【摘要】 目的观察健康儿童的红外热像变化规律,探索红外热值的影响因素。方法根据中医脏腑理论将人体划分为代表相应脏腑的14个区域,采取正面、背面、左右侧位4个姿势,应用红外热成像技术对763名儿童14个区域的红外热值进行图像采集、存储及处理,通过相对温度差反映儿童脏腑与三焦的热值分布,分析性别与年龄段对儿童三焦、胸膺、虚里、大小腹、左右胁、左右腰、胃脘及左右少腹的影响。结果本研究纳入健康儿童763例,其中男性419例,平均年龄(6.05±1.23)岁,女性344例,平均年龄(6.07±1.50)岁。正常男童与正常女童上中下三焦的热值呈现阶梯上升趋势,热力结构为下焦温度最高,中焦次之,上焦温度最低,男童上焦热值低于女童,差异具有统计学意义(P<0.05),男女儿童中、下焦热值的差异均无统计学意义(P>0.05)。男童各脏腑中的右腰、左右少腹热值高于女童,胸膺、虚里、胃脘热值低于女童,差异有统计学意义(P<0.05),余脏腑区域差异无统计学意义(P>0.05)。年龄与上焦热值无明显相关关系(P>0.05),下焦、胸膺、左右少腹热值与年龄呈正相关(P<0.05),中焦、虚里、左胁、左右腰热值与年龄呈负相关(P<0.05),余脏腑及上焦区域热值与年龄无明显相关关系(P>0.05)。结论性别差异对儿童三焦及脏腑热值具有一定影响,可能与生理结构及性激素调节有关,年龄能够影响儿童脏腑及三焦热值的变化,一定程度上反应了阴阳消长变化的中医学理论。更多还原

【Abstract】 Objective To observe changes of infrared thermography in healthy children and explore the influencing factors. Methods According to the concept of five internal organs and six hollow organs in traditional Chinese medicine, the human body was divided into 14 regions representing the corresponding viscera. Taking the posture of front, back, left and right sides, the infrared thermal imaging technology was used to collect, store and process the infrared calorific value of 14 regions of 763 children. The relative temperature difference was used to reflect the calorific value distribution of children’s viscera and triple-jiao so as to investigate the influence of gender and age on children’s triple-jiao, chest, apex, big and small abdomen, left and right hypochondria, left and right kidneys, epigastric region, and left and right lower abdomen by relative temperature difference. Results 763 healthy children were included in this study, including 419 males and 344 females. The average age of males was(6.05±1.23) years old and the average age of female was(6.07±1.50) years old. The results showed that the calorific value of triple-jiao showed a stepwise upward trend, and the thermal structure was that the lower-jiao’s temperature was the highest, the middle-jiao was the second, and the upper-jiao’s temperature was the lowest. The calorific value of boys’ upper-jiao was lower than that of girls, and the difference was statistically significant(P<0.05). There was no significant difference between boys and girls in middle-jiao and lower-jiao(P>0.05). The caloric values of right kidneys and left and right lower abdomen in boys were higher than those in girls, and the caloric values of chest, apex and epigastric region were lower than those in girls(P<0.05). There was no significant difference in other viscera regions(P>0.05). There was no significant correlation between age and the calorific value of upper-jiao(P>0.05). There was a positive correlation between the calorific value of lower-jiao, chest, left and right lower abdomen and age(P<0.05). There was a negative correlation between the calorific value of middle-jiao, apex, left lateral thorax, left and right kidneys and age(P<0.05). There was no significant correlation between the calorific value of other viscera and upper Jiao area and age(P>0.05). Conclusion Gender difference has a certain influence on the heat value of the children’s three jiao and viscera, which may be related to the physiological structure and the regulation of sexual hormones. Age can affect the changes of the caloric value of the viscera and the triple energizer in children, which reflects the changes of yin and Yang in a certain extent.更多还原