基于红外热成像技术探讨输卵管堵塞性不孕的经络温度热分布值
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国家自然科学基金项目(82260897);贵州省科技厅计划项目-基础研究计划项目(黔科号LH字〔2017〕7124号)


Thermal Distribution Values of Meridians and Collaterals in Tubal Infertility Based on Infrared Thermography
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    摘要:

    目的:基于红外热成像技术探讨湿热瘀阻型输卵管堵塞性不孕的经络温度热分布值。方法:选取2020年9月至2021年12月贵州中医药大学第一附属医院收治的湿热瘀阻型输卵管堵塞性不孕患者70例,采用随机数字表法随机分为对照组和观察组,对照组术后予注射用头孢替安+替硝唑注射液治疗3 d,观察组在对照组基础上联合红藤败酱散加减方内服+中药外敷+中药直肠滴入治疗14 d,利用红外热成像技术比较2组治疗前后经络温度热分值(TDV)变化,以及对比2组治疗前后中医证候积分、妊娠率、输卵管再通情况及综合临床疗效。结果:治疗后,观察组任脉、手阳明大肠经、足少阳胆经、足厥阴肝经TDV较治疗前明显改善(P<0.05),对照组手阳明大肠经、足厥阴肝经TDV较治疗前明显改善(P<0.05),观察组足厥阴肝经、足少阳胆经TDV较对照组明显改善(P<0.05)。观察组术后妊娠率、输卵管再通人数及综合疗效均高于对照组,自然流产、异位妊娠及不孕率均低于对照组。结论:中医综合疗法不仅能提升湿热瘀阻型输卵管堵塞性不孕患者的临床妊娠率、输卵管再通人数,还能明显改善任脉、手阳明大肠经、足少阳胆经、足厥阴肝经各组经络TDV,尤其对足厥阴肝经改善更为明显。

    Abstract:

    To explore the thermal distribution values(TDVs) of meridians and collaterals in patients with tubal infertility of dampness-heat and blood stasis type using infrared thermography technology.Methods:A total of 70 patients diagnosed with tubal infertility of dampness-heat and blood stasis type at the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine between September 2020 and December 2021 were enrolled and randomly assigned into a control group and an observation group using a random number table.The control group received postoperative treatment with ceftezole sodium and tinidazole injection for 3 days.The observation group received an integrative traditional Chinese medicine(TCM) therapy in addition to the control regimen,consisting of oral administration of a modified Hongteng Baijiang Powder,external TCM application,and rectal TCM infusion for 14 days.Infrared thermography was used to compare the TDV changes in meridians and collaterals before and after treatment.Additionally,changes in TCM syndrome scores,pregnancy rates,tubal recanalization,and overall clinical efficacy were assessed.Results:After treatment,the TDVs of the conception vessel,large intestine meridian of hand Yangming,gallbladder meridian of foot Shaoyang,and liver meridian of foot Jueyin in the observation group significantly improved compared to baseline(P<0.05).In the control group,the TDVs of the large intestine meridian of hand Yangming and liver meridian of foot Jueyin also improved significantly(P<0.05).Moreover,the TDVs of the liver meridian of foot Jueyin and gallbladder meridian of foot Shaoyang in the observation group were significantly improved compared to the control group(P<0.05).Postoperative pregnancy rate,number of recanalized fallopian tubes,and comprehensive clinical efficacy were significantly higher in the observation group,while the rates of spontaneous abortion,ectopic pregnancy,and persistent infertility were lower than those in the control group.Conclusion:Comprehensive TCM therapy can not only improves the clinical pregnancy rate and the number of patients with tubal recanalization in those with tubal infertility of dampness-heat and blood stasis type,but also significantly enhances the TDVs in conception vessel,large intestine meridian of hand Yangming,gallbladder meridian of foot Shaoyang,and liver meridian of foot Jueyin,with particularly notable improvement observed in the liver meridian of foot Jueyin.

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郑学菊,欧祥琴,浦翔,黄建娣,黄静,王雨亭,彭鸟.基于红外热成像技术探讨输卵管堵塞性不孕的经络温度热分布值[J].世界中医药,2025,(05).

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  • 收稿日期:2024-05-08
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  • 在线发布日期: 2025-06-04
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