基于红外热成像技术评价升陷汤改善气虚型慢性疲劳综合征的疗效观察  

Study on the effect of Shengxian decoction on infrared characteristics of xu li and du meridian in patients with chronic fatigue syndrome

作　　者：李壮[1] 杨婷[1] 高傲 刘洋[1] 赵妍 曹蕾[1] LI Zhuang;YANG Ting;GAO Ao;LIU Yang;ZHAO Yan;CAO Lei(Dongfang hospital Bejing University of Chinese medicine,Bejing 100078)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《湖南师范大学学报（医学版）》2023年第4期134-136,147,共4页Journal of Hunan Normal University(Medical Sciences)

基　　金：2019北京中医药大学中青年教师项目(2019-JYB-JS-109);北京市中医管理局中医体质辨识治未病服务项目技术规范项目(京中医财字[2019]178号)。

摘　　要：目的:探索升陷汤治疗气虚型慢性疲劳综合征患者的虚里部、胸部和头面部红外热成像特征的变化规律.方法:收集气虚型CFS患者110例,采用随机数字表法分为对照组与治疗组,对照组口服多维元素片,治疗组口服多维元素片和升陷汤颗粒剂,4周为一疗程,采用慢性疲劳量表-14收集患者疲劳程度,医用红外热成仪采集患者的虚里部、胸部和头面部的红外温度,数据采集并录入,采用SPSS 20.0数据分析软件,分析疲劳改善程度与虚里部、胸部和头面部红外温度的相关性.结果:治疗组显效43例,有效11例,无效1例,总有效率98.4%,对照组显效20例,有效29例,无效6例,总有效率是89.1%,治疗后两组疲劳量表-14评分均较干预前下降,且治疗组高于对照组,治疗组的虚里部和头面部温度的组间比较有显著统计学差异,患者症状改善程度与虚里部温度提升、头面部温度提升相关.结论:升陷汤治疗气虚体质CFS疗效明显,可显著升高患者的虚里部、胸部和头面部的红外温度.Objective To explore the changing rule of infrared thermal imaging features of deficiency inner part,chest and head and face in patients with Qi-deficiency CFS treated by Shenglu Decoction.Methods 110 patients with Qi-deficiency CFS were collected and divided into control group and treatment group by random number table method.The control group took multidimensional element tablets orally.In the treatment group,multidimensional element tablets and Shengxian decoction were taken orally for a course of 4 weeks.Chronic fatigue Scale 14 was used to collect the fatigue degree of patients.Medical infrared thermography was used to collect the infrared temperature of patients'Xuli,chest and head and face,and the data were collected and entered.SPSS 20.0 data analysis software was used to analyze the correlation between the improvement degree of fatigue and infrared temperature of Xuli,chest and head and face.Results In the treatment group,43 cases were effective,11 cases were effective,1 case was ineffective,and the total effective rate was 98.4%;in the control group,20 cases were effective,29 cases were effective,and 6 cases were ineffective,and the total effective rate was 89.1%.After treatment,the score of fatigue scale-14 in the two groups decreased compared with that before intervention,and the score in the treatment group was higher than that in the control group.There were statistically significant differences in the temperature of virtual inner part and head and face in the treatment group,and the improvement of patients'symptoms was correlated with the increase of virtual inner part temperature and head and face temperature.Conclusion Shengxian decoction is effective in treating CFS with Qi deficiency,and can significantly increase the infrared temperature of the inner part of the deficiency,chest and head and face of the patients.

关 键 词：慢性疲劳 虚里 气虚体质 红外热成像 

分 类 号：R255[医药卫生—中医内科学]