[1]仇湘中,蒋盛昶,张信成,等.红外热成像图在腰椎间盘突出症证候疗效评定中的应用[J].中医正骨,2015,27(02):17-19.
　QIU Xiangzhong,JIANG Shengchang,ZHANG Xincheng,et al.Application of infrared thermal imaging to curative effect evaluation of SYMPTOM COMPLEX for patients with lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):17-19.
点击复制

红外热成像图在腰椎间盘突出症证候疗效评定中的应用()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年02期
页码:
17-19
栏目:
临床研究
出版日期:
2015-02-10

文章信息/Info

Title:
Application of infrared thermal imaging to curative effect evaluation of SYMPTOM COMPLEX for patients with lumbar disc herniation
作者:
仇湘中1; 蒋盛昶1; 张信成1; 唐皓1; 夏爱民1; 张伟1;  张旭桥2
1.湖南省中医药研究院附属医院,湖南 长沙 410006;
2.湖南省湘潭市中医医院,湖南 湘潭 411100
Author(s):
QIU Xiangzhong1; JIANG Shengchang1; ZHANG Xincheng1; TANG Hao1; XIA Aimin1; ZHANG Wei1; ZHANG Xuqiao2
1.The Affiliated Hospital of Hunan Academy of Chinese Medicine,Changsha 410006,Hunan,China 2.Xiangtan Hospital of Traditional Chinese Medicine,Xiangtan 411100,Hunan,China
关键词:
椎间盘移位;  腰椎;  证候;  治疗结果;  红外热成像
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  symptom complex;  treatment outcome;  infrared thermal imaging
摘要:
目的:探讨红外热成像技术在腰椎间盘突出症证候疗效评定中的应用价值。方法:对60例腰椎间盘突出症患者采用非手术 综合疗法治疗,分别于治疗前后测量双侧大腿后侧、大腿后外侧、小腿后侧、小腿后外侧和足底的体表温度,并于健侧和患侧之 间进行比较。对60例患者的临床疗效进行评定,分析临床疗效与红外热成像图温差的关系,并对红外热像图温差值与证候积分差 值进行相关性分析。结果:①健侧与患侧下肢温度的比较。60例患者大腿后侧、大腿后外侧、小腿后侧、小腿后外侧及足底部的 健、患侧温度分别为(34.46±1.08)℃、(31.87±1.10)℃,(34.45±1.07)℃、(31.79±1.07)℃, (33.43±1.05)℃、(31.1±1.06)℃;(32.65±1.08)℃、(30.20±1.06)℃,(30.75±1.08)℃、 (28.36±1.07)℃。患侧温度明显低于健侧(P<0.05)。②临床疗效与红外热成像图温差的关系。60例患者临床控制8例、 显效28例、有效24例。红外热成像显示,不同临床疗效下的患肢温差变化之间的差异有统计学意义(P<0.05); 临床疗效好的 患者,其患肢温差变化大。③红外热像图温差值与证候积分差值的相关性分析。治疗前后红外热像图温差值与治疗前后证候积分 差值呈正相关(r=0.584,P=0.001)。结论:红外热成像技术在腰椎间盘突出症的证候疗效评定中具有重要的应用价值。
Abstract:
Objective:To explore the applied value of infrared thermal imaging technology in curative effect evaluation of SYMPTOM COMPLEX for patients with lumbar disc herniation(LDH).Methods:Sixty patients with LDH were treated with non-operative combined therapy.The shell temperatures of the back of thigh,posterolateral thigh,the back of leg,posterolateral leg and planta pedis were measured before and after treatment respectively,and were compared between healthy side and affected side.Then the clinical effects were evaluated for 60 patients,and the relationship between clinical effects and temperature changes of infrared thermal imaging were analyzed.Meanwhile,correlation analysis were applied to study the relationship between temperature change of infrared thermal imaging and change of SYMPTOM COMPLEX scores.Results:The temperatures of the back of thigh,posterolateral thigh,the back of leg,posterolateral leg and planta pedis of uninjured side and affected side were 34.46+/-1.08,31.87+/-1.10,34.45+/-1.07,31.79+/-1.07,33.43+/-1.05,31.1+/-1.06,32.65+/-1.08,30.20+/- 1.06,30.75+/-1.08,28.36+/-1.07 degrees centigrade respectively.The temperatures of affected side were obviously lower than that of healthy side(P<0.05).Eight patients got an excellent result,28 good,and 24 fair.The infrared thermal imaging showed that there was statistical difference in the temperature changes of affected limbs between different clinical effects(P<0.05),and big temperature changes of affected limbs were found in patients who got excellent or good clinical result.The results of correlation analysis showed that the temperature changes of infrared thermal imaging were positively correlated with the changes of SYMPTOM COMPLEX scores after the treatment(r=0.584,P=0.001).Conclusion:The infrared thermal imaging technology has important applied value in curative effect evaluation of SYMPTOM COMPLEX for patients with LDH.

