CAJ | 학술논문

目的:采用灸感与红外法对原发性痛经患者关元穴热敏态进行检测对比研究,探讨腧穴热敏态红外客观显示的可能性.方法:共纳入原发性痛经患者71例,比较灸感法与红外法对原发性痛经患者关元穴热敏态的检测差异.结果:原发性痛经患者关元穴区发生热敏化时,其红外辐射强度多数显示低温特征,与灸感法比较,其敏感性(真阳性率)为76.6%,特异性(真阴性率)为70.1%,准确性为74.6%;艾灸热敏态关元穴区后,产生明显纵向或横向扩散的红外辐射增强区域,与灸感法比较,其敏感性(真阳性率)为78.7%,特异性(真阴性率)为83.3%,准确性为80.3%.结论:原发性痛经患者关元穴区热敏态在一定程度上可被红外成像客观显示;艾灸热敏腧穴产生的腧穴热敏现象(如扩热、传热),除了被受试者主观感觉之外,在一定程度上也能被红外成像客观显示.
목적:채용구감여홍외법대원발성통경환자관원혈열민태진행검측대비연구,탐토수혈열민태홍외객관현시적가능성.방법:공납입원발성통경환자71례,비교구감법여홍외법대원발성통경환자관원혈열민태적검측차이.결과:원발성통경환자관원혈구발생열민화시,기홍외복사강도다수현시저온특정,여구감법비교,기민감성(진양성솔)위76.6%,특이성(진음성솔)위70.1%,준학성위74.6%;애구열민태관원혈구후,산생명현종향혹횡향확산적홍외복사증강구역,여구감법비교,기민감성(진양성솔)위78.7%,특이성(진음성솔)위83.3%,준학성위80.3%.결론:원발성통경환자관원혈구열민태재일정정도상가피홍외성상객관현시;애구열민수혈산생적수혈열민현상(여확열、전열),제료피수시자주관감각지외,재일정정도상야능피홍외성상객관현시.
Objective: To compare moxibustion sensation and infrared thermography by the assessment of heat-sensitization on Guanyuan (CV 4) in patients with primary dysmenorrhea, and to prove the possibility of adopting infrared thermography as an objective demonstration of acupoints heat-sensitization. Methods: Seventy-one patients with primary dysmenorrhea were enrolled to receive moxibustion and infrared to detect the heat-sensitization of Guanyuan (CV 4). The results were then analyzed and compared. Results: The infrared radiation showed a lower temperature when the acupoint Guanyuan (CV 4) was sensitized in patients with primary dysmenorrhea. Compared with moxibustion sensation, its sensitivity rate (real positive rate) was 76.6%, divergence rate (real negative rate) was 70.1%, and the accuracy rate was 74.6%. After giving moxibustion to Guanyuan (CV 4), the infrared radiation area was significantly expanded longitudinally and transversely. Compared with moxibustion test, the sensitivity rate (real positive rate) of infrared test was 78.7%, divergence rate (real negative rate) was 83.3%, and the accuracy rate was 80.3%. Conclusion: To a certain extent, the heat-sensitization of the acupoint Guanyuan (CV 4) in patients with primary dysmenorrhea can be revealed by infrared thermography. The acupoint heat-sensitization phenomena (heat extension or transmission) after giving moxibustion to the heat-sensitized acupoints can also be demonstratedobjectively by infrared thermography, besides experienced subjectively by the receivers.