基于红外热成像技术对慢性前列腺炎患者的临床评价研究  

Clinical assessment of chronic prostatitis based on infrared imaging technology

作　　者：刘安国[1] 严兴科[1] 阚丽丽[2] 

机构地区：[1]甘肃中医药大学针灸推拿学院,甘肃兰州730000 [2]甘肃省中医院风湿骨病科,甘肃兰州730050

出　　处：《中华男科学杂志》2016年第1期22-27,共6页National Journal of Andrology

基　　金：国家自然科学基金(81060304)~~

摘　　要：目的:应用红外热成像技术探索慢性前列腺炎(CP)患者的特征性红外热谱改变,建立其辅助诊断方法,为临床诊断和疗效评价提供新的思路。方法:纳入符合CP诊断标准的男性患者50例,招募同年龄段健康男性志愿者20例,采集健康男性和CP患者的下腹部红外热谱,对比分析CP患者红外热谱的异常温度改变特征,建立CP的临床辅助诊断方法和疗效评价手段。结果:CP患者的下腹部红外热谱具有特征性的温度改变。与同年龄段健康男性相比,CP患者的下腹部平均温度值、H值(下腹部平均温度值-下腹部低温区温度值)、P值(下腹部平均温度值-耻骨联合区平均温度值)、S值(下腹部平均温度值-阴囊区平均温度值)、G值(下腹部平均温度值-双侧腹股沟平均温度值)改变都具有非常显著性差异(P<0.01)。并且其下腹部平均温度值与自身CPSI积分值呈负相关(P<0.01),Pearson相关系数为-0.519,阴囊区平均温度值与自身CPSI积分呈显著正相关(P<0.01),Pearson相关系数为0.446。另外,除H值外,P、S、G值与自身CPSI积分都具有不同程度的相关性(P<0.01),其中S值与自身CPSI积分相关性较高,Pearson相关系数为-0.898,两者呈显著负相关。结论:CP患者下腹部具有特征性红外热谱温度改变,将这些特异性红外温度指标作为应用于CP的辅助诊断、症状评估和疗效评价,不失为一种简单、直观、便捷、准确的手段。Objective： To investigate the characteristic changes in the infrared thermogram of chronic prostatitis（ CP） patients and find some evidence for the auxiliary diagnosis and therapeutic evaluation of the disease. Methods： Fifty CP patients and 20 healthy male volunteers were included in this clinical trial. The infrared thermograms of the subjects were compared between the two groups for characteristic changes. The values obtained were used for the auxiliary diagnosis and therapeutic evaluation of the disease.Results： Compared with the healthy males in the same age group,the CP patients showed extremely significant abnormal changes in the average temperature value in the hypogastrium（ H）,pubis（ P）,scrotum（ S）,and groin（ G）（ P〈0. 01）. The average H temperature value of the CP patients was correlated negatively with the CP symptom index（ CPSI）（ P〈0. 01,Pearson＇s correlation coefficient=- 0. 519）,while the S temperature positively with CPSI（ P〈0. 01,Pearson＇s correlation coefficient = 0. 446）. In addition to the H value,the P,S,and G values were all correlated in different degrees with CPSI（ P〈0. 01）,which the S value exhibited the most significantly negative correlation（ Pearson＇s correlation coefficient =- 0. 898）. Conclusion： There are some characteristic changes in the hypogastrium temperature of CP patients in the infrared thermogram,which has a potential application value for the auxiliary diagnosis,symptom assessment,and therapeutic evaluation of CP.

关 键 词：慢性前列腺炎 红外热谱 针刺效应 

分 类 号：R697.33[医药卫生—泌尿科学]