本文選題：多囊卵巢綜合征 + PCOS��； 參考：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本研究利用紅外熱成像技術(shù),采集健康人群和多囊卵巢綜合征患者軀干部的紅外熱圖,進(jìn)行溫度差異的分析總結(jié),判斷多囊卵巢綜合征患者經(jīng)絡(luò)、穴位、臟腑失調(diào)的情況,為臨床辨證分析和治療提供一定的參考。材料與方法:選擇2015年6月~8月期間在遼寧中醫(yī)藥大學(xué)附屬醫(yī)院婦科門診就診的多囊卵巢綜合征患者33例作為多囊組。招募健康受試者30例作為健康組。應(yīng)用ATIR-M301醫(yī)用紅外熱像儀采集兩組受試者軀干正面和背面兩張紅外熱圖,觀察其異常區(qū)域出現(xiàn)的比率,對(duì)其異常區(qū)域的紅外溫度進(jìn)行對(duì)比分析,并對(duì)異常區(qū)域內(nèi)的督任二脈和部分經(jīng)穴的紅外溫度進(jìn)行對(duì)比分析。組內(nèi)軀干左右兩側(cè)的紅外溫度的比較采用配對(duì)T檢驗(yàn)進(jìn)行統(tǒng)計(jì)分析,兩組間經(jīng)穴相對(duì)溫度的比較采用獨(dú)立樣本T檢驗(yàn)進(jìn)行統(tǒng)計(jì)分析。結(jié)果:1.兩組軀干異常區(qū)域紅外熱圖的對(duì)比中發(fā)現(xiàn):兩組受試者乳腺區(qū)、腹外側(cè)區(qū)和督脈區(qū)域出現(xiàn)溫度異常比率的比較有統(tǒng)計(jì)學(xué)差異(P0.05);中腹部、下腹部和背部的比較無統(tǒng)計(jì)學(xué)差異(P0.05)。2.組內(nèi)自身紅外溫度的左右兩側(cè)對(duì)比中發(fā)現(xiàn):健康組受試者乳腺區(qū)、腹外側(cè)區(qū)和腰區(qū)左右兩側(cè)紅外溫度無統(tǒng)計(jì)學(xué)差異(P0.05);多囊組患者左側(cè)乳腺區(qū)紅外溫度高于右側(cè),差異有統(tǒng)計(jì)學(xué)意義(P0.05);腰外側(cè)區(qū)域和腰區(qū)左右兩側(cè)紅外溫度的比較無統(tǒng)計(jì)學(xué)差異(P0.05)。3.組內(nèi)經(jīng)穴區(qū)域自身紅外溫度的左右兩側(cè)對(duì)比發(fā)現(xiàn):健康組受試者左右兩側(cè)的乳中穴、章門穴、帶脈穴、膈俞穴、腎俞穴區(qū)域紅外溫度的比較無統(tǒng)計(jì)學(xué)差異(P0.05);多囊組患者章門穴和腎俞穴左右兩側(cè)紅外溫度的比較有統(tǒng)計(jì)學(xué)差異(P0.05),乳中穴、章門穴、膈俞穴的比較無統(tǒng)計(jì)學(xué)差異(P0.05)。4.兩組督脈和任脈區(qū)域紅外溫度差的比較發(fā)現(xiàn):健康組受試者督脈區(qū)域的紅外溫度高于任脈區(qū)域,差異有統(tǒng)計(jì)學(xué)意義(P0.05);多囊組督脈與任脈區(qū)域紅外溫度的差值無統(tǒng)計(jì)學(xué)差異(P0.05)。5.兩組穴位區(qū)域相對(duì)溫度的比較中,多囊組乳中穴、膻中穴、神闕穴和命門穴區(qū)域的相對(duì)溫度均高于健康組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),其中乳中穴和膻中穴最明顯(P0.01),而章門穴、帶脈穴、腎俞穴和膈俞穴兩組間的比較無統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:1.多囊卵巢綜合征患者膻中穴、神闕穴、命門穴、督脈、任脈及章門穴、乳中穴紅外熱成像特征性的表現(xiàn)表明多囊卵巢綜合征疾病的病位與督脈和任脈二脈關(guān)系密切,且與足陽明胃經(jīng)、足厥陰肝經(jīng)有一定的相關(guān)性。2.多囊卵巢綜合征患者經(jīng)穴和任督二脈的紅外溫度表現(xiàn)出的差異性,豐富了中醫(yī)對(duì)該疾病病位的認(rèn)識(shí),為中醫(yī)外治法辨證取穴提供了新的思路。
[Abstract]:Objective: in this study, infrared thermography was used to collect the infrared thermograms of the healthy people and the cadres of the patients with polycystic ovary syndrome (PCOS), to analyze and summarize the temperature difference, and to judge the meridian and acupoints of the patients with PCOS. The disorder of viscera provides a certain reference for clinical analysis and treatment. Materials and methods: from June to August 2015, 33 patients with polycystic ovary syndrome (PCOS) in gynecological clinic of affiliated Hospital of Liaoning University of traditional Chinese Medicine were selected as polycystic group. Thirty healthy subjects were recruited as the healthy group. Two infrared images of the front and back torso of two groups of subjects were collected by using ATIR-M301 medical infrared thermal imager. The occurrence rate of abnormal region was observed, and the infrared temperature of abnormal area was compared and analyzed. The infrared temperature of du Ren Ermai and some meridians in abnormal area were compared and analyzed. The comparison of infrared temperature on the left and right sides of the trunk in the group was statistically analyzed by paired T test, and the comparison of the relative temperature of the acupoints between the two groups was analyzed by independent sample T test. The result is 1: 