Infrared thermal imaging

红外热成像
  • 文章类型: Journal Article
    超载卡车长期以来对道路安全构成威胁。为了更有效地评估卡车有效载荷,本研究的重点是通过红外热成像获得的轮胎温度数据。通过监测单个代表性轮胎来分析有效载荷是可行的。轮胎侧壁表面是数据提取的最佳区域。卡车过载导致轮胎中的气体温度显着升高,以及外部温度。内部温度可以用实际气体状态方程计算。通过研究轮胎内部气体温度与有效载荷的关系,证明了监测轮胎侧壁表面温度是一种创新,远程,和实时方法来评估移动卡车的有效载荷状况。
    Overloaded trucks have long posed a threat to the road safety. To assess truck payload more effectively, this study focus on tire temperature data obtained through infrared thermal imaging. It is feasible to analyse the payload by monitoring one single representative tire. Tire sidewall surface is the best area for data extraction. Truck overload caused significant increase of gas temperature in tires, as well as external temperature. The internal temperature can be calculated with real gas equation of state. By studying the relationship between internal gas temperature of tire and payload, it is demonstrated that monitoring the temperature of tire sidewall surface is an innovative, remote, and real-time method to assess the payload situation of moving trucks.
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  • 文章类型: Journal Article
    红外热像仪作为一种非接触式监测的被测物体被广泛应用于火灾探测,驾驶辅助等等。虽然有很多相关的研究,在不同环境温度下,雾或烟雾对红外成像的影响缺乏研究。为了解决这个缺点,本实验中环境和目标的温度均采用PID技术进行控制。烟雾或雾环境是使用烟饼或超声波雾机产生的。用红外热成像相机测量目标的温度。据观察,随着环境温度的升高,目标的测量温度也增加。然而,与烟雾环境或正常环境相比,雾环境中的温度变化更为明显。通过研究发现,环境辐射会导致雾滴的温度变化。因此,红外辐射在烟雾环境中受影响较小,在雾环境中受影响较大。此外,当环境温度接近目标温度时,红外图像变得模糊。
    Infrared thermal imaging camera as a non-contact monitoring of the object to be measured is widely used in fire detection, driving assistance and so on. Although there are many related studies, there is a lack of research on the influence of fog or smoke on infrared imaging under different environmental temperatures. To address this shortcoming, The temperature of both the environment and the target in this experiment is controlled by PID technology. The smoke or fog environment is generated using a smoke cake or an ultrasonic fog machine. The temperature of the target was measured by infrared thermal imaging camera. It was observed that as the temperature of the environment increases, the measured temperature of the target also increases. However, the change in temperature is more pronounced in the fog environment compared to either the smoke environment or the normal environment. It has been found through research that environmental radiation causes temperature changes in fog droplets. Therefore, Infrared radiation is less affected in the smoke environment and more affected in the fog environment. Additionally, when the environmental temperature is close to the target\'s temperature, the infrared image becomes blurred.
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  • 文章类型: Journal Article
    背景:足底筋膜炎(PF)是足跟痛的最常见原因。在保守治疗中,体外冲击波治疗(ESWT)被认为对难治性PF有效。研究表明,将ESWT应用于小腿三头肌的触发点(TrP)可能在PF患者的疼痛治疗中起重要作用。因此,这项研究的目的是结合触发点和ESWT的概念,以探讨该组合对PF患者足底温度和压力的影响。
    方法:应用纳入和排除标准后,从华东医院疼痛门诊招募了86例PF患者,复旦大学随机分为实验组(n=43)和对照组(n=43)。实验组采用体外冲击波治疗足跟内侧痛点及腓肠肌和比目鱼肌TrPs。对照组仅在足跟内侧疼痛点给予体外冲击波治疗。两组均治疗两次,间隔1周。主要测量包括数字评定量表(NRS)评分(总体,第一步,日常活动中的足跟疼痛),二次测量包括脚跟温度,Roles-Maudsley评分(RMS),和足底压力。所有评估均在治疗前进行(即,基线)以及治疗后6周和12周。
    结果:在试验期间,实验组有3名患者退出研究,2是由于COVID-19疫情导致治疗过程中断,1是由于个人原因。在对照组中,3名患者跌倒并由于脚跟肿胀而被移除。因此,最终仅纳入80例PF患者。治疗后,两组在NRS评分方面均表现良好(总体而言,第一步,日常活动中的足跟疼痛),RMS,和足底温度,尤其是在实验组,显着优于对照组。
    结论:脚跟的ESWT结合小腿三头肌触发点可以更有效地改善疼痛,难治性PF的功能和生活质量比ESWT单独的足跟。此外,脚跟的ESWT结合小腿三头肌触发点可以有效降低症状侧脚跟的皮肤温度,表明通过红外热成像测量的足跟温度可以用作评估慢性PF患者治疗效果的独立工具。尽管体外冲击波结合TrP治疗可引起患者步态结构的改变,足底压力仍然难以作为评估PF治疗效果的独立工具。
    背景:在中国临床试验注册中心注册(www。chictr.org.cn)于2021年12月17日,代码如下:ChiCTR-INR-2,100,054,439。
    BACKGROUND: Plantar fasciitis (PF) is the most common cause of heel pain. Among conservative treatments, extracorporeal shock wave therapy (ESWT) is considered effective for refractory PF. Studies have shown that applying ESWT to the trigger points (TrPs) in the triceps surae may play an important role in pain treatment in patients with PF. Therefore, the purpose of this study was to combine the concept of trigger points and ESWT to explore the effect of this combination on plantar temperature and pressure in patients with PF.
