不同中医证型膝骨性关节炎红外热图温度的差异性研究
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摘要
目的研究红外热图在不同中医证型膝骨性关节炎中温度差异。方法选取膝骨性关节炎患者80例,按中医辨证分型分为风寒湿痹、湿热痹阻、痰瘀痹阻、肝肾两虚4组,各20例,分别进行膝关节红外热图采集,对膝关节各相关区域温度进行分析对比。结果 (1)4组受试者患膝各区域温度相比较,组间差异均有统计学意义(P<0.01)。(2)湿热痹阻组患膝各区域温度均高于风寒湿痹组、痰瘀痹阻组及肝肾两虚组(P<0.01)(3)痰瘀痹阻组患膝各区域温度与肝肾两虚组比较,差异均有统计学意义(上外区、下外区P<0.05,其余各区P<0.01)。(4)风寒湿痹组患膝上外区、外侧区、下外区温度与痰瘀痹阻组温度比较差异无统计学意义(P>0.05),其余各区域温度比较差异均有统计学意义(P<0.05,P<0.05,P<0.05,P<0.05,P<0.01)。(5)风寒痹阻组与肝肾两虚组患膝上外区温度比较差异无统计学意义(P>0.05),其余各区域温度比较差异均有显著统计学差异(P<0.01)。结论不同中医证型膝骨性关节炎红外热图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提供参考。
Objective To study the difference of infrared image temperature in different TCM syndromes of knee osteoarthristis. Methods We selected 80 cases of patients with KOA,The patients were divided into 4 groups:wind-cold-dampness arthralgia,dampheat arthralgia,stagnation of phlegm,deficiency syndrome of liver and kidney,20 patients in each group.All people were collected infrared images respectively and comperd the temperature of each relevant region of the knee in different groups. Results(1) There were statistical difference in each relevant region temperature of osteoarthritis knee between 4 groups(P<0.01).(2) Each relevant region temperature of osteoarthritis knee were higher in damp-heat arthralgia group to wind-cold-dampness arthralgia group、stagnation of phlegm group and deficiency syndrome of liver and kidney group(P<0.01).(3) The temperature difference of osteoarthritis knee between stagnation of phlegm group and deficiency syndrome of liver group had statistical significance(hind-upper region、hindlower region: P<0.05, all the other regions: P<0.01).(4) The hind-upper、lateral、hind-lower temperatures of osteoarthritis knee between wind-cold-dampness arthralgia group and stagnation of phlegm group had no statistical difference(P>0.05), The temperature difference in other regions had statistically significant(P<0.05, P<0.05, P<0.05, P<0.05, P<0.01).(5).The hind-upper temperature of osteoarthritis knee between wind-cold-dampness arthralgia group and deficiency syndrome of liver and kidney group had no statistical difference(P>0.05), The temperature difference in other regions had statistically significant(P<0.01). Conclusion There are obvious differences of infrared image temperature in different TCM syndromes of knee osteoarthristis,To a certain extent, it can provide reference for TCM syndrome differentiation.
Objective To study the difference of infrared image temperature in different TCM syndromes of knee osteoarthristis. Methods We selected 80 cases of patients with KOA,The patients were divided into 4 groups:wind-cold-dampness arthralgia,dampheat arthralgia,stagnation of phlegm,deficiency syndrome of liver and kidney,20 patients in each group.All people were collected infrared images respectively and comperd the temperature of each relevant region of the knee in different groups. Results(1) There were statistical difference in each relevant region temperature of osteoarthritis knee between 4 groups(P<0.01).(2) Each relevant region temperature of osteoarthritis knee were higher in damp-heat arthralgia group to wind-cold-dampness arthralgia group、stagnation of phlegm group and deficiency syndrome of liver and kidney group(P<0.01).(3) The temperature difference of osteoarthritis knee between stagnation of phlegm group and deficiency syndrome of liver group had statistical significance(hind-upper region、hindlower region: P<0.05, all the other regions: P<0.01).(4) The hind-upper、lateral、hind-lower temperatures of osteoarthritis knee between wind-cold-dampness arthralgia group and stagnation of phlegm group had no statistical difference(P>0.05), The temperature difference in other regions had statistically significant(P<0.05, P<0.05, P<0.05, P<0.05, P<0.01).(5).The hind-upper temperature of osteoarthritis knee between wind-cold-dampness arthralgia group and deficiency syndrome of liver and kidney group had no statistical difference(P>0.05), The temperature difference in other regions had statistically significant(P<0.01). Conclusion There are obvious differences of infrared image temperature in different TCM syndromes of knee osteoarthristis,To a certain extent, it can provide reference for TCM syndrome differentiation.
引文
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[10]庞坚,石瑛,曹月龙,等.基于聚类分析的膝骨性关节炎压痛点分布规律研究[J].中医骨伤,2014,27(1):21-24.
[2]余昕,侯燕,姜红江.膝骨性关节炎的证候分析及辨证用药研究进展[J].中国民族民间医药,2016,25(21):43-45.
[3]中华医学会骨科分会.骨关节炎诊治指南(2007版)[J].中华骨科杂志,2007,27(10):793-796.
[4]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:351-353.
[5]余葱葱,赵星,张明成,等.亚健康态颈部疲劳与颈椎病的红外图片温度特征比较[J].激光与红外,2010,40(12):1334-1335.
[6]Nahm FS.Infrared thermography in pain medicine[J].The Korean J Pain,2013(26):219-222.
[7]吴思,邓书童,张红安.膝骨性关节炎红外热像表现及膝关节痛点分布规律分析[J].中国中医骨伤科杂志,2017,25(1):30-33.
[8]宫庆娟,陈惠华,黄乔东,等.膝骨性关节炎的红外热像表现[J].医药前沿,2011,01(14):8-9.
[9]曾广南,冯沃君,胡永祥,等.膝关节退行性骨关节炎常见压痛点的临床观察[J].中国中医骨伤科杂志,2007,15(11):18-20.
[10]庞坚,石瑛,曹月龙,等.基于聚类分析的膝骨性关节炎压痛点分布规律研究[J].中医骨伤,2014,27(1):21-24.