Object : This study is designed to evaluate the clinical therapy of acupuncture by the data of DITI(Digital Infrared Thermographic Imaging) and FNT(Facial Nerve stimulation Test) examination and the changes of clinical symptoms after the therapy of acupuncture in the patients with Bell's palsy. Contents : The conservative therapy with acupuncture was performed during 1-8weeks. The acupuncture points of S4, S6, G14, S2, BL2, SI18, TE23, LI4 and S36 were used. In the pre- and post therapy, DITI examinations was performed in patients who had Bell's palsy and were treated by acupuncture, and then tried to correlate the results of clinical symptoms with the difference of thermographic findings. And FNT examinations were performed in the same patients above, and then tried to correlate the results of clinical symptoms with the difference of nerve response findings. Setting : The standard routine thermographic examination with thermography (DITI) and nerve response with FNT(Facial Nerve Stimulation Test) were performed in the 16 patients with Bell's palsy at pre- and post acupuncture. Patients : Thermographic imaging of 16cases was analyzed. They had diagnosed Bell's palsy. They were treated by acupuncture and moxibustion therapy in Wonkwang Oriental Hospital from Jauary, 1999 to February, 2000. Results : 1) The results of treatment showes that 56.25% of patients achieved clinical excellent recovery and 31.25% achieved good recovery. After compairing the DITI results before and after treatment, we found 43.75% of patients achieved excellent recovery and 43.75% achieved good recovery. 2) After compairing the FNT results before and after treatment, we found 25% of patients achieved excellent recovery and 56.25% achieved good recovery. Conclusion : 1) Acupuncture showed good results over 87.5% in clinical evaluation and 87.5% in DITI. Thermographic examination showes terapeutic effect of acupuncture treatment. 2) Acupuncture showed good results over 87.5% in clinical evaluation and 81.25% in FNT. FNT showes nerve response recovery effect of acupuncture treatment.
적외선 체열검사를 시행한 L4-L5 추간판 탈출증 환자의 45명 중 여자가 더 많았으며, 연령은 50대가 가장 많았다. 피절 분포표에 따라 측정한 결과, 에서는 성별과 나이에 따라서 유의한 차이를 보이지 않 았다(p>0.05). L4-L5 추간판 탈출증 환자의 ROI 온도를 측정한 부위는 후면 오른쪽 정강이뼈 뒤쪽의 온도 가 가장 높았으며, 후면 왼쪽 정강이뼈 뒤쪽-전면 오른 무릎아래-전면 왼 무릎아래의 순이었다. 측정부위에 따라 유의한 차이를 보였다(p<0.05). 나이에 따라서는 에서는 나이에 따라 0.030을 유의한 결과를 보였다(p<0.05). 정상인의 평균 ROI 온도는 31.20±0.58, 환자의 평균 ROI온도는 30.30±0.50으로 온도 차이는 0.66±0.59로 나타났다. 환자의 ROI온도가 정상인과 차이가 나는 지 알아보기 위한 일 표본 t-검정결과, 유의 확률이 0.03으로 0.05보다 작으므로 환자의 ROI온도는 31.20±0.58보다 낮게 나타났다(p<0.05). 앞으로의 과 제는 온열환경에 따른 보정 테이타의 처리기술과 그것을 이용한 새로운 온열 인덱스의 개발이 필요하다고 사료된다. 따라서 데이타의 보정을 줄이기 위해서는 적외선 체열 진단 시 전처치가 무엇보다 중요하며, 이 를 검사하는 방사선사는 환자를 측정 시 주의 깊은 관찰과 배려가 요구된다.