急性期特发性面神经麻痹患者阳明经经穴红外热像图研究
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摘要
目的观察急性期特发性面神经麻痹患者阳明经经穴红外热像图改变。方法采用高性能非致冷焦平面红外热像仪M7800 Thermal Imager(LumaSense美国)检测80例急性期特发性面神经麻痹患者与75例正常人部分阳明经穴(口禾髎、迎香、合谷、商阳、承泣、四白、巨髎、地仓、大迎、颊车、下关、天枢、足三里)红外热像图,并用分析软件得到相关经穴温度值,将结果进行统计学分析。结果急性期特发性面神经麻痹患者手阳明经经穴口禾髎、迎香、合谷,足阳明经经穴承泣、四白、巨髎、地仓、大迎、颊车、下关温差值ΔT较正常人高,两者比较差异具有统计学意义(P<0.05);而手阳明经经穴商阳,足阳明经经穴天枢、足三里温差值ΔT与正常人比较差异没有统计学意义(P>0.05)。结论急性期特发性面神经炎患者阳明经面部经穴(口禾髎、迎香、承泣、四白、巨髎、地仓、大迎、颊车、下关)、远端经穴(合谷)红外热像图存在改变,而商阳、天枢、足三里却不存在上述现象,从红外角度提示了经穴效应存在特异性。
Objective To observe changes in the infrared thermogram of Yangming meridian acupoints in patients with idiopathic facial paralysis in acute stage. Method High-performance uncooled infrared focal plane array(M7800 Thermal Imager, LumaSense, USA) was used to detect the infrared thermogram of Yangming meridian acupoints[Kouheliao(LI19), Yingxiang(LI20), Hegu(LI4), Shangyang(LI1), Chengqi(ST1), Sibai(ST2), Juliao(ST3), Dicang(ST4), Daying(ST5), Jiache(ST6), Xiaguan(ST7), Tianshu(ST25), and Zusanli(ST36)] of 80 patients with idiopathic facial paralysis in acute stage and 75 healthy subjects. The temperature data of the meridian acupoints obtained from the analysis software were statistically processed. Result Compared with the healthy subjects, the temperature differencesΔT of the Hand Yangming Meridian acupoints including Kouheliao, Yingxiang and Hegu, and Foot Yangming Meridian acupoints including Chengqi, Sibai, Juliao, Dicang, Daying, Jiache and Xiaguan were more significant in the patients with idiopathic facial paralysis in acute stage, and the differences were statistically significant(P<0.05); the temperature differences ΔT of the Hand Yangming Meridian acupoint Shangyang, and the Foot Yangming Meridian acupoints including Tianshu and Zusanli in the facial paralysis patients showed insignificant differences compared with those in the healthy subjects(P>0.05). Conclusion There are changes in the infrared thermogram at Yangming meridian acupoints located on face(Kouheliao, Yingxiang, Shangyang, Chengqi, Sibai, Juliao, Dicang,Daying, Jiache and Xiaguan) and the distant acupoint Hegu in idiopathic facial paralysis patients in acute stage, while Shangyang, Tianshu and Zusanli do not present the above phenomenon, indicating the specificity of acupoint effect from the perspective of infrared.
Objective To observe changes in the infrared thermogram of Yangming meridian acupoints in patients with idiopathic facial paralysis in acute stage. Method High-performance uncooled infrared focal plane array(M7800 Thermal Imager, LumaSense, USA) was used to detect the infrared thermogram of Yangming meridian acupoints[Kouheliao(LI19), Yingxiang(LI20), Hegu(LI4), Shangyang(LI1), Chengqi(ST1), Sibai(ST2), Juliao(ST3), Dicang(ST4), Daying(ST5), Jiache(ST6), Xiaguan(ST7), Tianshu(ST25), and Zusanli(ST36)] of 80 patients with idiopathic facial paralysis in acute stage and 75 healthy subjects. The temperature data of the meridian acupoints obtained from the analysis software were statistically processed. Result Compared with the healthy subjects, the temperature differencesΔT of the Hand Yangming Meridian acupoints including Kouheliao, Yingxiang and Hegu, and Foot Yangming Meridian acupoints including Chengqi, Sibai, Juliao, Dicang, Daying, Jiache and Xiaguan were more significant in the patients with idiopathic facial paralysis in acute stage, and the differences were statistically significant(P<0.05); the temperature differences ΔT of the Hand Yangming Meridian acupoint Shangyang, and the Foot Yangming Meridian acupoints including Tianshu and Zusanli in the facial paralysis patients showed insignificant differences compared with those in the healthy subjects(P>0.05). Conclusion There are changes in the infrared thermogram at Yangming meridian acupoints located on face(Kouheliao, Yingxiang, Shangyang, Chengqi, Sibai, Juliao, Dicang,Daying, Jiache and Xiaguan) and the distant acupoint Hegu in idiopathic facial paralysis patients in acute stage, while Shangyang, Tianshu and Zusanli do not present the above phenomenon, indicating the specificity of acupoint effect from the perspective of infrared.