    METHODS: After applying inclusion and exclusion criteria, 86 patients with PF were recruited from the pain clinic of Huadong Hospital, Fudan University and randomly divided into experimental (n = 43) and control groups (n = 43). The experimental group was treated with extracorporeal shock waves to treat the medial heel pain point and the gastrocnemius and soleus TrPs. The control group was only treated with extracorporeal shock waves at the medial heel pain point. The two groups were treated twice with an interval of 1 week. Primary measurements included a numerical rating scale (NRS) score (overall, first step, heel pain during daily activities), and secondary measurements included heel temperature, Roles-Maudsley score (RMS), and plantar pressure. All assessments were performed before treatment (i.e., baseline) and 6 and 12 weeks after treatment.
    RESULTS: During the trial, 3 patients in the experimental group withdrew from the study, 2 due to interruption of the course of treatment by the COVID-19 epidemic and 1 due to personal reasons. In the control group, 3 patients fell and were removed due to swelling of the heel. Therefore, only 80 patients with PF were finally included. After treatment, the two groups showed good results in NRS score (overall, first step, heel pain during daily activities), RMS, and plantar temperature, especially in the experimental group, who showed a significantly better effect than the control group.
    CONCLUSIONS: ESWT of the heel combined with the triceps trigger point of the calf can more effectively improve the pain, function and quality of life of refractory PF than ESWT of the heel alone. In addition, ESWT of the heel combined with the triceps trigger point of the calf can effectively reduce the skin temperature of the heel on the symptomatic side, indicating that the heel temperature as measured by infrared thermal imaging may be used as an independent tool to evaluate the therapeutic effect for patients with chronic PF. Although extracorporeal shock waves combined with TrPs treatment can cause changes in the patients\' gait structure, plantar pressure is still difficult to use as an independent tool to evaluate the therapeutic effect for PF.
    BACKGROUND: Registered in the Chinese Clinical Trial Registry ( www.chictr.org.cn ) on 12/17/2021 with the following code: ChiCTR-INR-2,100,054,439.
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  • 文章类型: Journal Article
    目的:本研究旨在比较圆锥角膜眼与正常眼的眼表温度。
    方法:共纳入27名参与者,圆锥角膜和对照组有10和17名参与者,分别。对照组的参与者接受了眼科裂隙灯检查和眼温图,同时对圆锥角膜组的患者进行了额外的角膜断层扫描。
    结果:对于圆锥角膜患者,平均上眼睑温度(UET)为32.36±1.02°C,内眼角温度(ICT)为34.25±0.83°C,眼外温度(OCT)为33.62±0.96°C,初始中央角膜温度(初始CCT)为33.04±1.03°C,第六秒CCT(6s-CCT)为32.67±1.19°C,在6s内测量的CCT的平均变化(6s内CCT的变化)为0.36±0.26°C。对于控件,UET的值,ICT,OCT,初始CCT,6s-CCT,6s内CCT的变化为32.35±1.13°C,34.14±0.91°C,33.51±1.02°C,33.22±1.01°C,32.99±1.01°C,和0.22±0.17°C,分别。除了6s内CCT的变化(p=0.022)外,在UET中没有观察到显著差异(p=0.973),ICT(p=0.659),OCT(p=0.697),两组之间的初始CCT(p=0.556)或6s-CCT(p=0.310)。
    结论:圆锥角膜在睁开眼睛后显示出更快的CCT变化和泪膜蒸发。因此,圆锥角膜眼干眼症的发生率较高。
    OBJECTIVE: This study was conducted to compare the ocular surface temperature in keratoconus eyes with that in normal eyes.
