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运用远红外热断层扫描技术诊断肾虚型膝骨性关节炎的研究
Identification of Kidney Deficiency Syndrome Pattern in Knee Osteoarthritiswith Far Infrared Thermal Texture Maps System Technique
【摘要】 【目的】探索运用远红外热断层扫描(thermal texture maps system,TTM)技术诊断分析肾虚型膝骨性关节炎的可能性及证型特点。【方法】对76例肾虚型膝骨性关节炎患者(受试组)和62例正常对照组,运用TTM技术检测膝、肾区、髂区、下腹部、脐周、上腹部、胁部、胸前、胸背温度。【结果】受试组的左右膝、肾区、下腹部、脐周、上腹部、胸前、胸背部的TTM温度明显低于正常对照组,差异均有显著性意义(P<0.01或P<0.05),但髂区与胁部温度与正常对照组比较,差异均无显著性意义(P>0.05)。肾虚型膝骨性关节炎患者均有肾阳虚存在,且多并有脾阳虚与心阳虚,但也有并发肾阴虚、肝郁者。【结论】膝骨性关节炎不但是局部病变,而且与肾阳虚和心脾阳虚相关;运用远红外热断层扫描技术可及早识别阳虚与阳虚兼证,从而调整用药以恢复阴阳平衡。
【Abstract】 Objective To explore the feasibility of identifying the kidney deficiency syndrome pattern in knee osteoarthritis(OA) patients with far infrared thermal texture maps system(TTM) technique.Methods Seventy-six knee OA patients were in the observation group,and 62 healthy volunteers were in the control group.Far infrared TTM technique was used for the measurement of the temperature in knees,renal region,iliac region,lower abdomen,periumbilical region,upper abdomen,coastal part,prothorax region,chest-back of the patients.Results The temperature in the knees,renal region,lower abdomen,periumbilical region,upper abdomen,prothorax region,chest-back of the patients was markedly lower than that of the control group(P<0.05 or P<0.01).The difference of the temperature in iliac region and coastal part was insignificant between the two groups(P>0.05).Knee OA patients with kidney deficiency were characterized as kidney yang deficiency,and were always complicated with spleen yang deficiency and heart yang deficiency,but sometimes complicated with kidney yin deficiency and liver stagnation.Conclusion Knee OA presents not only the affection of focal region of knees,but also the pathogenesis of kidney yang deficiency and heart-spleen yang deficiency.TTM technique can be used for the early differentiation of yang deficiency syndrome or yang deficiency complications in knee OA patients,which will be helpful for the medication.
【Key words】 FAR INFRARED THERMAL TEXTURE MAPS SYSTEM; KNEE OSTEOARTHRITIS; YANG DEFICIENCY;
- 【文献出处】 广州中医药大学学报 ,Journal of Guangzhou University of Traditional Chinese Medicine , 编辑部邮箱 ,2011年03期
- 【分类号】R684.3
- 【被引频次】8
- 【下载频次】264