引文
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[22]陆玉瑾,陈跃来.膀胱过度活动症患者膀胱俞穴及下合穴红外辐射温度特异性研究[J].针灸临床杂志,2014,30(6):14-16.
[23]魏建子,周钰,沈雪勇,等.伏安特性与穴位功能特异性[J].上海针灸杂志,2003,22(9):18-20.
[2]王小清.特发性面神经麻痹综合治疗现状[J].中国康复理论与实践,2007,13(10):952-953.
[3]金玲,海英.影响特发性面神经麻痹疗效因素分析[J].实用中医内科杂志,2010,(6):22-23.
[4]李瑞超,吴雷.健患侧同调针法治疗急性期周围性面瘫临床观察[J].上海针灸杂志,2017,36(2):150-153.
[5]余畅,钟欢,熊健,等.风池穴刺络拔罐配合针刺治疗急性期周围性面瘫疗效观察[J].上海针灸杂志,2017,36(1):38-40.
[6]程立红,缑燕华,谢建平,等.针灸间隔时间与面神经麻痹疗效相关性研究[J].江西中医学院学报,2009,21(4):24-26.
[7]刘青,贾伟,王海涛.王洪京主任医师从“阳明主面”论治面部疾病的经验[J].光明中医,2013,28(10):2009-2010.
[8]盛国滨,赵新鹏,唐英,等.丛刺面部阳明经筋治疗面神经麻痹的临床疗效观察[J].中医药学报,2014,42(4):120-121.
[9]谢素春,王志栋,王艳君,等.针刺从阳明论治小儿特发性面神经麻痹50例疗效观察[J].河北中医,2015,37(9):1374-1377.
[10]陈雷,冯鑫鑫,张奕,等.特发性面神经麻痹患者翳风穴红外热像图研究[J].中华中医药学刊,2015,33(7):1554-1556.
[11]贝政平.内科疾病诊断标准[M].北京:科学出版社,2001:813.
[12]刘旭龙,洪文学,张涛,等.基于红外热像LBP的面瘫客观评估方法[J].生物医学工程学杂志,2013,30(1):34-38.
[13]汪崇淼,吴耀持,朱伟民,等.透刺配合手法治疗肩周炎临床观察[J].上海针灸杂志,2008,27(6):27-28.
[14]周章玲,姜岳波,李高波,等.面神经炎急性期患者头面部的远红外热像特征分析[J].中西医结合学报,2011,9(11):1211-1225.
[15]张栋,魏正岫,温宝珠,等.面瘫面部红外热像图表现和温度特征[J].红外技术,1993,15(2):27-32.
[16]张栋,高惠合,温宝珠,等.面瘫与面部温度对称性关系的热像图研究[J].中国医学影像学杂志,1996,4(3):171-173.
[17]周熙,田丰玮,毛翔.面瘫急性期中医证型与红外热成像图像特征的相关性分析[J].中国中医急症,2017,26(4):723-725.
[18]郑娟娟,沈雪勇,赵毅.经络腧穴红外辐射特性研究[J].中国针灸,2010,30(10):831-834.
[19]沈雪勇,魏建子,黄奏琴,等.不同生命状态内关穴红外温度变化过程中穴位特异性的显现[J].上海针灸杂志,2012,31(2):71-73.
[20]朱兵.系统针灸学·复兴“体表医学”[M].北京:人民卫生出版社,2015:106.
[21]吴焕淦.针灸疗效与穴位[J].中国中西医结合杂志,2012,32(11):1452-1457.
[22]陆玉瑾,陈跃来.膀胱过度活动症患者膀胱俞穴及下合穴红外辐射温度特异性研究[J].针灸临床杂志,2014,30(6):14-16.
[23]魏建子,周钰,沈雪勇,等.伏安特性与穴位功能特异性[J].上海针灸杂志,2003,22(9):18-20.