| 引用本文:王佳丽1，刘奕清1，王竹风2，刘逸南1，宋昌梅3，李洪娟3，雷燕1，3.代谢综合征患者脏腑红外热成像特征研究[J].世界中医药,2023,(04):. |
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| 代谢综合征患者脏腑红外热成像特征研究 |
| Infrared Thermal Imaging Characteristics of Zang-fu Organs in Patients with Metabolic Syndrome |
| 投稿时间：2022-03-24 |
| DOI：10.3969/j.issn.1673-7202.2023.04.018 |
| 中文关键词: 代谢综合征 红外热成像 红外热图 感兴趣区域 脏腑功能反射区 躯干部位 体表平均温度 |
| English Keywords:Metabolic syndrome Infrared thermal imaging Infrared thermal image Region of interest Zang-fu reflection region Torso Average body surface temperature |
| 基金项目:国家自然科学基金面上项目（81673822）；北京市自然科学基金资助项目（7182120）；中国中医科学院自主选题项目（ZZ2019012）；医学实验中心科研发展项目（FZ2022001） |
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| 中文摘要: |
| 目的：应用红外热成像（IRTI）技术探究代谢综合征（MS）患者脏腑功能反射区红外热成像特征。方法：研究对象为2021年8月至2022年4月在中国中医科学院广安门医院南区内分泌门诊及病房就诊的MS患者和健康受试者，经严格筛查，符合纳入排除标准且实验室指标完整者共120例，其中MS组96例，健康对照组24名。分析受试者躯干部位感兴趣区域（ROI）体表平均温度。结果：MS组患者红外热图呈现明显凉偏离，且分布不均匀、不连续、不对称；与健康对照组比较，MS组青年患者胃脘、大腹、任脉、右腰、左腰及督脉等ROI体表平均温度降低（P<0.01或P<0.05），MS组中年患者ROI体表平均温度降低（P<0.01或P<0.05）；不同年龄受试者ROI体表平均温度呈现随代谢异常指标增多而降低的趋势，大腹、右腰明显凉偏离；MS组11例患者ROI体表平均温度与代谢指标腰围负相关（P<0.01或P<0.05）。结论：腰围是MS重要特异指标；MS患者躯干部位脏腑功能反射区红外热图存在凉偏离的特征性表现，尤其在大腹及右腰，提示脾肾阳气不足，脏腑功能低下，代谢障碍是MS红外特征形成的重要原因。 |
| English Summary: |
| To explore the infrared thermal imaging(IRTI) characteristics of the reflection regions of zang-fu organs in patients with metabolic syndrome(MS) using IRTI technology.Methods:The participants included healthy volunteers and the MS patients in the Department of Endocrinology and Inpatient Ward of South District of Guang'anmen Hospital，China Academy of Chinese Medical Sciences from August 2021 to April 2022.After strict screening，120 participants conforming to inclusion criteria and with complete experimental indexes were enrolled，with 96 in MS group and 24 in healthy control group.The average surface temperature of the regions of interest(ROIs) in the torso of the participants was analyzed.Results:The infrared thermal image of MS patients showed obvious cool deviation with uneven distribution，discontinuity，and asymmetry.Compared with those of healthy controls，the average surface temperature of epigastrium，upper abdomen，conception vessel，right waist，left waist，governor vessel and other ROIs of young MS patients was decreased(P<0.01 or P<0.05); the average surface temperature of all ROIs of middle-aged MS patients was lowered(P<0.01 or P<0.05); the average surface temperature of the ROIs of participants in different age groups presented a decreasing trend with the increase of abnormal metabolic indexes，and significant cool deviation appeared in upper abdomen and right waist.Among 11 MS patients，the average surface temperature of the ROIs was negatively correlated with waist circumference(P<0.01 or P<0.05).Conclusion:Waist circumference is a key specific index of MS.The infrared thermal image of zang-fu reflection regions in the torso of MS patients had characteristic cool deviation，especially in upper abdomen and right waist.This suggests that yang qi deficiency in spleen and kidney，reduced function of zang-fu organs，and metabolic disorders are the important reasons for the infrared characteristics of MS. |
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