| Objective Based on infrared thermal imaging technology research preterm low birthweight hand sensitization law of acupoints,and USES the massage intervention,were observed before and after massage therapy premature birth height,weight and low birth weight of hand acupuncture point temperature change,analysis of children with growth and development and the correlation between acupuncture point temperature,explore the infrared thermal imaging technology can evaluation of growth and development of preterm low birth weight as reference.Methods First of all,the selection with low birth weight premature symptoms in infantile tuina literature research related content,found that infantile massage therapy relatively high frequency points are relatively concentrated in selected point without hand area of the spleen,liver,heart sutra,lung,kidney by five points,such as collecting 1 month age 3years old or less or less(gestational age greater than 37 weeks)and normal birth weight greater than 2500 g,72 cases of healthy children as controls,with American Fotric Fotric company produces 226 s infrared thermal imager respectively acquisition healthy children hand bilateral spleen,liver,heart sutra,lung and kidney meridian the infrared thermal imaging figure of five hole area,Acupuncture point temperature value take the average of the target hole area temperature,build Excel spreadsheets and using SPSS 25.0 software for statistical data analysis,comparing the difference between the left and right sides of the point temperature,collecting 1 month age 3 years old or less or less up to the standard of preterm low birth weight children 72 cases,adopt compared with healthy children the same way,after analysis of preterm birth and low birth weight healthy children hand 5 point temperature difference,explore the change rule of acupuncture point temperature.Then,72 cases of premature infants with low body weight who met the inclusion criteria were selected from them,and 52 cases were actually included after elimination of shedding.The method of "random number table" was used to randomly divide them into the experimental group and the control group,with 26 cases in each group.The two groups received the same routine basic rehabilitation training and gave the same feeding,nursing and health care guidance.The experimental group was treated with selective spinal massage and basic rehabilitation training.Only conventional basic rehabilitation training was used in the control group,and both groups were treated 3 times a week for15 minutes each time,with a course of treatment for 4 weeks and 3 consecutive courses of treatment.Two groups before treatment and after the total course shall at the same time and place,to five target hole area,of infrared thermal imaging figure collection point temperature value take the average of the target hole area temperature,the infrared temperature of target point area,and the children's height,weight,and so on and so forth are detailed records,build Excel spreadsheet using SPSS 25.0 software for statistical data analysis,observation point temperature changes after massage,analysis with the correlation between acupuncture point temperature and growth.Results1.Baseline comparison(gender and age of the children): before temperature detection,there was no statistical significance in gender and age between healthy children and premature children with low body weight(P > 0.05),suggesting comparability.2.Comparison of infrared temperature at right and left acupuncture points in normal children:There was no statistically significant difference in the infrared temperature of spleen,liver,heart,lung and kidney points(all P > 0.05).3.Comparison of infrared temperature at left and right acupuncture points of premature and low-weight children:There was no statistically significant difference in the infrared temperature of spleen,liver,heart,lung and kidney points(all P > 0.05).4.Comparison of infrared temperature of hand points between premature and low-weight children and healthy children The temperature at the left spleen meridian was 34.45±1.82 ? for premature infants with low body weight,and 35.02±1.32 ? for normal children.The difference was statistically significant(P < 0.05).The temperature of liver meridian point: the premature baby with low body weight was(34.32±1.75)?,compared with the normal child with(34.98±1.30)?,the difference was statistically significant(P < 0.05).Meridian point temperature: premature infants with low body weight were(34.26±1.81)?,compared with normal children(34.91±1.31)?,the difference was statistically significant(P < 0.05).Lung acupoint temperature: premature infants with low body weight were(34.27±1.84)?,compared with normal children(34.83±1.40)?,the difference was statistically significant(P < 0.05).Renal acupoint temperature: premature infants with low body weight were(34.21±1.96)?,compared with normal children(34.82±1.41)?,the difference was statistically significant(P < 0.05).This indicated that the temperature of 5 acupuncture points in the left hand of the premature low-weight child was lower than that of the normal child.The temperature at the right spleen meridian point: the premature and low-weight children were(34.65±1.71)?,compared with the normal children(35.17±1.06)?,the difference was statistically significant(P < 0.05).The temperature of liver meridian point: the premature and low-weight children were(34.41±1.76)?,compared with the normal children(35.02±1.21)?,the difference was statistically significant(P < 0.05).Cardiac meridian point temperature: premature infants with low body weight were(34.40±1.64)?,compared with normal children(34.96±1.16)?,the difference was statistically significant(P < 0.05).Lung acupoint temperature: premature infants with low body weight were(34.29±1.74)?,compared with normal children(34.86±1.22)?,the difference was statistically significant(P < 0.05).Renal acupoint temperature: premature infants with low body weight were(34.34±1.94)?,compared with normal children(34.91±1.29)?,the difference was statistically significant(P < 0.05).This indicated that the temperature of the five acupuncture points in the right hand of the premature and low-weight children was lower than that of the normal children.In summary,the infrared temperature of 5 points on both hands of premature and low-weight children was lower than that of normal children.5.Effect of massage intervention on acupoint temperature of hand of premature and low-weight children5.1 