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[1]劉云,張斌青,宋青鳳,等.紅外熱成像在膝骨關(guān)節(jié)炎中醫(yī)辨證中的應(yīng)用價(jià)值[J].中醫(yī)正骨,2016,28(04):6-8.
　LIU Yun,ZHANG Binqing,SONG Qingfeng,et al.Applied value of infrared thermography in TCM syndrome differentiation for patients with knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):6-8.
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紅外熱成像在膝骨關(guān)節(jié)炎中醫(yī)辨證中的應(yīng)用價(jià)值()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年04期
頁碼:
6-8
欄目:
臨床研究
出版日期:
2016-04-20

文章信息/Info

Title:
Applied value of infrared thermography in TCM syndrome differentiation for patients with knee osteoarthritis
作者:
劉云1; 張斌青2; 宋青鳳2; 張敏2
1.河南中醫(yī)藥大學(xué),河南 鄭州 450008;
2.河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002
Author(s):
LIU Yun1; ZHANG Binqing2; SONG Qingfeng2; ZHANG Min2
1.Henan University of Traditional Chinese Medicine,Zhengzhou 450008,Henan,China
2. Luoyang Orthopedic-Traumatological Hospital,Luoyang 471002,Henan,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  辨證;  熱痹;  痛痹;  紅外熱成像術(shù);  皮膚溫度
Keywords:
osteoarthritis; knee;  syndrome differentiation;  heat arthralgia;  pain arthralgia;  infrared thermography;  skin temperature
摘要:
目的:探討紅外熱成像在膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)中醫(yī)辨證中的應(yīng)用價(jià)值。方法:選取31例雙側(cè)KOA患者,按照KOA中醫(yī)辨證分型,熱痹21例(熱痹組)、痛痹10例(痛痹組),同時(shí)選取28例健康志愿者(健康志愿組)。用SP-9000醫(yī)用紅外熱像儀采集31例KOA患者和28例健康志愿者雙下肢紅外熱像圖,根據(jù)采集的紅外熱像圖用計(jì)算機(jī)軟件測定受檢者雙側(cè)膝關(guān)節(jié)前、內(nèi)、外側(cè)溫度。結(jié)果:熱痹組21例患者紅外熱像圖表現(xiàn)為高溫充血型,膝關(guān)節(jié)周圍主體區(qū)域呈均勻紅色,周圍依次呈現(xiàn)黃色、黃色和綠色過渡帶,過渡帶之間存在交叉,不能明確分界; 痛痹組10例患者紅外熱像圖表現(xiàn)為低溫瘀血型,膝關(guān)節(jié)周圍主體區(qū)域呈綠色,邊界相對清晰,周圍無明顯的色階混雜; 健康志愿組28例健康志愿者紅外熱像圖表現(xiàn)為等溫型,膝關(guān)節(jié)周圍主體區(qū)域呈黃綠色,無明顯異常溫區(qū)分布,皮膚溫度值與局部血流分布一致。3組受檢者膝關(guān)節(jié)前側(cè)、內(nèi)側(cè)、外側(cè)溫度比較,組間差異均有統(tǒng)計(jì)學(xué)意義[(36.11±0.78)℃,(32.88±0.48)℃,(33.69±1.42)℃,F=40.220,P=0.000;(36.05±0.75)℃,(32.81±0.65)℃,(33.94±1.38)℃,F=37.030,P=0.000;(36.04±0.66)℃,(33.28±0.72)℃,(34.45±1.03)℃,F=39.290,P=0.000]。熱痹組膝關(guān)節(jié)前側(cè)、內(nèi)側(cè)、外側(cè)溫度均高于健康志愿組(P=0.000; P=0.000; P=0.000); 痛痹組膝關(guān)節(jié)內(nèi)側(cè)、外側(cè)溫度均低于健康志愿組(P=0.007; P=0.001),痛痹組和健康志愿組膝關(guān)節(jié)前側(cè)溫度比較,差異無統(tǒng)計(jì)學(xué)意義(P=0.052)。結(jié)論:通過膝關(guān)節(jié)紅外熱成像檢查,能準(zhǔn)確區(qū)分熱痹和痛痹,為KOA的中醫(yī)辨證提供客觀依據(jù)。
Abstract:
Objective:To explore the applied value of infrared thermography in TCM syndrome differentiation for patients with knee osteoarthritis(KOA).Methods:Thirty-one patients with bilateral KOA were selected and divided into heat arthralgia group(21 cases)and pain arthralgia group(10 cases)according to TCM syndrome differentiation of KOA.Meanwhile,28 healthy volunteers were recruited(healthy volunteers group).The infrared thermal imagings of both lower limbs of 31 KOA patients and 28 healthy volunteers were collected by using SP-9000 medical infrared thermal imaging instrument; and the anterior,medial and lateral temperatures of bilateral knee joints were measured by using computer software and the infrared thermal imagings.Results:Hyperthermia and engorgement were presented in the infrared thermal imagings of 21 patients in heat arthralgia group,and uniform red was presented in main regions of the knee,around which yellow and yellow green transition zone were presented in turn and crossed each other.Hypothermia and blood stasis were presented in the infrared thermal imagings of 10 patients in pain arthralgia group,and green was presented in main regions of the knee with relatively clear boundary,around which no obvious mixed colors were found.The infrared thermal imagings of 28 healthy volunteers in healthy volunteers group presented with normal temperature,and yellow green was presented in main regions of the knee.No obvious abnormal temperature zones were found and the skin temperature values were consistent with the local blood flow distribution.There were statistical differences in anterior,medial and lateral temperatures of knee joints between the 3 groups(36.11+/-0.78,32.88+/-0.48,33.69+/-1.42 centi-degrees,F=40.220,P=0.000; 36.05+/-0.75,32.81+/-0.65,33.94+/-1.38 centi-degrees,F=37.030,P=0.000; 36.04+/-0.66,33.28+/-0.72,34.45+/-1.03 centi-degrees,F=39.290,P=0.000).The anterior,medial and lateral temperatures of knee joints were higher in heat arthralgia group compared to healthy volunteers group(P=0.000; P=0.000; P=0.000).The medial and lateral temperatures of knee joints were lower in pain arthralgia group compared to healthy volunteers group(P=0.007; P=0.001).There was no statistical difference in the anterior temperatures of knee joints between pain arthralgia group and healthy volunteers group(P=0.052).Conclusion:The infrared thermography can be used to accurately distinguish heat arthralgia from pain arthralgia,so it can provide objective evidence for TCM syndrome differentiation of KOA.

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通訊作者:張敏 E-mail:[email protected]
更新日期/Last Update: 2016-08-30