    METHODS: A total of 27 participants were enrolled, with 10 and 17 participants in the keratoconus and control groups, respectively. Participants in the control group underwent an ophthalmic slit lamp examination and ocular thermography, while an additional corneal tomography was performed for those in the keratoconus group.
    RESULTS: For patients with keratoconus, the mean upper eyelid temperature (UET) was 32.36 ± 1.02 °C, inner canthus temperature (ICT) was 34.25 ± 0.83 °C, outer canthus temperature (OCT) was 33.62 ± 0.96 °C, initial central corneal temperature (initial CCT) was 33.04 ± 1.03 °C, sixth-second CCT (6 s-CCT) was 32.67 ± 1.19 °C, and the mean change in CCT measured within 6 s (change in CCT within 6 s) was 0.36 ± 0.26 °C. For controls, the values for UET, ICT, OCT, initial CCT, 6 s-CCT, and change in CCT within 6 s were 32.35 ± 1.13 °C, 34.14 ± 0.91 °C, 33.51 ± 1.02 °C, 33.22 ± 1.01 °C, 32.99 ± 1.01 °C, and 0.22 ± 0.17 °C, respectively. Except for the change in CCT within 6 s (p = 0.022), no significant differences were observed in UET (p = 0.973), ICT (p = 0.659), OCT (p = 0.697), initial CCT (p = 0.556) or 6 s-CCT (p = 0.310) between the two groups.
    CONCLUSIONS: The keratoconus eyes showed faster changes in CCT and evaporation of tear film after opening the eyes. Therefore, the keratoconus eyes had a higher incidence of dry eye conditions.
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  • 文章类型: Randomized Controlled Trial
    OBJECTIVE: To compare the clinical efficacy on lumbar muscle strain with cold and dampness between the different operation sequences of acupuncture and cupping therapy.
    METHODS: Seventy-six patients with lumbar muscle strain with cold and dampness were randomly divided into an acupuncture + cupping group (A + C group, 38 cases) and a cupping + acupuncture group (C + A group, 38 cases, 1 case dropped off). In the A + C group, cupping therapy was delivered 10 min after the end of treatment with acupuncture, while in the C + A group, acupuncture therapy was exerted 10 min after the end of treatment with cupping. Acupuncture was applied to Mingmen (GV 4), Yaoyangguan (GV 3), ashi point and bilateral Shenshu (BL 23), Dachangshu (BL 25), Weizhong (BL 40) and Yanglingquan (GB 34), and the needles were retained for 30 min in each intervention. Flash cupping was operated along the bilateral sides of the lumbar spine for 3 min, and the cups were retained for 10 min at bilateral Shenshu (BL 23), Dachangshu (BL 25) and ashi points. The intervention was delivered once every two days, 3 times weekly, for 3 weeks totally in each group. The scores of visual analogue scale (VAS) and Oswestry disability index (ODI), TCM syndrome score and the mean temperature of the lumbar region before and after treatment were compared between the two groups. The safety and the clinical efficacy were assessed for the interventions of the two groups.
    RESULTS: Compared with the values before treatment, except for the sleep score of ODI, the VAS scores, ODI scores and TCM syndrome scores were decreased after treatment (P<0.01, P<0.05); while the mean temperature of the lumbar region was increased (P<0.01) in both groups. After treatment, the VAS score and the pain score of ODI in the C + A group were lower than those in the A + C group (P<0.05). The incidence rate of adverse reactions of the C + A group was lower than that of the A + C group (P<0.01). The effective rate in the A+C group was 92.1% (35/38), that in the C+A group was 94.6%(35/37), there was no statistical difference between the two groups (P>0.05).
    CONCLUSIONS: Different operation sequences between acupuncture and cupping therapy obtain the similar efficacy on lumbar muscle strain with cold and dampness, but cupping therapy delivered prior to acupuncture has certain advantages in relieving pain and improving safety.
