儿童原发免疫性血小板减少症红外热图特征初探  

A Preliminary Study on Infrared Thermal Imaging Characteristics of Children with Primary Immune Thrombocytopenia

作　　者：王月 余惠平[1] 高梦蕉 洪文学[2] 宓保宏 张文征[1] WANG Yue;YU Huiping;GAO Mengjiao;HONG Wenxue;FU Baohong;ZHANG Wenzheng(Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China;School of Electrical Engineering,Yanshan University,Qinhuangdao,Hebei 066004,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]燕山大学电气工程学院,河北秦皇岛066004

出　　处：《湖南中医药大学学报》2020年第5期583-586,共4页Journal of Hunan University of Chinese Medicine

基　　金：北京市科技计划课题资助(Z171100001017224)。

摘　　要：目的应用红外热成像技术观察儿童原发免疫性血小板减少症(immune thrombocytopenia,ITP)与健康儿童的红外热图差异,为ITP儿童的临床诊断与疗效评价提供新的可视化指标。方法采集22例ITP患儿(ITP组)与11例健康儿童(对照组)的红外热图,对躯干、四肢近段区域的非均一性进行统计学分析,并对躯干三焦、双手掌、头面区域与躯干部位相对热态差值(△t)进行统计学分析。结果 ITP组的非均一性明显大于对照组,差异具有统计学意义(t=3.432,P<0.01);ITP组的△t手掌明显大于对照组,差异具有统计学意义(t=3.438,P<0.01);ITP组的△t脊柱区小于对照组,差异具有统计学意义(t=-2.239,P<0.05);健康组三焦△t排序呈现为:△t上焦<△t中焦<△t下焦,ITP组三焦△t排序为:△t上焦>△t中焦>△t下焦。结论 ITP儿童较健康儿童躯干及四肢近段部位"均一性"差,且手掌、脊柱区域温度存在明显差异,红外热成像技术可为ITP儿童的病情评估及疗效评价提供新的方法。Objective To observe the difference of infrared thermal imaging between children with primary immune thrombocytopenia(ITP) and healthy children by using infrared thermal imaging technology, so as to provide a new visual index for clinical diagnosis and treatment of ITP children and clinical efficacy evaluation. Methods The infrared charts of 22 ITP children(ITP group) and 11 healthy children(control group) were collected, and the non-uniformity of the trunk area and limb proximal area were statistically analyzed, and the relative thermal calorific value data(△t) of the differences between the trunk sanjiao area,palms area, face area and the trunk area were statistically analyzed. Results The non-uniformity of ITP group was significantly greater than that of the control group, and the difference was statistically significant(t =3.432, P <0.01). The △t of palms area in the ITP group was significantly larger than those of the control group, and the difference was statistically significant(t=3.438, P<0.01).The △t of spinal region in the ITP group was smaller than that in the control group, and the difference was statistically significant(t=-2.239, P<0.05). The △t of Sanjiao in the healthy group sequenced: upper jiao < middle jiao < lower jiao. And the ITP group sequenced: upper jiao > middle jiao > lower jiao. Conclusion Compared with healthy children, children with ITP have poor uniformity in trunk area and proximal limbs area, and have significant differences in palms area and spinal area temperature.Infrared thermal imaging technology can provide a new method for ITP children’s condition assessment and curative effect evaluation.

关 键 词：原发免疫性血小板减少症 儿童 红外热成像 非均一性 相对热态差值 

分 类 号：R259[医药卫生—中西医结合] R558.2[医药卫生—中医内科学]