[1]蔺福辉 何正保 计姜逊 黄廷锐 任耀龙 李晓锋 翟明玉 颜大荃 何伟兰 唐德志△.基于红外热成像技术对不同证型腰椎间盘突出症患者相关经穴皮肤温度变化的分析[J].中国中医骨伤科杂志,2022,30(06):12-15.
　LIN Fuhui HE Zhengbao JI Jiangxun HUANG Tingrui REN YaolongLI Xiaofeng ZHAI Mingyu YAN Daquan HE Weilan TANG Dezhi.Skin Temperature Changes of Relevant Meridian Points in Patients with Different TCM Syndromes of Lumbar Disc Herniation Based on Infrared Thermography[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(06):12-15.
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基于红外热成像技术对不同证型腰椎间盘突出症患者相关经穴皮肤温度变化的分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年06期
页码:
12-15
栏目:
临床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Skin Temperature Changes of Relevant Meridian Points in Patients with Different TCM Syndromes of Lumbar Disc Herniation Based on Infrared Thermography
文章编号:
1005-0205(2022)06-0012-04
作者:
蔺福辉1 何正保1 计姜逊2 黄廷锐2 任耀龙1 李晓锋3 翟明玉1 颜大荃1 何伟兰1 唐德志2△
1广东深圳平乐骨伤科医院(广东 深圳,518000)2上海中医药大学附属龙华医院3上海市中医医院
Author(s):
LIN Fuhui1 HE Zhengbao1 JI Jiangxun2 HUANG Tingrui2 REN Yaolong1LI Xiaofeng3 ZHAI Mingyu1 YAN Daquan1 HE Weilan1 TANG Dezhi2△
1Shenzhen Pingle Orthorpaedic Hospital,Shenzhen 518000,Guangdong China; 2Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China; 3Shanghai Hospital of Traditional Chinese Medicine,Shanghai 200071,China.
关键词:
腰椎间盘突出症;  红外热成像图;  中医证型;  经穴
Keywords:
lumbar intervertebral disc herniation;  infrared thermography;  TCM Syndromes;  meridian points
分类号:
R681.5
文献标志码:
A
摘要:
目的:利用红外热成像图研究不同中医证型腰椎间盘突出症患者相关经穴皮肤温度差异。方法:选取寒湿型、瘀血型、肾虚型腰椎间盘突出症患者各30例以及健康无腰腿痛志愿者30例,分别进行红外热成像检查,对相关经穴皮肤温度进行分析对比。结果:腰阳关、大肠俞(左)、大肠俞(右)、肾俞(左)、膈俞(右)穴中,健康组与寒湿、瘀血、肾虚组证型患者间差异均有统计学意义(P<0.05)。肾俞(右)、膈俞(左)、腰4夹脊(左)、腰4夹脊(右)、腰5夹脊(左)、腰5夹脊(右)、腰3夹脊(左)、腰3夹脊(右)、腰2夹脊(左)穴中,健康组与肾虚组和寒湿组患者差异有统计学意义(P<0.05)。腰1夹脊(左)、委中(左)、后溪(左)、大钟(左)穴中,健康组与寒湿组患者差异有统计学意义(P<0.05)。结论:不同中医证型腰椎间盘突出症红外热成像图相关经穴皮肤温度特征具有明显差异性,在一定程度上可以为中医辨证分型及针灸精准取穴提供参考。
Abstract:
Objective:To analyze skin temperature variation of relevant meridian points in lumbar intervertebral disc herniation patients with different TCM syndromes using infrared thermography.Methods:30 patients with each of the cold-dampness,blood stasis and kidney-deficiency types of lumbar disc herniation and 30 healthy volunteers without back and leg pain were selected for infrared thermal imaging examination to analyze and compare the skin temperatures of the relevant meridian points.Results:There were statistical differences between the healthy group and the patients with the cold-damp,blood stagnant and kidney-deficiency group of evidence types in the Yaoyangguan,Dachangshu(left),Dachang shu(right),Shenshu(left),and Geshu(right)acupoints(P<0.05).In the Shenshu(right),Geshu(left),L4 Jiaji acupoint(left),L4 Jiaji acupoint(right),L5 Jiaji acupoint(left),L5 Jiaji acupoint(right),L3 Jiaji acupoint(left),L3 Jiaji acupoint(right),and L2 Jiaji acupoint(left),there were statistically significant differences between the healthy group and patients in the kidney deficiency and cold-dampness groups(P<0.05).In the L1 Jiaji acupoint(left),Weizhong(left),Houxi(left),and Dazhong(left)acupoints,statistical differences existed between patients in the healthy group and the cold-dampness group(P<0.05).Conclusion:The skin temperature of meridian points showed on infrared thermography have obvious variation among different TCM syndromes,which can,to a certain extent,provide a reference for TCM syndrome differentiation as well as precise acupuncture treatment.

参考文献/References:

[1] 廖威明,盛璞义,万勇.骨科疾病临床诊断与治巧方案[M].北京:科学技术文献出版社,2010:316.
[2] 高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2016:33-34.
[3] 王桂玲,郭静,胡俊霞,等.贺氏针灸三通法治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2019,27(11):23-26.
[4] 王克兢.针灸治疗腰椎间盘突出症临床观察[J].光明中医,2022,37(2):298-300.
[5] WEI M,LI H,LI Q,et al.Based on network pharmacology to explore the molecular targets and mechanisms of Gegen Qinlian decoction for the treatment of ulcerative colitis[J].Biomed Res Int,2020:5217405.
[6] 邓德万,王彬,周震,等.针灸治疗腰椎间盘突出症机制研究概况[J].针灸临床杂志,2020,36(1):91-94.
[7] TANG S,MO Z,ZHANG R.Acupuncture for lumbar disc herniation:a systematic review and meta-analysis[J].Acupunct Med,2018,36(2):62-70.
[8] 肖建斌,项红兵,佘守章,等.红外热像图在腰椎间盘突出症中辅助诊断价值的探讨[J].中国现代医学杂志,2007,17(5):586-588.
[9] 张劢.红外热成像在腰椎间盘突出症诊断中的应用[J].中国卫生标准管理,2019,10(1):123-124.
[10] RING E F,AMMER K.Infrared thermal imaging in medicine[J].Physiol Meas,2012,33(3):R33-R46.
[11] 洪定钢,周娅妮,周晓玲,等.基于红外热成像技术探讨腰椎间盘突出症人群的中医体质分布类型及特征[J].红外,2019,40(3):32-36.
[12] 宋青凤,张斌青,张敏,等.红外热成像在腰椎间盘突出症中医辨证及疗效评价中的价值[J].中国中医骨伤科杂志,2017,25(3):21-24.
[13] 刘肖瑜,周肃陵,王正.红外热图技术与腰椎间盘突出症中医证型的相关性研究[J].中国中医骨伤科杂志,2008,16(5):10-12.
[14] 张辉,谷忠悦,杜天龙,等.功能性便秘患者相关经穴红外热温度的比较研究[J].辽宁中医杂志,2018,45(12):2631-2634.
[15] 应力健,冯鑫鑫,徐永亦,等.偏头痛发作期患者少阳经五输穴、原穴及郄穴红外热像研究[J].上海针灸杂志,2021,40(7):873-876.

备注/Memo

备注/Memo:
基金项目:广东省中医药局科研项目(20211351)
上海市自然科学基金项目(19ZR1458000)
△通信作者 E-mail:dzt702@163.com
更新日期/Last Update: 1900-01-01