1. In the comparison of infrared thermogram of abnormal region of trunk between the two groups, it was found that the ratio of abnormal temperature in breast area, ventrolateral area and du vein area of the two groups was significantly different (P 0.05), but there was no significant difference in the comparison between middle abdomen, lower abdomen and back (P 0.05 路2). The results showed that there was no significant difference in infrared temperature between the breast region, ventrolateral region and waist area in healthy subjects (P 0.05), and the infrared temperature in the left mammary gland was higher than that in the right side in the polycystic group. The difference was statistically significant (P 0.05), and there was no significant difference in the infrared temperature between the lateral lumbar region and the left and right sides of the lumbar area. The comparison of the infrared temperature between the two sides of the meridian region of the group showed that the healthy subjects had the following points: the middle point of milk, the point of zangmen, the point of banmai, the point of Geshu, the right side of the control group, There was no statistical difference in infrared temperature of Shenshu point (P 0.05), but there was no significant difference in infrared temperature between Zhanmen point and Shenshu point (P 0.05), Ruzhong point, Zhangmen point and Geshu point (P 0.05). The comparison of the infrared temperature difference between the two groups showed that the infrared temperature in the du vein region of the healthy subjects was higher than that in the Ren vein area, the difference was statistically significant (P 0.05), and there was no statistical difference between the two groups in the infrared temperature difference between the du vein region and the Ren vein region (P 0.05). In the comparison of relative temperature of acupoint area between the two groups, the relative temperature of Ru Zhong point, Shanzhong point, Shenque point and Shengmen point area in polycystic group was higher than that in healthy group, and the difference was statistically significant (P 0.05), among which the point of Ruzhong and Shanzhong acupoint was the most obvious, and the point of Zhangmen was more obvious than that of the control group. There was no statistical difference between the two groups (P 0.05). Conclusion 1. The features of infrared thermal imaging at Tanzhong point, Shenque point, Shengmen point, du vein, Ren Mai and Zhangmen point and Ruzhong point in patients with polycystic ovary syndrome indicate that the disease location of polycystic ovary syndrome is closely related to du vein and Ren Mai two veins. And with foot Yangming stomach Meridian, foot Jueyin liver Meridian has a certain correlation. 2. The difference of infrared temperature between the acupoints of polycystic ovary syndrome and Ren du's two veins enriches the understanding of disease position in TCM and provides a new way of thinking for the differentiation of syndrome and acupoints of external treatment of TCM.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R271.9
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本文編號(hào)：1907378