红外热像图对强直性脊柱炎诊断及中医辨证分型的价值  

作　　者：卢桂芳 罗紫月 谢志敏 徐贾英 何兆春 李霄鹏 杨科朋 

机构地区：[1]浙江中医药大学附属第二医院,310005 [2]浙江中医药大学第二临床医学院,310053

出　　处：《浙江临床医学》2024年第5期747-748,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省教育厅一般科研项目(Y201942335);浙江省中医药科技计划项目(2020ZB103)。

摘　　要：目的评估红外热像图对强直性脊柱炎(Ankylosing Spondylitis,AS)诊断及中医辨证分型的应用价值。方法选取2020年1月至2023年12月本院收治的AS患者100例,按照中医证型分组,肾虚督寒证组50例,肾虚湿热证组50例。选择同期健康体检者50例为对照组。收集临床信息与红外热像图检测数据进行统计分析。结果肾虚督寒组与肾虚湿热组间血沉(ESR)、C反应蛋白(CRP)、中轴关节疼痛VAS评分差异均无统计学意义(P>0.05)。肾虚督寒组的脊背部平均温度及最高温度均较健康对照组明显偏低(P<0.01),而肾虚湿热组则明显偏高(P<0.05)。同时,肾虚督寒组的脊背部最高温度与周围温度的差值明显偏小(P<0.05),而肾虚湿热组温度差较对照组相仿(P>0.05)。结论红外热像图测量的脊背部温度与AS中医证型密切相关,红外热像图或对AS诊断及中医辨证分型具有辅助价值。Objective To evaluate the application value of infrared thermography in the diagnosis and syndrome differentiation of Ankylosing Spondylitis(AS).Methods We retrospectively collected 100 AS patients(50 with kidney deficiency and cold syndrome and 50 with kidney deficiency and dampness-heat syndrome)and 50 healthy people,and collected the clinical information and infrared thermography detection data of the enrolled case samples for statistical analysis.Results There was no statistical significance in erythrocyte sedimentation rate(ESR),C reactive protein(CRP)and visual analogue scale(VAS)score of axial joint pain between kidney deficiency and cold syndrome group and kidney deficiency and dampness-heat syndrome group(P>0.05).In addition,the mean temperature and maximum temperature of the back of AS patients with kidney deficiency and cold deficiency syndrome were significantly lower than that of the healthy control group(P<0.01),while the mean temperature and maximum temperature of the back of AS patients with kidney deficiency and damp-heat syndrome were significantly higher(P<0.05).At the same time,the difference between the maximum temperature of the back and the surrounding temperature of AS patients with kidney deficiency and cold deficiency syndrome was significantly smaller(P<0.05),while the temperature difference of AS patients with kidney deficiency and dampness-heat syndrome was similar to that of the control group(P>0.05).Conclusion The back temperature measured by infrared thermography is closely related to TCM syndrome types of AS.Infrared thermography may be of application value and clinical significance in assisting the diagnosis and TCM syndrome differentiation of AS.

关 键 词：强直性脊柱炎 红外热像图 中医辨证分型 

分 类 号：R259[医药卫生—中西医结合]