膝关节骨关节炎中医证型与穴位体表温度的相关性研究  

Correlation research between traditional Chinese medicine syndrome types of knee osteoarthritis and body surface temperature at acupuncture points

作　　者：黄凤媛 徐桂兴 黄柳杨 周卓 田昊 刘亦琳 赵凌[1] 郑晖[1] 冀来喜 崔瑾[3] 常小荣 梁繁荣[1] HUANG Fengyuan;XU Guixing;HUANG Liuyang;ZHOU Zhuo;TIAN Hao;LIU Yilin;ZHAO Ling;ZHENG Hui';JI Laixi;CUI Jin;CHANG Xiaorong;LIANG Fanrong(College of Acupuncture and Tuina,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;College of Acumox and Tuina,Guizhou University of Traditional Chinese Medicine,Guiyang 550000,China;College of Acupuncture,Tuina and Rehabilitation,Hunan University of Chinese Medicine,Changsha 410000,China;School of Acupuncture and Tuina,Shanxi University of Chinese Medicine,Taiyuan 030000,China)

机构地区：[1]成都中医药大学针灸推拿学院,成都610075 [2]贵州中医药大学针灸推拿学院,贵阳550000 [3]湖南中医药大学针灸推拿与康复学院,长沙410000 [4]山西中医药大学针灸推拿学院,太原030000

出　　处：《中华中医药杂志》2023年第9期4396-4400,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81590950)。

摘　　要：目的:观察不同中医证型的膝关节骨关节炎(KOA)患者穴位体表温度的特点和规律。方法:将符合纳入标准的372例KOA患者作为研究对象,根据中医辨证分为肝肾亏虚、阳虚寒凝、瘀血阻滞3个证型组。采用Fotric 226全平台热像仪检测受试者相关穴位皮肤温度,扫描范围为背腰部、膝关节部及踝部相关的19个穴位。运用SPSS 26.0软件分析KOA患者不同中医证型与穴位体表温度的关系。结果:KOA的3种不同证型在鹤顶、阴陵泉、膝关、足三里、悬钟、内膝眼、犊鼻、丘墟的体表温度差异有统计学意义(P<0.05,P<0.01)。阳虚寒凝证鹤顶、内膝眼、犊鼻、足三里、悬钟、丘墟温度高于其他两证型(P<0.05,P<0.01),肝肾亏虚证膝关温度低于其他两证型(P<0.05)。结论:不同证型间穴位温度存在差异,提示穴位温度变化可为KOA的中医辨证提供客观参考,并且在今后进行相关的穴位敏化研究时应当考虑中医证型对穴位体表温度的影响。Objective:To observe the characteristics and regularity of body surface temperature at acupuncture points in patients with different traditional Chinese medicine(TCM)syndromes types of knee osteoarthritis(KOA).Methods:A total of 372 patients with KOA who met the inclusion criteria were taken as the study subjects and divided into 3 different groups of TCM syndrome types according to the TCM diagnosis:liver and kidney deficiency patten,yang deficiency and cold coagulation patten,and stagnation of blood patten.The skin temperature of the relevant acupuncture points of the subjects was detected using a Fotric 226 full-platform thermal imaging device,and the scanning range was 19 relevant acupuncture points in the dorsal and lumbar regions,the knee region and the ankle region.SPSS 26.0 software was used to analyze the relationship between different TCM syndrome types and body surface temperature of acupoints in KOA patients.Results:There were statistical differences in the body surface temperatures of the three different TCM syndrome types of KOA at Heding(EX-LE2),Yinlingquan(SP9),Xiguan(LR7),Zusanli(ST36),Xuanzhong(GB39),Neixiyan(EX-LE4),Dubi(ST35)and Qiuxu(GB40)(P<0.05,P<0.01).The temperature of Heding(EX-LE2),Neixiyan(EX-LE4),Dubi(ST35),Zusanli(ST36),Qiuxu(GB40)in the yang deficiency and cold condensation syndrome were higher than the other two types(P<0.05,P<0.01),and the temperature of Xiguan(LR7)in the liver and kidney deficiency syndrome was lower than the other two types(P<0.05).Conclusion:There are differences in acupoint temperatures between different TCM syndrome types,suggesting that changes in acupoint temperatures can provide objective reference for TCM syndromes differentiation of KOA and that the influence of TCM syndrome types on the body surface temperatures of acupoint should be considered in future relevant acupoint sensitization studies.

关 键 词：膝关节骨关节炎 穴位敏化 中医证型 穴位温度 红外热成像 相关性 

分 类 号：R246.9[医药卫生—针灸推拿学]