应用红外热成像技术辨析疼痛性质和发病机制  

Infrared thermal imaging technology used in analysis on nature and mechanism of pain

作　　者：张文征[1] 窦艳仙[2] 安容姝[3] 石东平[3] 刘轩[3] 董晞[3] 马国林[3] 

机构地区：[1]北京中医药大学东直门医院血液肿瘤科,北京100700 [2]河北省廊坊市人民医院心内二科 [3]北京中日友好医院

出　　处：《北京中医药大学学报》2012年第5期355-357,F0003,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：中日友好医院资助项目(No.20053084)

摘　　要：目的应用红外热成像技术辨析不明疼痛的性质,探讨疼痛发病机制和分型。方法应用红外热成像技术并与风湿因子和X线片、CT相对照。观察健康者、湿寒、血循环障碍、无菌炎症、微循环障碍、混合型(寒、瘀并存)患者各40例,男女各半,年龄均在23～65岁。结果湿寒组痛区图温低于其他组、图像呈深蓝色;血循环障碍组痛区图温高于湿寒组、图像呈蓝色;无菌炎症组图温高于其他组、图像呈深红色;混合组痛区图温高低并兼、高温区接近于微循环障碍组图温、低温区接近于血循环障碍组;微循环障碍组图温低于无菌炎症组、高于正常人和其他组,痛区面积较大、呈现散在红色星状热像图;而其他组的变温区较集中成片状。各组红外热像图特征表现很明确,图温差经统计学处理差异显著(P<0.05)。结论红外热成像图无论从直观图像还是数据论证上均可作为临床辨证施治的一个客观指标,为其确定正确的治疗方案提供可靠依据,并起到一定指导作用。Objective To analyze the nature of unknown pain by using infrared thermal imaging technology and sum up the pathogenesis and types of pain. Methods Infrared thermal imaging technology was used and compared with rheumatic factor and results of X-ray and CT to observe health people （ n = 40） and patients （ n = 40） with cold-damp pain, pain induce by disorder of blood circulation or aseptic inflammation, pain due to qi stagnation and blood stasis, and mixed pain （cold combining stasis）. Half patients were male and half were female aged from 23 years old to 65 years old. Results The temperature of thermograms of pain areas was lower in patients with cold-damp pain than that in other patients and the thermograms showed color of dark blue. The temperature of thermograms was higher in the patients with pain induce by disorder of blood circulation than that in patients with cold-damp pain and the thermograms showed color of blue. The temperature of thermograms was higher in patients with pain induce by aseptic inflammation than that in other patients and the thermograms showed color of dark red. The temperature of thermograms had high area as well as low area in patients with mixed pain, and high area was closed to that in patients with pain due to qi stagnation and blood stasis and low area was closed to that in patients with pain induce by disorder of blood circulation. The temperature of thermograms was lower in the patients with pain due to qi stagnation and blood stasis than that in the patients with pain induce by aseptic inflammation, and higher than that in health people and other patients. The thermograms were larger and showed as scattered and stellate red area in the patients with pain due to qi stagnation and blood stasis, while those were centered and flaky in other patients. The characteristics of thermograms were prominent in all patients and the difference was significant （P 〈 0. 05） after statistical handling. Conclusion Infrared thermograms can be taken as the objective index, from bot

关 键 词：红外热成像 疼痛 机制和分型 

分 类 号：R241[医药卫生—中医诊断学]