基于红外热成像技术探讨从脾阳虚证论治乙型肝炎肝硬化代偿期患者临床疗效  

Clinical Curative Effect Exploration of Treatment from the Spleen Yang Deficiency Syndrome on Patients with Decompensated Hepatitis B Cirrhosis Based on the Infrared Thermal Imaging Technology

作　　者：余静芳[1] 周晓玲[2] 刘莹[2] 覃凤传 陈峭[2] 韦金秀[2] 李灿[2] 李泽鹏[2] 

机构地区：[1]广西中医药大学,广西南宁530000 [2]柳州市中医院,广西柳州545001

出　　处：《辽宁中医药大学学报》2017年第5期151-154,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：柳州市科学研究与技术开发计划项目(2014J030414)

摘　　要：目的:基于红外热成像技术探讨乙型肝炎肝硬化代偿期患者与正常人之间胃经、脾经循经皮温均温及两经原穴温度的差异性,揭示乙型肝炎肝硬化代偿期患者脾阳虚证的病机本质,并进一步采用脾阳虚证经方理中汤验证从脾阳虚论治乙型肝炎肝硬化代偿期患者的临床疗效。方法:选取2014年11月—2015年11月在我院就诊或住院的82例乙型肝炎肝硬化代偿期患者,随机分为治疗组42例和对照组40例,并随机选取在我院体检的40例健康人作为健康对照组,治疗组给予理中汤联合恩替卡韦分散片治疗,对照组仅予恩替卡韦分散片治疗,健康对照组不予任何处理,分别于入组前及入组3个月后使用红外热像仪观察各组成员胃经、脾经循经皮温均温及两经原穴温度的改变情况,并对治疗组及对照组患者观察其治疗前后临床症状积分、肝功能、肝脏硬度值的变化情况。结果:(1)乙型肝炎肝硬化代偿期患者治疗前的脾胃经均温及两经的原穴穴位温度明显低于健康对照组;经治疗3个月后,治疗组与对照组患者的脾经胃经均温仍低于健康对照组,但治疗组较对照组患者的脾经胃经均温得到显著改善(P<0.05)。(2)经治疗3个月后,治疗组患者的临床症状积分、肝功能、KPA检测结果均优于对照组(P<0.05)。结论:脾阳虚是乙型肝炎肝硬化代偿期的基本病机,从脾阳虚证论治肝硬化代偿期患者可显著提高其临床疗效,改善患者生活质量。Objective： Based on infrared thermal imaging technology to investigate the difference of stomach, spleen meridian skin temperature and the original point temperature between the normal and the patients with decompensated hepatitis B cirrhosis, revealing the essence of spleen Yang deficiency syndrome in patients with chronic hepatitis B cirrhosis, and using the Lizhong Decoction to verifica the clinical effect of treating decompensated hepatitis B cirrhosis with the deficiency of spleen. Methods ： Selected in November 2014 - 2015 November in our hospital or hospital of 82 patients with decompensated hepatitis B cirrhosis patients, were randomly divided into treatment group of 42 cases and control group （ 40 cases ）, and randomly selected in physical examination in our hospital, 40 healthy people as healthy control group, the treatment group was given Lizhong Decoction combined with Entecavir Dispersible Tablets treatment, the control group only received Entecavir Dispersible Tablets treatment, and the healthy control group did not any treatment, respectively before entering the group and after in group 3 months using infrared thermal imager observed members of the stomach meridian, spleen meridian skin temperature and the original point temperature changes, and the treatment group and the control group were observed before and after the treatment, clinical symptoms, liver function, liver stiffness values. Results ： （ 1 ） Treatment of patients with decompensated hepatitis B cirrhosis of the spleen and stomach by temperature and the two original acupoint temperature was significantly lower than that in healthy control group; after 3 months of treatment, the treatment group and control group of patients with spleen stomach temperature was lower compared with that of healthy control group, patients with spleen and stomach temperature improved significantly in treatment group and control group （ P〈0.05 ）. （ 2 ） After 3 months of treatment, the treatment group of patients with clinical symptoms s

关 键 词：乙型肝炎肝硬化代偿期 脾阳虚证 理中汤 红外热成像技术 

分 类 号：R512.62[医药卫生—内科学]