    目的:比较针刺与拔罐不同顺序操作治疗腰肌劳损(寒湿型)的临床疗效。方法:将76例腰肌劳损(寒湿型)患者随机分为针刺拔罐组(38例)和拔罐针刺组(38例,脱落1例)。针刺拔罐组在针刺治疗结束后10 min行拔罐治疗,拔罐针刺组在拔罐治疗结束后10 min行针刺治疗。针刺穴取命门、腰阳关、阿是穴,双侧肾俞、大肠俞、委中、阳陵泉,留针30 min;拔罐于腰椎两侧行闪罐3 min,于双侧肾俞、大肠俞及阿是穴留罐10 min。两组均隔日1次,每周3次,共治疗3周。比较两组患者治疗前后视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、中医证候积分、腰部平均温度,并评定两组安全性和临床疗效。结果:与治疗前比较,除ODI睡眠评分外,两组治疗后VAS评分、ODI评分、中医证候积分降低(P<0.01,P<0.05),腰部平均温度升高(P<0.01);治疗后,拔罐针刺组VAS评分、ODI疼痛程度评分低于针刺拔罐组(P<0.05)。拔罐针刺组不良反应发生率低于针刺拔罐组(P<0.01)。针刺拔罐组有效率为92.1%(35/38),拔罐针刺组有效率为94.6%(35/37),两组比较差异无统计学意义(P>0.05)。结论:针刺与拔罐不同顺序操作治疗腰肌劳损(寒湿型)疗效相当,但先拔罐后针刺在改善疼痛及安全性方面具有一定优势。.
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  • 文章类型: Journal Article
    可以分辨四杆目标的最小可分辨温差(MRTD)是用于评估热成像系统综合性能的关键参数,这对军事和其他领域的技术创新至关重要。最近,有一些尝试使用基于深度学习的自动客观方法来代替经典的手动主观MRTD测量方法,受到实验者心理主观因素的强烈影响,准确性和速度有限。然而,四杆目标的尺度变异性和红外热像仪的低像素已成为自动MRTD测量的难题。我们提出了一种多尺度去模糊特征提取网络(MDF-Net),基于yolov5神经网络的骨干,试图解决上述问题。我们首先提出了一个全球注意力机制(GAM)注意力模块,以表示四杆目标的强大图像。接下来,引入了RepVGG模块以减少模糊。实验表明,该方法达到了预期的效果和检测效果,创新地将四杆目标检测的精度提高到82.3%,从而使热成像仪能够看得更远,响应更快、更准确。
    The minimum resolvable temperature difference (MRTD) at which a four-rod target can be resolved is a critical parameter used to assess the comprehensive performance of thermal imaging systems, which is important for technological innovation in military and other fields. Recently, there have been some attempts to use an automatic objective approach based on deep learning to take the place of the classical manual subjective MRTD measurement approach, which is strongly affected by the psychological subjective factors of the experimenter and is limited in accuracy and speed. However, the scale variability of four-rod targets and the low pixels of infrared thermal cameras have turned out to be a challenging problem for automatic MRTD measurement. We propose a multiscale deblurred feature extraction network (MDF-Net), a backbone based on a yolov5 neural network, in an attempt to solve the aforementioned problem. We first present a global attention mechanism (GAM) attention module to represent strong images of the four-rod targets. Next, a Rep VGG module is introduced to decrease the blur. Our experiments show that the proposed method achieves the desired effect and state-of-the-art detection results, which innovatively improve the accuracy of four-rod target detection to 82.3% and thus make it possible for the thermal imagers to see further and to respond faster and more accurately.
