辨证论治盆腔炎性疾病疗效的红外热像评估

Evaluation of Infrared Thermography of Pelvic Inflammatory Disease Treated by Syndrome Differentiation

目的:观察辨证论治女性盆腔炎性疾病(Pelvic inflammatory disease,PID)的临床疗效,并使用红外热像检测对其进行评估。方法:98例PID患者给予辨证论治、中成药口服及中医外治法,采用红外热像仪对所有患者治疗前后进行盆腔红外热像检测,并观察患者的临床疗效及红外疗效。结果:98例患者治疗前盆腔红外温度为(1.88±0.82)℃,治疗后盆腔红外温度为(1.36±0.59)℃,治疗后与治疗前比较,差异具有统计学意义(P<0.05)。红外疗效有效率为96.9%,临床疗效有效率为99.0%,两种评估方式比较,差异无统计学意义(P>0.05),提示两种评估方法的效能基本一致。结论:红外热像检测具有客观、直观、可量化、对非器质性改变同样敏感等多种优点,其评估效能与常规临床评估相近,可作为PID理想的诊疗评估手段和科研工具。

Objective：To observe the clinical effects of syndrome differentiation and treatment on female pelvic inflammatory disease （PID） and evaluate by infrared thermography. Methods：Totally 98 patients with PID were given syndrome differentiation and treatment, oral administration of Chinese patient medicine and external therapy of Chinese medicine. The pelvic infrared thermography was detected before and after the treatment for all the patients with thermal infrared imager. The clinical effects and infrared efficacy were observed. Results ：The pelvic infrared temperature was （ 1. 88±0.82 ）℃ before treatment and （ 1.36 ± 0.59 ） ℃ after treatment;the difference had statistical significance （P 〈0.05）. The effective rate was 96.9% in infrared efficacy and 99. 0% in clinical efficacy;the difference had no statistical significance （ P 〉 0.05 ）, indicating similar efficacy of these two evaluation methods. Conclusion：Infrared thermography is objective, directly perceived, measurable and equally sensitive to non-organic change. The evaluation efficacy of infrared thermography is close to that of clinical efficacy, which can be an ideal diagnostic evaluation means and scientific research for PID.