多囊卵巢综合征患者经穴红外热成像特征研究

发布时间：2018-05-18 22:04

  本文选题：多囊卵巢综合征 + PCOS　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:本研究利用红外热成像技术,采集健康人群和多囊卵巢综合征患者躯干部的红外热图,进行温度差异的分析总结,判断多囊卵巢综合征患者经络、穴位、脏腑失调的情况,为临床辨证分析和治疗提供一定的参考。材料与方法:选择2015年6月~8月期间在辽宁中医药大学附属医院妇科门诊就诊的多囊卵巢综合征患者33例作为多囊组。招募健康受试者30例作为健康组。应用ATIR-M301医用红外热像仪采集两组受试者躯干正面和背面两张红外热图,观察其异常区域出现的比率,对其异常区域的红外温度进行对比分析,并对异常区域内的督任二脉和部分经穴的红外温度进行对比分析。组内躯干左右两侧的红外温度的比较采用配对T检验进行统计分析,两组间经穴相对温度的比较采用独立样本T检验进行统计分析。结果:1.两组躯干异常区域红外热图的对比中发现:两组受试者乳腺区、腹外侧区和督脉区域出现温度异常比率的比较有统计学差异(P0.05);中腹部、下腹部和背部的比较无统计学差异(P0.05)。2.组内自身红外温度的左右两侧对比中发现:健康组受试者乳腺区、腹外侧区和腰区左右两侧红外温度无统计学差异(P0.05);多囊组患者左侧乳腺区红外温度高于右侧,差异有统计学意义(P0.05);腰外侧区域和腰区左右两侧红外温度的比较无统计学差异(P0.05)。3.组内经穴区域自身红外温度的左右两侧对比发现:健康组受试者左右两侧的乳中穴、章门穴、带脉穴、膈俞穴、肾俞穴区域红外温度的比较无统计学差异(P0.05);多囊组患者章门穴和肾俞穴左右两侧红外温度的比较有统计学差异(P0.05),乳中穴、章门穴、膈俞穴的比较无统计学差异(P0.05)。4.两组督脉和任脉区域红外温度差的比较发现:健康组受试者督脉区域的红外温度高于任脉区域,差异有统计学意义(P0.05);多囊组督脉与任脉区域红外温度的差值无统计学差异(P0.05)。5.两组穴位区域相对温度的比较中,多囊组乳中穴、膻中穴、神阙穴和命门穴区域的相对温度均高于健康组,差异有统计学意义(P0.05),其中乳中穴和膻中穴最明显(P0.01),而章门穴、带脉穴、肾俞穴和膈俞穴两组间的比较无统计学差异(P0.05)。结论:1.多囊卵巢综合征患者膻中穴、神阙穴、命门穴、督脉、任脉及章门穴、乳中穴红外热成像特征性的表现表明多囊卵巢综合征疾病的病位与督脉和任脉二脉关系密切,且与足阳明胃经、足厥阴肝经有一定的相关性。2.多囊卵巢综合征患者经穴和任督二脉的红外温度表现出的差异性,丰富了中医对该疾病病位的认识,为中医外治法辨证取穴提供了新的思路。
[Abstract]:Objective: in this study, infrared thermography was used to collect the infrared thermograms of the healthy people and the cadres of the patients with polycystic ovary syndrome (PCOS), to analyze and summarize the temperature difference, and to judge the meridian and acupoints of the patients with PCOS. The disorder of viscera provides a certain reference for clinical analysis and treatment. Materials and methods: from June to August 2015, 33 patients with polycystic ovary syndrome (PCOS) in gynecological clinic of affiliated Hospital of Liaoning University of traditional Chinese Medicine were selected as polycystic group. Thirty healthy subjects were recruited as the healthy group. Two infrared images of the front and back torso of two groups of subjects were collected by using ATIR-M301 medical infrared thermal imager. The occurrence rate of abnormal region was observed, and the infrared temperature of abnormal area was compared and analyzed. The infrared temperature of du Ren Ermai and some meridians in abnormal area were compared and analyzed. The comparison of infrared temperature on the left and right sides of the trunk in the group was statistically analyzed by paired T test, and the comparison of the relative temperature of the acupoints between the two groups was analyzed by independent sample T test. The result is 1: 1. In the comparison of infrared thermogram of abnormal region of trunk between the two groups, it was found that the ratio of abnormal temperature in breast area, ventrolateral area and du vein area of the two groups was significantly different (P 0.05), but there was no significant difference in the comparison between middle abdomen, lower abdomen and back (P 0.05 路2). The results showed that there was no significant difference in infrared temperature between the breast region, ventrolateral region and waist area in healthy subjects (P 0.05), and the infrared temperature in the left mammary gland was higher than that in the right side in the polycystic group. The difference was statistically significant (P 0.05), and there was no significant difference in the infrared temperature between the lateral lumbar region and the left and right sides of the lumbar area. The comparison of the infrared temperature between the two sides of the meridian region of the group showed that the healthy subjects had the following points: the middle point of milk, the point of zangmen, the point of banmai, the point of Geshu, the right side of the control group, There was no statistical difference in infrared temperature of Shenshu point (P 0.05), but there was no significant difference in infrared temperature between Zhanmen point and Shenshu point (P 0.05), Ruzhong point, Zhangmen point and Geshu point (P 0.05). The comparison of the infrared temperature difference between the two groups showed that the infrared temperature in the du vein region of the healthy subjects was higher than that in the Ren vein area, the difference was statistically significant (P 0.05), and there was no statistical difference between the two groups in the infrared temperature difference between the du vein region and the Ren vein region (P 0.05). In the comparison of relative temperature of acupoint area between the two groups, the relative temperature of Ru Zhong point, Shanzhong point, Shenque point and Shengmen point area in polycystic group was higher than that in healthy group, and the difference was statistically significant (P 0.05), among which the point of Ruzhong and Shanzhong acupoint was the most obvious, and the point of Zhangmen was more obvious than that of the control group. There was no statistical difference between the two groups (P 0.05). Conclusion 1. The features of infrared thermal imaging at Tanzhong point, Shenque point, Shengmen point, du vein, Ren Mai and Zhangmen point and Ruzhong point in patients with polycystic ovary syndrome indicate that the disease location of polycystic ovary syndrome is closely related to du vein and Ren Mai two veins. And with foot Yangming stomach Meridian, foot Jueyin liver Meridian has a certain correlation. 2. The difference of infrared temperature between the acupoints of polycystic ovary syndrome and Ren du's two veins enriches the understanding of disease position in TCM and provides a new way of thinking for the differentiation of syndrome and acupoints of external treatment of TCM.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R271.9
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本文编号：1907378