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  • 文章类型: English Abstract
    本研究旨在探讨棕色脂肪组织(BAT)在痰湿化脓证(MS)中的红外表现及作用。为临床诊治痰湿综合征提供客观依据受试者选自广安门医院南区内分泌科和病房,中国中医科学院2021年8月至2022年4月,包括20名健康对照组,非痰湿MS组40例,痰湿MS组40例。一般信息,收集受试者的身高和体重,并计算体重指数(BMI)。腰围(WC),测量收缩压(SBP)和舒张压(DBP)。甘油三酯(TG),高密度脂蛋白胆固醇(HDL-C),空腹血糖(FBG),空腹胰岛素(FINS),瘦素(LP),检测脂联素(ADP)和成纤维细胞生长因子-21(FGF-21)。采用红外热像仪采集冷刺激试验前后受试者锁骨上区域(SCR)的红外热像,观察3组红外热像的变化。此外,比较3组SCR平均体表温度的差异,分析了BAT在SCR中的变化。结果显示与健康对照组的条件相比,WC的水平,SBP,DBP,MS组TG和FPG升高(P<0.01),HDL-C水平降低(P<0.01)。与非痰湿MS组相比,痰湿MS组痰湿体质转化评分较高(P<0.01)。根据红外热图,冷刺激前三组的SCR平均体表温度无差异。而在寒冷刺激后,MS组的平均体表温度低于健康对照组(P&lt;0.05)。冷刺激后,三组的SCR最高温度及其到达时间如下:健康对照组(3min)&gt;非痰湿MS组(4min)&gt;痰湿MS组(5min)。健康对照组和非痰湿MS组的SCR热偏差增加,左右两侧的平均体表温度较高(P&lt;0.01),而痰湿MS组SCR的热偏差无明显变化。与健康对照组相比,左侧和右侧之间的升高温度较低(P&lt;0.01,P&lt;0.05),与非痰湿MS组相比,左侧温度升高较低(P<0.05)。3组平均体表温度变化依次为健康对照组>非痰湿MS组>痰湿MS组。健康对照组与非痰湿MS组比较,FINS,BMI和FGF-21水平升高(P&lt;0.01,P&lt;0.05),痰湿MS组ADP水平降低(P&lt;0.01,P&lt;0.05)。此外,痰湿MS组LP水平高于非痰湿MS组(P&lt;0.01)。在临床试验中观察到冷刺激后,MS患者的平均体表温度低于健康人;痰湿MS患者的SCR热偏差没有明显变化,他们的体温升高差异低于其他两组。这些特点为临床诊治痰湿综合征提供了客观依据。BAT相关指标异常,推断痰湿MS患者SCR中BAT的含量或活性降低。BAT与痰湿MS有很高的相关性,因此,BAT可能成为干预痰湿MS的重要潜在目标。
    This study aimed to explore the infrared manifestation and role of brown adipose tissue(BAT) in phlegm-dampness me-tabolic syndrome(MS), and to provide objective basis for clinical diagnosis and treatment of phlegm-dampness MS. Subjects were selected from the department of endocrinology and ward in the South District of Guang\'anmen Hospital, China Academy of Chinese Medical Sciences from August 2021 to April 2022, including 20 in healthy control group, 40 in non phlegm-dampness MS group and 40 in phlegm-dampness MS group. General information, height and weight of the subjects were collected and body mass index(BMI) was calculated. Waist circumference(WC), systolic blood pressure(SBP) and diastolic blood pressure(DBP) was measured. Triglyceride(TG), high density lipoprotein cholesterol(HDL-C), fasting blood glucose(FBG), fasting insulin(FINS), leptin(LP), adiponectin(ADP) and fibroblast growth factor-21(FGF-21) were detected. The infrared thermal image of the supraclavicular region(SCR) of the subjects before and after cold stimulation test was collected by infrared thermal imager and the changes of infrared thermal image in the three groups were observed. In addition, the differences in the average body surface temperature of SCR among the three groups were compared, and the changes of BAT in SCR were analyzed. The results showed compared with the conditions in healthy control group, the levels of WC, SBP, DBP, TG and FPG in MS groups were increased(P<0.01), and the HDL-C level was decreased(P<0.01). Compared with non phlegm-dampness MS group, phlegm-dampness MS group had higher conversion score of phlegm dampness physique(P<0.01). According to the infrared heat map, there was no difference in the average body surface temperature of SCR among the three groups before cold stimulation. while after cold stimulation, the average body surface temperature of SCR in MS groups was lower than that in healthy control group(P<0.05). After cold stimulation, the maximum temperature of SCR and its arrival time in the three groups were as follows: healthy control group(3 min)>non phlegm-dampness MS group(4 min)>phlegm-dampness MS group(5 min). The thermal deviation of SCR was increased and the average body surface temperature of left and right sides were higher(P<0.01) in healthy control group and non phlegm-dampness MS group, while the thermal deviation of SCR did not change significantly in the phlegm-dampness MS group. Compared with that in healthy control group, the elevated temperature between left and right sides was lower(P<0.01, P<0.05), and compared with that in non phlegm-dampness MS group, the elevated temperature of left side was lower(P<0.05). The changes of the average body surface temperature of SCR in the three groups were in the order of healthy control group>non phlegm-dampness MS group>phlegm-dampness MS group. Compared with the conditions in healthy control group and non phlegm-dampness MS group, FINS, BMI and FGF-21 levels were increased(P<0.01,P<0.05), while ADP level was decreased(P<0.01, P<0.05) in phlegm-dampness MS group. Moreover, the LP level in phlegm-dampness MS group was higher than that in non phlegm-dampness MS group(P<0.01). It was observed in clinical trials that after cold stimulation, the average body surface temperature of SCR in MS patients was lower than that of the healthy people; the thermal deviation of SCR did not change significantly in the phlegm-dampness MS patients, and the difference in their elevated temperature was lower than that in the other two groups. These characteristics provided objective basis for clinical diagnosis and treatment of phlegm-dampness MS. With abnormal BAT related indicators, it was inferred that the content or activity of BAT in SCR of phlegm-dampness MS patients were reduced. There was a high correlation between BAT and phlegm-dampness MS, and thus BAT might become an important potential target for the intervention in phlegm-dampness MS.
