CAJ | 학술논문

目的：探讨电针刺激对功能性便秘患者升结肠、横结肠、降结肠、小肠体表投射区温度的影响。方法收集2012年12月至2013年12月北京中医药大学东直门医院30例功能性便秘患者，按随机数字表法将患者随机分为电针刺激组和假刺激组，每组15例，电针刺激组电针刺激双侧天枢、腹结、上巨虚8周，共28次。假刺激组采用非穴点假电针刺激双侧天枢旁、腹结旁、上巨虚旁非穴点，刺激时间和次数同电针刺激组。采用医用红外热成像仪检测患者升结肠、横结肠、降结肠、小肠体表投影区温度。结果电针刺激组升结肠[(33.35±0.96)℃比（34.62±1.15）℃；t＝2.977，P＝0.010]、横结肠[（33.32±0.97）℃比（34.60±1.23）℃；t＝2.839，P＝0.013]、降结肠[（33.36±0.98）℃比（34.64±1.18）℃；t＝2.892， P＝0.012]、小肠温度[(33.31±0.97)℃比（34.57±1.22）℃；t＝2.763，P＝0.015]与刺激前比较，差异有统计学意义。假刺激组刺激后升结肠[(33.74±1.25)℃比(34.52±1.64)℃；t＝1.701，P＝0.111]、横结肠[(33.71±1.27)℃比(34.47±1.65)℃；t＝1.643，P＝0.123]、降结肠[(33.72±1.25)℃比(34.52±1.66)℃；t＝1.710，P＝0.109]、小肠温度[(33.70±1.28)℃比(34.51±1.65)℃；t＝1.744，P＝0.103]与假刺激前比较，差异均无统计学意义。结论电针刺激可降低功能性便秘患者升结肠、横结肠、降结肠、小肠体表投影区温度。
목적：탐토전침자격대공능성편비환자승결장、횡결장、강결장、소장체표투사구온도적영향。방법수집2012년12월지2013년12월북경중의약대학동직문의원30례공능성편비환자，안수궤수자표법장환자수궤분위전침자격조화가자격조，매조15례，전침자격조전침자격쌍측천추、복결、상거허8주，공28차。가자격조채용비혈점가전침자격쌍측천추방、복결방、상거허방비혈점，자격시간화차수동전침자격조。채용의용홍외열성상의검측환자승결장、횡결장、강결장、소장체표투영구온도。결과전침자격조승결장[(33.35±0.96)℃비（34.62±1.15）℃；t＝2.977，P＝0.010]、횡결장[（33.32±0.97）℃비（34.60±1.23）℃；t＝2.839，P＝0.013]、강결장[（33.36±0.98）℃비（34.64±1.18）℃；t＝2.892， P＝0.012]、소장온도[(33.31±0.97)℃비（34.57±1.22）℃；t＝2.763，P＝0.015]여자격전비교，차이유통계학의의。가자격조자격후승결장[(33.74±1.25)℃비(34.52±1.64)℃；t＝1.701，P＝0.111]、횡결장[(33.71±1.27)℃비(34.47±1.65)℃；t＝1.643，P＝0.123]、강결장[(33.72±1.25)℃비(34.52±1.66)℃；t＝1.710，P＝0.109]、소장온도[(33.70±1.28)℃비(34.51±1.65)℃；t＝1.744，P＝0.103]여가자격전비교，차이균무통계학의의。결론전침자격가강저공능성편비환자승결장、횡결장、강결장、소장체표투영구온도。
Objective To investigate the effect of electro-acupuncture stimulation on the temperature over the body surface projection area of intestines in patients with functional constipation. Methods A total of 30 patients with functional constipation were randomly divided into a electro-acupuncture stimulation group and a false stimulation group, with 15 patients in each group. The patients in the electro-acupuncture stimulation recived electro-acupuncture at bilateral points of Tianshu, Fujie and upper Juxu for 8 weeks, a total of 28 times stimulation;the patients in the false stimulation group received false electro-acupuncture at fake bilateral points beside Tianshu, Fujie and upper Juxu for the same stimulation period. Medical infrared thermal imager was adopted to record the temperatures over the body surface projection area of ascending colon, transverse colon, descending colon, and small intestine. Results The temperature over the body surface projection area of of the ascending colon(33.35±0.96 ℃ vs. 34.62±1.15 ℃;t=2.977, P=0.010), transverse colon(33.32±0.97 ℃ vs. 34.60±1.23 ℃; t=2.839, P=0.013), descending colon(33.36±0.98 ℃ vs. 34.64±1.18 ℃; t=2.892, P=0.012), the small intestine(33.31±0.97 ℃ vs. 34.57±1.22 ℃; t=2.763, P=0.015)showed significant lower than those before the stimulation in the electro-acupuncture stimulation group. The temperature over the body surface projection area of of the ascending colon(33.74±1.25 ℃ vs. 34.52±1.64 ℃; t=1.701, P=0.111) transverse colon (33.71±1.27℃vs. 34.47±1.65℃;t=1.643, P=0.123), descending colon(33.72±1.25 ℃vs. 34.52±1.66 ℃; t=1.710, P=0.109), the small intestine(33.70±1.28 ℃ vs. 34.51±1.65 ℃; t=1.744, P=0.103)showed no significant different than those before the stimulation in the false stimulation group. Conclusion Electro-acupuncture stimulation can decrease the temperature over the body surface projection area of the ascending colon, transverse colon, descending colon, and small intestine.