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基于红外热成像技术的膝骨性关节炎患者穴位体表温度规律研究
引用本文:蔺伟,刘晓佳,周玉梅,罗廖君,郑晖,赵凌,杨春霞,常小荣,冀来喜,王瑞辉,崔瑾,梁繁荣.基于红外热成像技术的膝骨性关节炎患者穴位体表温度规律研究[J].世界科学技术-中医药现代化,2021,23(5):1484-1489.
作者姓名:蔺伟  刘晓佳  周玉梅  罗廖君  郑晖  赵凌  杨春霞  常小荣  冀来喜  王瑞辉  崔瑾  梁繁荣
作者单位:成都中医药大学针灸推拿学院 成都 610072,成都中医药大学针灸推拿学院 成都 610072,成都中医药大学针灸推拿学院 成都 610072,成都中医药大学针灸推拿学院 成都 610072,成都中医药大学针灸推拿学院 成都 610072,成都中医药大学针灸推拿学院 成都 610072,四川大学华西公共卫生学院 成都 610041,湖南中医药大学针灸推拿学院 长沙 410208,山西中医药大学针灸推拿学院 太原 030619,陕西中医药大学针灸推拿学院 咸阳 711301,贵州中医药大学针灸推拿学院 贵阳 550025,成都中医药大学针灸推拿学院 成都 610072
基金项目:国家自然科学基金委员会重大项目(81590951):穴位敏化现象和规律的临床研究;负责人:梁繁荣。
摘    要:目的 观察膝骨性关节炎患者穴位体表温度分布规律。方法 以256例膝骨性关节炎患者和256例健康受试者为观察对象。使用Fotric 226红外热像仪检测患者和健康受试者腧穴的温度值,每名患者每周固定时间检测1次,共检测4次,健康人检测1次,比较患者组与健康受试者组穴位温度值的差异,比较不同时间点不同部位、经脉温度值的差异。结果 膝骨性关节炎患者血海穴、鹤顶穴、梁丘穴、曲泉穴、内膝眼穴、犊鼻穴、委阳穴、阴陵泉穴、膝关穴、阳陵泉穴、大杼穴、悬钟穴、足三里穴、命门穴、腰阳关穴温度值高于健康受试者(P < 0.05);患者组胃经的4次皮温均较高(P < 0.05),腰背部的4次皮温均较高(P < 0.05);KOA相关腧穴4次温度值变化趋势不显著(P > 0.05)。结论 膝关节骨性关节炎患者部分腧穴皮温升高;膝骨性关节炎患者的穴位升温现象具有规律性,与经络、部位相关;膝关节骨性关节炎相关穴位升温效应具有稳定性。

关 键 词:红外热成像  温度  膝骨性关节炎  腧穴  规律
收稿时间:2020/11/10 0:00:00
修稿时间:2021/5/26 0:00:00

Research on the Surface Temperature of Related Channel Points in Patients with Knee Osteoarthritis Based on Infrared Imaging Technology
Lin Wei,Liu Xiaoji,Zhou Yumei,Luo Liaojun,Zhen Hui,Zhao Ling,Yang Chunxi,Chang Xiaorong,Ji Laixi,Wang Ruihui,Cui Jin and Liang Fanrong.Research on the Surface Temperature of Related Channel Points in Patients with Knee Osteoarthritis Based on Infrared Imaging Technology[J].World Science and Technology-Modernization of Traditional Chinese Medicine,2021,23(5):1484-1489.
Authors:Lin Wei  Liu Xiaoji  Zhou Yumei  Luo Liaojun  Zhen Hui  Zhao Ling  Yang Chunxi  Chang Xiaorong  Ji Laixi  Wang Ruihui  Cui Jin and Liang Fanrong
Institution:College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China,College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China,College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China,College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China,College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China,College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China,West China School of Public Health, Sichuan University, Chengdu 610041, China,College of Acupuncture and Massage, Hunan University of Chinese Medicine, Changsha 410208, China,College of Acupuncture and Massage, Shanxi University of Chinese Medicine, Taiyuan 030619, China,College of Acupuncture and Massage, Shaanxi University of Chinese Medicine, Xianyang 711301, China,College of Acupuncture and Massage, Guizhou University of Traditional Chinese Medicine, Guiyang 550025, China,College of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China
Abstract:Objective To explore the surface temperature distribution law at acupoints in patients with knee osteoarthritis.Methods Totally 256 patients with knee osteoarthritis were recruited. At the same time, 256 healthy subjects were recruited. The temperature of acupoints in patients and healthy subjects was measured using a Fotric 226 full platform thermal imager. Each patient was tested once a week at a fixed time for a total of four tests. Healthy subjects were tested once. The acupoint temperature were compared between the patients with knee osteoarthritis and healthy subjects, between different time points, between different parts and between different meridian.Results The temperature of Xuehai (SP10), Heding (EX-LE2), Liangqiu (ST34), Ququan (LR8), Neixiyan (EX-LE4), Dubi (ST35), Weiyang (BL39), Yinlingquan (SP9), Xiguan (LR7), Yanglingquan (GB34), Dazhu (BL11), Xuanzhong (GB39), Zusanli (ST36), Mingmen (DU4), Yaoyangguan (DU3) of patients with knee osteoarthritis was higher than that of healthy subjects (P < 0.05); The four temperature values of the stomach meridian were higher (P < 0.05). The temperature values of the 4 times of the lower back were higher (P < 0.05). There was no significant change trend of temperature value of related acupoints in patients with knee osteoarthritis (P > 0.05).Conclusion The temperature of some related acupoints increased in patients with knee osteoarthritis; The warming effect of acupoint skin in patients with knee osteoarthritis is regular and related to meridians and parts. The warming effect of related acupoints in patients with knee osteoarthritis is a stable phenomenon.
Keywords:Infrared thermography  Temperature  Knee osteoarthritis  Acupoint  Rule
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