慢性HBV感染患者肝区红外敏感经穴及病理意义的探讨

Research about Chronic HBV Infection and Pathological of Liver Meridian Infrared Sensitive Area

目的:探讨慢乙肝患者肝区红外敏感经穴的病理机制。方法:拍摄慢性HBV感染患者和健康对照组正位红外热成像,检测肝脏体表投影区内经穴和对侧同名经穴红外温度,计算相对温度。依据患者门静脉充血指数(CI)分为高压组、慢乙肝组。分别进行同名经穴相对温度均值组间配对、组内左右配检验;患者(总体)经穴红外温度与CI相关性分析。结果:1肝区内期门、日月、步廊三穴:相对温度组间配对,慢乙肝>对照组>高压组。慢乙肝高于高压组,P<0.05;红外温度组内配对,均低于对侧同名经穴,对照组P<0.01,高压组P>0.05;慢乙肝期门P=0.03,日月和步廊P>0.05。3肝区内经穴红外温度均与CI负相关;除步廊之外,r值显著性均为P<0.05。结论:慢性HBV感染患者肝区经穴红外温度变化与门静脉淤血相关,具有反映病症效应。

Objective：To investigate the pathogenesis of liver infrared sensitive meridian of hepatitis B patients. Methods： Abtaining the chronic HBV infection patients and healthy controls orthotopic liver infrared thermal imaging surface projection area and the area of the same name in the contralateral meridian, calculating the relative temperature. Based on the patient portal vein congestion index （ CI）, there were the high - pressure group and chronic hepatitis B group. Test the temperatures of the group pai- ring and the pairing between groups of meridian with relatively the same name;patients （overall） and CI meridian infrared tem- perature correlation analysis. Results ： ①About 10 meridian infrared relative humidity are ： chronic hepatitis B 〉 control group 〉 hy- pertension group. ＂LR14＂,＂ GB24＂, ＂KI22＂ group pairing CHB 〉 hypertension group, P 〈 0. 05 ; paired opposite side of the same name meridian within less than control group P 〈 0.01, hypertension group P 〉 0.05 ; CHB group ＂LR14＂ P = 0.03, ＂GB24＂ ,＂ KI22＂ P 〉 0.05. ③Liver meridian infrared temperature region was negatively correlated with CI ; except ＂KI22＂, r val- ues were significant P 〈 0.05. Conclusion ： Patients with chronic HBV infection liver meridian infrared temperature changes are as- sociated with portal venous congestion, which reflects the effect of the disease.