参考文献/References:

[1] 曹卉娟,邢建民,刘建平.视觉模拟评分法在症状类结局评价测量中的应用[J].中医杂志,2009,50(7):600-602.
[2] 蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:107.
[3] 胡有谷.腰椎间盘突出症[M].3版.北京:人民卫生出版社,2004:364.
[4] 郑筱萸.中药新药临床研究指导原则[S].北京:中国医药科技出版社,1997:145.
[5] 刘肖瑜,周肃陵,王正.红外热图技术与腰椎间盘突出症中医证型的相关性研究[J].中国中医骨伤杂志,2008,16(5):10-18.
[6] 陈勇,安容姝,王鹰雷.腰椎间盘突出症的远红外热像图观察辨证及推拿手法效应探讨[J].现代中西医结合杂志,2010,19 (22):2762-2765.

相似文献/References:

[1]邓红军.硫酸钙骨水泥椎体成形联合后路短节段椎弓根螺钉 内固定治疗创伤性胸腰椎骨折[J].中医正骨,2015,27(10):35.
[2]张莉,秦丹霞,张细姣.腹针治疗椎间盘源性腰痛[J].中医正骨,2015,27(10):38.
[3]吴青坡,孙国绍,王林杰.后路椎管减压联合腰椎椎弓根钉动态稳定装置内固定 治疗单节段腰椎退行性疾病[J].中医正骨,2015,27(10):42.
[4]郭小伟,梅伟,潘玉林,等.一期后路病灶清除纳米仿生骨椎体支撑体植骨融合 内固定治疗胸腰椎结核[J].中医正骨,2015,27(07):66.
[5]孙广江,崔海舰.络病理论指导下应用独活寄生汤加减治疗腰椎间盘突出症[J].中医正骨,2015,27(12):37.
　SUN Guangjiang,CUI Haijian.Clinical study on oral application of Duhuo Jisheng Tang Jiajian(独活寄生汤加减)under the guidance of collaterals disease theory for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):37.
[6]阮朝阳,曾强华,朱群威.口服消栓口服液和甲钴胺胶囊治疗腰椎间盘突出症 经皮椎间孔镜术后下肢残留神经症状[J].中医正骨,2015,27(12):71.
[7]陈冠军,陈扬,庄汝杰.可灌注骨水泥椎弓根螺钉系统 在老年腰椎疾患手术中的应用[J].中医正骨,2015,27(02):40.
[8]万宏波,马海燕,蒋云霞,等.口服益气化瘀汤联合功能锻炼治疗腰椎退行性疾病 术后残留腰腿痛的临床研究[J].中医正骨,2015,27(06):1.
　WAN Hongbo,MA Haiyan,JIANG Yunxia,et al.Clinical study on oral application of Yiqi Huayu Tang(益气化瘀汤)combined with functional exercise for the treatment of postoperative residual lumbocrural pain in patients with lumbar degenerative disease[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):1.
[9]贺振年,康信勇,徐洪伟,等.骨盆矢状位参数对退行性腰椎滑脱症的影响[J].中医正骨,2015,27(06):19.
　HE Zhennian,KANG Xinyong,XU Hongwei,et al.Effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):19.
[10]李鹏,徐世涛,谭磊.椎旁肌间隙入路伤椎单侧植骨内固定治疗 单节段胸腰椎骨折[J].中医正骨,2015,27(06):43.
[11]徐帮杰,杨楠,白伟杰,等.坐位定点旋转整复法治疗腰椎间盘突出症的疗效观察[J].中医正骨,2015,27(11):17.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):17.
[12]白春晓,贾育松,孙旗,等.中医药在腰椎间盘突出症围手术期应用的研究进展[J].中医正骨,2015,27(11):65.
[13]王少纯,周英杰.郭维淮教授运用活血益气通经汤治疗腰椎间盘突出症的经验[J].中医正骨,2015,27(11):75.
[14]苏洪,张雪林.患侧下肢牵引配合腰椎斜扳法治疗 极外侧型腰椎间盘突出症[J].中医正骨,2015,27(10):40.
[15]谢冬群,黄中梁,叶金丽.加强隔附子饼灸治疗肾阳虚型腰椎间盘突出症的 临床研究[J].中医正骨,2015,27(09):18.
　XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):18.
[16]沈海良,钱万锋,周骁栋.针刀松解联合局部封闭与口服中药治疗腰椎间盘突出症[J].中医正骨,2015,27(09):46.
[17]王仁灿,黄炎洪,潘伟江,等.45°肩踝悬吊牵引下撞击腰椎疗法治疗L5S1椎间盘突出症[J].中医正骨,2015,27(08):51.
[18]任博文,杨豪.口服桂葛萆薢汤加减配合功能锻炼治疗 寒湿型腰椎间盘突出症[J].中医正骨,2015,27(08):53.
[19]丁晓医,周子静.射频热凝联合臭氧注射治疗腰椎间盘突出症的护理[J].中医正骨,2015,27(12):81.
[20]李志强,刘佳.后期康复锻炼在腰椎间盘突出症非手术治疗中的作用研究[J].中医正骨,2015,27(06):12.
　LI Zhiqiang,LIU Jia.Clinical study on the effect of subsequent rehabilitation exercises in the non-operative treatment of lumbar intervertebral disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):12.

备注/Memo

备注/Memo:
2014-07-15收稿 2014-10-08修回
基金项目:湖南省卫生厅中医药科研基金项目(201134); 湖南省科技厅社发科研基金项目(2009SK3103)
通讯作者:夏爱民 E-mail: 2267811679@qq.com
更新日期/Last Update: 2015-02-25