目的观察艾灸足三里对婴儿痉挛症患者头面部红外热像的影响,为婴儿痉挛症患者的康复治疗提供临床依据。方法纳入婴儿痉挛症患者15例,以10例健康儿童作为正常儿童组对照,观察婴儿痉挛症患者的面部红外热像表现。再行婴儿痉挛症患者自身前后对照研究,以安静状态下15 min前后的红外热像图表现作为空白组,艾灸治疗15 min前后的红外热像图作为治疗组,采用ATIR-M301医用远红外热像仪采集头面部远红外热像图,观察空白组和治疗组的面部各区域的温度变化,并进行统计学分析。结果正常组的头面部热像图表现为双侧温度分布均衡,对称性良好;痉挛组患者的热像图表现为双侧温度对称性差,右侧温度低于左侧。其中前额和内眦有统计学差异(P〈0.05)。空白组15 min前后面部热像的温差变化无显著差异(P〉0.05);治疗组艾灸15 min前后面部热像趋于平衡,有显著差异(P〈0.05)。结论艾灸足三里能改善婴儿痉挛症患者头面部的血液循环。
Objective To investigate the effect of Zusanli(ST36) moxibustion on facial infrared thermal images in infantile spasm patients and provide a clinical basis for rehabilitation treatment of infantile spasm.Method Fifteen infantile spasm patients were enrolled. Ten healthy children constituted a normal control group. Facial infrared thermal images were observed in the infantile spasm patients. An auto-control study was also conducted in the infantile spasm patients. The infrared thermal images before and after 15 minutes of a rest state were used as a blank group and those before and after 15 minutes of moxibustion, as a treatment group. Facial infrared thermal images were produce using anATIR-M301 medical far-infrared thermograph. Changes in temperature in facial regions were observed in the control and treatment groups. A statistical analysis was carried out.Result Facial infrared thermal images showed that bilateral temperatures were evenly and symmetrically distributed in the normal group and asymmetrically distributed, with the right side temperature lower than the left side, in the spasm group of patients. There were statistically significant differences in the forehead and inner canthus(P〈0.05). There was no statistically significant difference in the facial thermal image (temperature) between before and after 15 minutes in the blank group (P〉0.05). In the treatment group, facial thermal images tended to be symmetrical after 15 minutes of moxibustion and had a statistically significant difference between before and after the moxibustion (P〈0.05).Conclusion Zusanli moxibustion can improve facial blood circulation in infantile spasm patients.