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  • 文章类型: English Abstract
    OBJECTIVE: To compare the effect on facial acupoint temperature between acupuncture at Houxi (SI 3) and Dazhui (GV 14) so as to verify \"Houxi (SI 3) communicating the governor vessel\" based on the infrared thermal imaging technology.
    METHODS: Thirty-five healthy subjects (5 cases dropped off) were collected and before-after study in the same subject was adopted. The subjects were successively assigned into a sham-acupuncture group, a Houxi group, a Wangu group and a Dazhui group. Sham-acupuncture at Houxi (SI 3) on the left, acupuncture at Houxi (SI 3) on the left, Wangu (SI 4) on the left and Dazhui (GV 14) were given respectively. One intervention was given and the needles were retained for 30 min in each group. 30 min before and after acupuncture, the infrared thermal images of the face were collected, and the facial temperature was compared among the following 5 acupoints, i.e. Yintang (GV 24+), Suliao (GV 25), Shuigou (GV 26), Duiduan (GV 27) and Chengjiang (CV 24).
    RESULTS: After acupuncture, the facial temperature at Yintang (GV 24+) and Chengjiang (CV 24) was increased compared before acupuncture in the sham-acupuncture group (P<0.01, P<0.05). The facial temperature at Suliao (GV 25) in the Houxi group was reduced after acupuncture (P<0.05). In the Wangu group, the temperature at Yintang (GV 24+) was increased compared before acupuncture (P<0.01). The facial temperature was increased at Duiduan (GV 27) and Chengjiang (CV 24) compared before acupuncture in the Dazhui group (P<0.01, P<0.05). The differences of facial temperature at Chengjiang (CV 24) and Suliao (GV 25) after acupuncture were larger than before acupuncture in the Houxi group and the Dazhui group (P<0.01). In comparison with the temperature at Suliao (GV 25) of the same group, the differences of facial temperature before and after acupuncture at Yintang (GV 24+), Shuigou (GV 26), Duiduan (GV 27) and Chengjiang (CV 24) were increased in the Houxi group (P<0.01, P<0.05); while, the increase was also obtained at Yintang (GV 24+), Shuigou (GV 26), Duiduan (GV 27) and Chengjiang (CV 24) in the Dazhui group (P<0.05, P<0.01). The difference of facial temperature at Yintang (GV 24+) before and after acupuncture was increased compared with Suliao (GV 25) in the Wangu group (P<0.05).
    CONCLUSIONS: Acupuncture at Houxi (SI 3) generates a similar thermal effect as Dazhui (GV 14). It regulates and dissipates the core temperature to \"govern the yang qi of the whole body\".
    目的:基于红外热像技术,比较针刺后溪、大椎对面部腧穴温度的影响,验证“后溪通督脉”理论。方法:选取35例(脱落5例)健康受试者,采用自身前后对照设计,每位受试者分别进入假针刺组、后溪组、腕骨组和大椎组,分别予以假针刺左侧后溪和针刺左侧后溪、左侧腕骨、大椎,均针刺1次,每次留针30 min。分别于针刺前后30 min采集各组面部红外热成像图,比较印堂、素髎、水沟、兑端、承浆5穴体表温度。结果:针刺后,假针刺组印堂、承浆体表温度较针刺前升高(P<0.01,P<0.05);后溪组素髎体表温度较针刺前降低(P<0.05);腕骨组印堂体表温度较针刺前升高(P<0.01);大椎组兑端、承浆体表温度较针刺前升高(P<0.01,P<0.05)。针刺后,后溪组、大椎组承浆与素髎体表温度差大于针刺前(P<0.01)。与本组素髎比较,后溪组印堂、水沟、兑端、承浆针刺前后体表温度差变大(P<0.01,P<0.05);大椎组印堂、水沟、兑端、承浆针刺前后体表温度差变大(P<0.05,P<0.01);腕骨组印堂针刺前后体表温度差变大(P<0.05)。结论:针刺后溪可产生与大椎相似的热效应,调节体核温度向外扩散,达到“总督一身之阳气”的功效。.
