基于红外热成像技术的膝骨性关节炎患者穴位体表温度规律研究

Research on the Surface Temperature of Related Channel Points in Patients with Knee Osteoarthritis Based on Infrared Imaging Technology

目的观察膝骨性关节炎患者穴位体表温度分布规律。方法以256例膝骨性关节炎患者和256例健康受试者为观察对象。使用Fotric 226红外热像仪检测患者和健康受试者腧穴的温度值,每名患者每周固定时间检测1次,共检测4次,健康人检测1次,比较患者组与健康受试者组穴位温度值的差异,比较不同时间点不同部位、经脉温度值的差异。结果膝骨性关节炎患者血海穴、鹤顶穴、梁丘穴、曲泉穴、内膝眼穴、犊鼻穴、委阳穴、阴陵泉穴、膝关穴、阳陵泉穴、大杼穴、悬钟穴、足三里穴、命门穴、腰阳关穴温度值高于健康受试者(P <0.05);患者组胃经的4次皮温均较高(P <0.05),腰背部的4次皮温均较高(P <0.05);KOA相关腧穴4次温度值变化趋势不显著(P> 0.05)。结论膝关节骨性关节炎患者部分腧穴皮温升高;膝骨性关节炎患者的穴位升温现象具有规律性,与经络、部位相关;膝关节骨性关节炎相关穴位升温效应具有稳定性。

Objective To explore the surface temperature distribution law at acupoints in patients with knee osteoarthritis.Methods Totally 256 patients with knee osteoarthritis were recruited. At the same time, 256 healthy subjects were recruited. The temperature of acupoints in patients and healthy subjects was measured using a Fotric 226 full platform thermal imager. Each patient was tested once a week at a fixed time for a total of four tests. Healthy subjects were tested once. The acupoint temperature were compared between the patients with knee osteoarthritis and healthy subjects,between different time points, between different parts and between different meridian. Results The temperature of Xuehai(SP10), Heding(EX-LE2), Liangqiu(ST34), Ququan(LR8), Neixiyan(EX-LE4), Dubi(ST35), Weiyang(BL39),Yinlingquan(SP9), Xiguan(LR7), Yanglingquan(GB34), Dazhu(BL11), Xuanzhong(GB39), Zusanli(ST36), Mingmen(DU4), Yaoyangguan(DU3) of patients with knee osteoarthritis was higher than that of healthy subjects(P < 0.05);The four temperature values of the stomach meridian were higher(P < 0.05). The temperature values of the 4 times of the lower back were higher(P < 0.05). There was no significant change trend of temperature value of related acupoints in patients with knee osteoarthritis(P > 0.05). Conclusion The temperature of some related acupoints increased in patients with knee osteoarthritis;The warming effect of acupoint skin in patients with knee osteoarthritis is regular and related to meridians and parts. The warming effect of related acupoints in patients with knee osteoarthritis is a stable phenomenon.