基于红外热像技术观察脐腹铺灸对肾阳亏虚证月经过少的疗效研究

Study on the clinical effect of Umbilical Abdominal Moxibustion on Hypomenorrhea with kidney yang deficiency syndrome based on Infrared Thermography

目的基于医用红外热像技术观察脐腹铺灸对肾阳亏虚证月经过少的临床疗效。方法选取60例肾阳亏虚证月经过少患者,根据随机数字表法分为试验组与对照组,每组30例。对照组采用右归丸治疗,试验组在对照组基础上采用脐腹铺灸治疗。比较两组治疗前后月经失血图(PBAC)评分、中医证候评分及红外热像温度。结果治疗前,两组PBAC评分比较,差异无统计学意义(P>0.05);试验组治疗后PBAC评分高于对照组(P<0.05),且评分可维持至治疗后3个月无变化(P>0.05),而对照组治疗后第3个月PBAC评分下降,差异有统计学意义(P<0.05)。试验组中医证候总有效率为96.7%,明显高于对照组的76.7%,差异有统计学意义(P<0.05)。治疗前,两组腹部治疗区红外热像温度比较,差异无统计学意义(P>0.05);治疗后,试验组腹部治疗区红外热像平均温度明显高于治疗前及对照组,差异有统计学意义(P<0.05)。治疗前,两组关元穴、气海穴、双侧子宫穴投影区的平均温度比较,差异无统计学意义(P>0.05);治疗后试验组关元穴、气海穴、双侧子宫穴投影区的平均温度明显高于治疗前,且较对照组显著,差异有统计学意义(P<0.05)。结论脐腹铺灸治疗肾阳亏虚证月经过少患者可明显改善PBAC评分、中医证候、腹部及相关穴位红外热像温度,临床疗效显著、稳定。

Objective To observe the clinical effect of umbilical and abdominal moxibustion on kidney Yang deficiency syndrome.Methods 60 patients with kidney Yang deficiency syndrome were selected and divided into experimental group and control group according to the random number table method,with 30 cases in each group.The control group was treated with Yougui pill,and the experimental group was treated with umbilical and abdominal moxibustion on the basis of the control group.The PBAC score,TCM syndrome score and infrared thermography temperature were compared between the two groups before an d after treatment.Results Before treatment,there was no significant diff erence in PBAC score between the two groups(P>0.05).The PBAC score of the experimental group was higher than that of the control group after treatment(P<0.05),and the score remained unchanged until 3 months after treatment(P>0.05),while the PBAC score of the control group decreased at 3 months after treatment,and the diff erence was statistically significant(P<0.05).The total effective rate of TCM syndrome in the experimental group was 96.7%,which was significantly higher than that in the control group(76.7%),and the diff erence was statistically significant(P<0.05).Before treatment,there was no significant diff erence in the infrared thermography temperature of the abdominal treatment area between the two groups(P>0.05).After treatment,the average temperature of infrared thermography in the treatment area of the experimental group was significantly higher than that before treatment and the control group,and the diff erence was statistically significant(P<0.05).Before treatment,there was no significant difference in the average temperature of the projection area of Guanyuan point,Qihai point and bilateral uterine point between the two groups(P>0.05).After treatment,the average temperature of the projection area of Guanyuan point,Qihai point and bilateral uterine point in the experimental group was significantly higher than that before treatment,and was significantly higher than that in the control group,and the diff erence was statistically significant(P<0.05).Conclusion Umbilical and abdominal moxibustion in the treatment of patients with kidney Yang deficiency syndrome can significantly improve the PBAC score,TCM syndrome,infrared thermography temperature of abdomen and related acupoints,and the clinical effect is significant and stable.