CAJ | 학술논문

目的：比较电针阳陵泉、阳陵泉配胆囊穴对慢性炎性低张力胆囊动力学影响的时效规律。方法：B超测定电针前即时及电针60 min内第5 min、10 min、20 min、30 min、40 min、50 min、60 min的胆囊体积，描记电针对胆囊动力学影响的时效规律曲线。结果：两组穴位均表现为电针的最初20 min内胆囊体积呈舒张性变化，在随后的20 min内又有1次较明显的舒缩运动，时间效应明显（ P＜0．05），但交互作用未显示统计学差异（P＞0．05）。结论：电针远端穴治疗慢性胆囊炎时，留针时间以40 min为宜，治疗频次以每天2次为宜，阳陵泉穴与胆囊穴不宜同时取用。
목적：비교전침양릉천、양릉천배담낭혈대만성염성저장력담낭동역학영향적시효규률。방법：B초측정전침전즉시급전침60 min내제5 min、10 min、20 min、30 min、40 min、50 min、60 min적담낭체적，묘기전침대담낭동역학영향적시효규률곡선。결과：량조혈위균표현위전침적최초20 min내담낭체적정서장성변화，재수후적20 min내우유1차교명현적서축운동，시간효응명현（ P＜0．05），단교호작용미현시통계학차이（P＞0．05）。결론：전침원단혈치료만성담낭염시，류침시간이40 min위의，치료빈차이매천2차위의，양릉천혈여담낭혈불의동시취용。
Objective:To compare the effect of electroacupuncture at Yanglingquan and Yanglingquan matching with Dannang point on chronic cholecystitis patients with low tension gallbladder .Methods:The gallbladder vol-umes at different time points ( immediately before electroacupuncture , after 5 minutes,10 minutes,20 minutes, 30 minutes,40 minutes,50 minutes,60 minutes) were measured by B-ultrasonography, and then the curves of time-effect rule were traced out .Results:The two groups showed that the gallbladder volumes had changed in diastole in the first 20 minutes, and there was an apparent diastolic movement in the second 20 minutes, and time effect was significant(P<0.05),but the interaction had no statistical difference (P>0.05).Conclusion:When acupuncturing the distal points ,the best time of retaining needle is 40 minutes, and acupuncture frequen-cy should be twice a day .Yanglingquan and Dannang points should not be used at the same time .