comparison of height between the two groups:There was no statistical significance in the height of children in the two groups before enrollment(P > 0.05),which was comparable.After treatment,the height of the experimental group(77.42±7.29)cm was compared with that of the control group(74.23±8.37)cm(P=0.149),with no statistically significant difference(P > 0.05).The height of the former group was(76.38±7.92)cm,and the height after treatment was(77.42±7.29)cm,P=0.022 compared with the former group,and the difference in height was statistically significant(P < 0.05).The height of the former group in the control group was(73.50±8.53)cm,and the height after treatment was(74.23±8.37)cm,P=0.000 compared with that before the group,and the difference in height was statistically significant(P < 0.05).5.2 comparison of weight between the two groups:There was no significant difference in body weight between the two groups before enrollment(P > 0.05),which was comparable.After treatment,the body weight of the experimental group(12.49±2.35)Kg was compared with that of the control group(11.05±2.65)Kg,P=0.0426,and the difference was statistically significant(P < 0.05).In the experimental group,the body weight before and after treatment was 10.94±2.54Kg(P=0.000),and the body weight before and after treatment was 12.49±2.35 Kg(P <0.01).In the control group,the body weight before and after treatment was 9.99±2.64 Kg(P=0.000),and the body weight before and after treatment was 11.05±2.65 Kg(P < 0.01).5.3 comparison of acupoint temperature in hands between the two groups There was no statistical significance in the comparison of acupoint temperature between the two groups before admission(P > 0.05),suggesting comparability.After treatment Spleen meridian temperature: the experimental group(33.67±2.04)? and the control group(31.19±2.60)? were compared,P=0.0004,the difference was statistically significant(P < 0.05).Liver meridian point temperature: the experimental group(33.59±1.80)? and the control group(30.77±2.67)? were compared,P=0.0001,the difference was statistically significant(P < 0.05).Meridian point temperature: the experimental group(33.42±1.64)? and the control group(32.15±1.82)? were compared,P=0.0111,the difference was statistically significant(P < 0.05).Lung acupoint temperature: the experimental group(33.51±1.76)? and the control group(32.14±1.86)? were compared,P=0.0089,the difference was statistically significant(P < 0.05).Renal acupoint temperature: the experimental group(33.40±2.50)? and the control group(30.40±2.71)? were compared,P=0.0001,the difference was statistically significant(P < 0.05).Experimental group Spleen meridian temperature: P=0.022 before admission(32.22±2.65)? compared with33.66±2.04 ? after treatment(P < 0.05).Liver meridian point temperature: before the group(32.62±2.00)? compared with after the treatment(33.59±1.80)?,P=0.081,the difference was not statistically significant(P > 0.05).The acupoint temperature of cardiac meridian: before the enrollment(31.79±2.84)? and after the treatment(33.42±1.64)?,P=0.012,the difference was statistically significant(P < 0.05).Lung acupoint temperature: before the group(32.60±2.08)? compared with after the treatment(33.51±1.76)?,P=0.111,the difference was not statistically significant(P >0.05).Renal acupoint temperature: before enrollment(32.42±2.29)? compared with after treatment(33.40±2.50)?,P=0.048,the difference was statistically significant(P <0.05).The control group Spleen meridian temperature: P=0.014 before the group(32.99±1.98)? and after the treatment(31.19±2.60)?,the difference was statistically significant(P < 0.05).Liver meridian point temperature: before the enrollment(31.16±3.43)? and after the treatment(30.77±2.67)? were compared,P=0.414,the difference was not statistically significant(P > 0.05).Cardiac meridian point temperature: P=0.127 before(32.90±1.81)? and after(32.15±1.82)?,the difference was not statistically significant(P > 0.05).Lung acupoint temperature: P=0.060 before(31.05±3.55)? and after(32.14±1.86)?,the difference was not statistically significant(P > 0.05).Renal acupoint temperature: before enrollment(31.87±2.57)? compared with after treatment(30.40±2.71)?,P=0.006,the difference was statistically significant(P <0.05).5.4 correlation between acupoint temperature and growth and development Pearson's(PPMCC)correlation analysis was conducted between the height and weight of the two groups before and after treatment and the temperature of the five acupuncture points.Before treatment,the control group was all P > 0.05(no statistical significance),and there was no correlation.In the test group,only body weight was correlated with spleen meridian temperature(P <0.05,r=0.477).After treatment,the control group was all P > 0.05(no statistical significance),with no correlation.P < 0.05 was statistically significant and r=0.418 for height and spleen acupoint temperature in the test group.P < 0.05 was statistically significant and r > 0 for weight and spleen,liver,heart and lung acupoint temperature.The results showed that there was a positive correlation between the height and the temperature of spleen meridian after treatment,and there was a positive correlation between the weight and the temperature of spleen meridian,liver meridian,heart meridian and lung meridian.5.5 no adverse reactions were found during treatment.Conclusions1.The temperature of the five points in the hand of the premature children with low body weight was lower than that of the healthy children,and there was no statistically significant difference in the temperature of the spleen,liver,heart,lung and kidney meridians(P < 0.05),indicating symmetry of the left and right acupuncture points.2.After massage treatment,the temperature of five points in the hand of the premature children with low body weight all changed,among which the changes of spleen,heart and kidney were significantly different(P < 0.05).There may be a certain correlation between acupoint temperature and growth and development.There was a positive correlation between height and spleen meridian temperature(P=0.034 and r=0.418),and there was a positive correlation between weight and spleen meridian,liver meridian,heart meridian and lung meridian temperature(P < 0.05 and r >0).3.Infrared thermal imaging technology can be used as an auxiliary detection method to provide a reference for evaluating the growth and development of premature and low-weight children. |
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