| 税典奎,李梓宣,黎舒婷,等.阳虚体质大肠息肉患者的红外皮温特征研究[J].浙江中医药大学学报,2022,46(8):857-861, 871. |
| 阳虚体质大肠息肉患者的红外皮温特征研究 |
| Characteristics of Infrared Skin Temperature in Patients with Colorectal Polyp with Yang Deficiency Constitution |
| DOI：10.16466/j.issn1005-5509.2022.08.008 |
| 中文关键词: 红外热成像 阳虚体质 大肠息肉 腺瘤性息肉 皮温 结直肠癌 平和体质 |
| 英文关键词: infrared thermal imaging Yang deficiency constitution colorectal polyp adenomatous polyp skin temperature colorectal cancer peaceful constitution |
| 基金项目:广西自然科学基金项目(2020GXNSFAA259083)；广西中医药适宜技术开发与推广项目(GZSY20-61) |
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| 中文摘要: |
| [目的] 探讨阳虚体质大肠息肉患者的红外皮温分布规律。[方法] 收集符合中医阳虚体质的大肠息肉患者150例与平和体质大肠息肉患者50例，分别进行红外皮温检测，摄取以下部位的皮温(前后躯干、中下焦、督脉、足三里、天枢、中脘和关元)。再根据患者息肉病理学检查结果，将患者分为腺瘤组和非腺瘤组，进一步根据镜下息肉数量，将两组患者分为息肉数量≥10和＜10的两个亚组，比较不同病理组和息肉数量组之间的皮温差异，总结皮温分布特征。 [结果] 阳虚体质患者各部位平均皮温明显低于平和体质患者(P＜0.01)。在息肉数量＜10的情况下，腺瘤性息肉患者多部位的平均皮温与非腺瘤性息肉组差异无统计学意义(P＞0.05)；在息肉数量≥10的情况下，腺瘤性息肉组平均皮温明显低于非腺瘤性组(P＜0.01)。 [结论] 阳虚体质大肠息肉患者的肠道息肉数量与皮温呈负相关，息肉数量越多，其皮温越低。在息肉数量≥10的情况下，腺瘤性息肉患者的皮温表现为明显冷偏离状态，可初步预估高危息肉病理类型。因此，红外皮温可为阳虚体质大肠息肉患者的癌变风险做出预估。 |
| 英文摘要: |
| [Objective] To investigate the distribution law of infrared skin temperature in patients with colorectal polyps with Yang deficiency constitution. [Methods] Totally 150 patients with Yang deficiency constitution in traditional Chinese medicine(TCM) diagnosed as colorectal polyps and 50 patients of colorectal polyps with peaceful constitution were collected， infrared skin temperature detection was conducted， and the skin temperature of the following parts(front and rear torso skin temperature， middle and lower-Jiao， Governor Vessel， Zusanli， Tianshu， Zhongwan， and Guanyuan points) was ingested. According to the pathological results of polyps， the patients were divided into adenoma group and non-adenoma group， and according to the number of polyps under the colonoscope， the patients in the two groups were divided into subgroups with more than 10 and less than 10 polyps. Differences in skin temperature between different pathological groups and polyp arrays groups were compared， and the characteristics and regularities were summarized. [Results] The average skin temperature of each part of the patients with Yang deficiency constitution was significantly lower than that of the patients with peaceful constitution(P＜0.01). When the number of polyps was less than 10， the average skin temperature of multiple parts of patients with adenoma polyps was similar to that of patients with non-adenoma polyps(P＞0.05)， and when the number of polyps was more than 10， the average skin temperature of adenoma group was significantly lower than that of non-adenoma group(P＜0.01). [Conclusion] The number of polyps in patients of colorectal polyps with Yang deficiency constitution was negatively correlated with skin temperature，the more polyps， the lower the skin temperature. When the number of polyps is more than 10， the skin temperature of patients with adenomatous polyps is in obviously cold deviation， which can preliminarily predict the pathological type of high-risk polyps. Therefore， infrared skin temperature can further predict the cancer risk of colorectal polyps patients with Yang deficiency constitution. |
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