平,等.经皮穴位电刺激痛阈和耐痛阈与腹腔镜辅助下经阴道子宫切除术术后不同类型术后疼痛的相关性[J].中国现代医生,2021, 59(18): 124-128.
刘秀萍. 疼痛控制现状及影响因素分析[J].华西医学,2012, 27(10): 1595-1597.
徐培,阚厚铭,程志祥,等. 针刺疗法在术后疼痛治疗中的应用现状[J].中国疼痛医学杂志,2021, 27(5): 372-375.
秦小永.耳穴的起源与发展[J].辽宁中医药大学学报,2011, 13(5): 122-123.
吴巧红,黄旭芳,毛剑婷,等.耳穴贴压对肝癌射频消融患者超前镇痛干预的应用效果研究[J].介入放射学杂志,2020, 29(10): 1047-1051.
杨卉.耳针疗法作用机理的研究进展[J].湖北中医药大学学报,2011, 13(2): 65-67.
李珊珊,吴君怡,徐世芬.针刺麻醉镇痛的临床研究进展[J].世界科学技术-中医药现代化,2019, 21(12): 2831-2837.
张诗兴,姜文方.耳穴定位与神经、血管分布的研究[J].南京中医药大学学报,1998, 14(4): 228-229.
马玉智,王庆兰,马东芳.中西医结合治疗带状疱疹及护理体会[J].河南中医,2004, 24(4): 87.
席智杰,米琨,梁倩倩,等.耳针治疗颈型颈椎病的瞬即时疗效评价[J].辽宁中医杂志,2013, 40(5): 993-996.
李翰林,徐浩,张伟中,等.耳穴贴压对高龄股骨颈骨折患者人工股骨头置换围手术期辅助镇痛的疗效观察[J].世界中西医结合杂志,2022, 17(4): 796-801.
0
浏览量
76
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构