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  • 文章类型: Journal Article
    背景:采用红外热成像技术观察慢性心肌缺血损伤大鼠穴位红外辐射温度的变化。
    目的:本研究旨在比较三组穴位体表红外辐射温度信息的差异:双侧内关(PC6),双边阳陵泉(GB33),和双侧假穴位(SA)在心肌缺血损伤的病理状态,并探讨穴位与脏腑状态的关系。
    方法:SPF成年Wistar雄性大鼠(n=20)随机分为对照组(CTL;n=10)和异丙肾上腺素组(ISO;n=10)。采用皮下注射盐酸异丙肾上腺素14d诱导大鼠慢性心肌损伤。采用酶联免疫吸附试验(ELISA)检测血清肌钙蛋白(cTnI)和肌酸激酶同工酶(CK-MB)水平。采用苏木精-伊红(HE)染色观察两组心肌组织的形态学变化,并进行病理评分,然后用于确定心肌缺血损伤。模型建立前后两天,用(ECG)数据采集系统记录两组大鼠的心电图(ECG),并利用红外热成像平台检测6个穴位的温度。
    结果:1.皮下注射盐酸异丙肾上腺素14天后,与CTL组相比,ISO组心电图ST段降低;2。ISO组心肌组织毁伤较CTL组严重;3。ISO组血清cTn-I和CK-MB显著升高(P<001),与CTL组相比;4.ISO组双侧内关(PC6)穴位体表红外辐射温度明显降低,与CTL组相比。
    结论:红外热成像技术可用于检测穴位能量状态的变化。慢性心肌缺血损伤可引起双侧内关(PC6)穴位体表IR温度降低,提示内脏疾病可导致穴位能量代谢的改变。
    Infrared thermal imaging technology was used to observe the changes in infrared radiation temperature at acupoints in rats caused by chronic myocardial ischemia injury.
    This study aims to compare the difference of body surface infrared radiation temperature information of three groups of acupoints: bilateral Neiguan (PC6), bilateral Yanglingquan (GB33), and bilateral Sham Acupoints (SA) in the pathological state of myocardial ischemia injury, and to explore the relationship between acupoints and viscera state.
    SPF adult Wistar male rats (n = 20) were randomly divided into a control (CTL; n = 10) and an isoproterenol group (ISO; n = 10). Chronic myocardial injury was induced in rats by subcutaneous injection of isoproterenol hydrochloride for 14 d. On the second day after the establishment of the model, the serum levels of cardiac troponin (cTnI) and creatine kinase isoenzyme (CK-MB) were measured by enzyme-linked immunosorbent assay (ELISA). The morphological changes of the myocardial tissue in the two groups were observed by hematoxylin-eosin (HE) staining and their pathological scores were evaluated, which was then used to determine the myocardial ischemic injury. Two days before and after the establishment of the model, the electrocardiograms (ECG) of the two groups of rats were recorded by the (ECG) data acquisition system, and the infrared thermal imaging platform was used to detect the temperature of the six acupoints.
    1. After subcutaneous injection of isoproterenol hydrochloride for 14 days, the ST segment of the ECG decreased in the ISO group compared with that of the CTL group; 2. Myocardial tissue injury was serious in the ISO group compared to the CTL group; 3. Serum cTn-I and CK-MB were significantly increased (P <0 01) in the ISO group, compared to that in the CTL group; 4. The infrared radiation temperature on the body surface of bilateral Neiguan (PC6) acupoints decreased significantly in the ISO group, compared to that of the CTL group.
    Infrared thermal imaging technology can be used to detect the changes in the energy state of acupoints. Chronic myocardial ischemic injury can cause a decrease in IR temperature on the body surface of bilateral Neiguan (PC6) acupoints, suggesting that visceral diseases can lead to changes in the energy metabolism of acupoints.
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  • 文章类型: Randomized Controlled Trial
    OBJECTIVE: To observe the effect of five-element music therapy of traditional Chinese medicine (TCM) on the clinical symptoms and the quality of life in the patients with suboptimal health status (SHS) of liver stagnation and spleen deficiency and explore the corresponding specificity changes in the temperature of acupoints when zangfu functions are of dysfunction and recovered to be balanced, separately.
    METHODS: Sixty patients with SHS of liver stagnation and spleen deficiency were randomized into an observation group and a control group, 30 cases in each one. In the control group, the conventional health education was provided. In the observation group, on the base of the therapeutic regimen as the control group, the patients received the five-element music therapy to pacify the liver qi and strengthen the spleen functions, once every two days, 30 min each time, 3 treatments a week. The course of treatment consisted of 4 weeks. Before and after treatment, the TCM syndrome score and the MOS 36-item short form healthy survey (SF-36) score were compared between the two groups and the clinical therapeutic effect was evaluated. Using infrared thermal imaging, the temperature at the acupoints of the affected organs (liver, spleen), the related organs (gallbladder, stomach) and the other non-related zangfu organs (pericardium, lung) was detected before and after treatment in the two groups.
    RESULTS: After treatment, the TCM syndrome scores were reduced when compared with those before treatment in the two groups (P<0.01, P<0.05); the reduction in the observation group was larger than that of the control group (P<0.01). The score of each domain for the SF-36 in the observation group and the score of role-emotional domain in the control group were all increased when compared with the scores before treatment (P<0.01, P<0.05); and the score of each domain for the SF-36 in the observation group was higher than that in the control group (P<0.01). The total effective rate was 66.7% (20/30) in the observation group, which was higher than 10.0% in the control group (3/30, P<0.05). In the observation group, the temperature of the yuan-primary point, the back-shu point and the front-mu point related to the liver, as well as those related to the gallbladder after treatment was reduced when compared with the temperature before treatment; and the changes were larger than those of the control group (P<0.01). The temperature of the yuan-primary point, the back-shu point and the front-mu point related to the spleen, as well as the back-shu point and the front-mu point related to the stomach in the observation group was increased when compared with the temperature before treatment (P<0.01); and the changes were larger than those of the control group (P<0.01). For the temperature of the non-specific points related to the liver and spleen, as well as the yuan-primary point, the back-shu point and the front-mu point related to the pericardium and the lung, there was no significant differences when compared with the temperature at the above-mentioned acupoints before and after treatment (P>0.05).
    CONCLUSIONS: TCM five-element music therapy associated with the conventional health education may effectively relieve the clinical symptoms and improve the quality of life in the patients with suboptimal health status of liver stagnation and sleep deficiency; and the therapeutic effect is better than the simple health education. The changes in the temperature of acupoints may reflect the functional regulation of the related zangfu organs in the body.
    目的:观察中医五音疗法对肝郁脾虚型亚健康患者临床症状和生活质量的影响,探索患者机体处于脏腑功能失衡态和恢复平衡态时经穴温度的相对特异性变化。方法:将60例肝郁脾虚型亚健康患者随机分为观察组和对照组,每组30例。对照组予以健康教育;观察组在对照组的基础上予疏肝健脾五音疗法,每次30 min,隔日1次,每周3次,共治疗4周。比较两组患者治疗前后中医证候积分和健康调查简表(SF-36)评分,并评定临床疗效。应用红外热成像技术检测两组患者治疗前后相关脏腑(肝、脾)、表里脏腑(胆、胃)和非相关脏腑(心包、肺)腧穴温度。结果:治疗后,两组患者中医证候积分均较治疗前降低(P<0.01,P<0.05),观察组降低幅度大于对照组(P<0.01);观察组SF-36各项评分、对照组SF-36情感职能评分较治疗前升高(P<0.01,P<0.05),观察组SF-36各项评分均高于对照组(P<0.01)。观察组总有效率为66.7%(20/30),高于对照组的10.0%(3/30,P<0.05)。治疗后,观察组与肝相关的原穴和俞募穴、与胆相关的原穴和俞募穴温度较治疗前降低(P<0.01),且降低幅度大于对照组(P<0.01);与脾相关的原穴和俞募穴、与胃相关的俞募穴温度较治疗前升高(P<0.01),且升高幅度大于对照组(P<0.01);与肝、脾相关的非特定穴和与心包、肺相关的原穴、俞募穴治疗前后温度比较,差异均无统计学意义(P>0.05)。结论:在健康教育基础上联合中医五音疗法可有效改善肝郁脾虚型亚健康患者临床症状及生活质量,其疗效优于单纯健康教育。腧穴体表温度变化可以反映中医五音疗法对机体相关脏腑功能状态的调节情况。.
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