摘要
目的:评价红外热成像对腰椎间盘突出症(Lumbar Disc Herniation,LDH)中医辨证及疗效评价中的应用价值。方法:对200例LDH并接受非手术综合治疗的患者进行中医辨证分型,并对其治疗前后进行红外热成像检查;同时选50例健康人作为对照组,分析两组资料的腰骶部及小腿红外热像图并进行数据分析。结果:1)200例患者均表现为腰骶部温度增高,患肢神经支配区温度减低,与对照组之间差异均有统计学意义(P<0.05);中医各证型之间的腰骶部、患肢神经支配区温度差异均无统计学意义(P>0.05)。2)200例患者治疗后,红外热成像显示腰骶部温度减低,患肢神经支配区温度升高;不同临床疗效之间的腰骶部、患肢神经支配区温度变化差异均有统计学意义(P<0.05)。结论:红外热成像可辅助诊断LDH并可对疗效评价提供客观依据,但对LDH的辨证分型存在一定的局限性。
Objective.. To evaluate the value of infrared thermal imaging in the syndrome differentiation and efficacy evaluation of lumbar disc herniation. Methods： Z00 cases of LDH were treated with non surgical comprehensive treatment and were examined by infrared thermal imaging before and after treatment. At the same time, 50 healthy persons were selected as the control group, and the infrared image of the lumbosacral and lower leg of the two groups were analyzed. Results： 1）200 patients showed elevated temperature in lumbosacral region and decreased temperature in limb innervation area;compared with the control group, the difference was statistically significant （P〈0.05）. There was no significant difference between the TCM syndromes of LDH in the temperature variation （P〉0.05）. 2）200 patients showed decreased temperature in lumbosacral region and elevated temperature in limb innervation area after treatment. There was significant difference in the temperature variation of lumbosacral region and the affected limb innervation area between the patients with different clinical efficacy （P〈0. 05）. Concision： Infrared thermal ima- ging can assist in the diagnosis of LDH and provide an objective basis for the evaluation of curative effect, but there are some limi- tations in the differentiation of LDH.
出处
《中国中医骨伤科杂志》
CAS
2017年第3期21-24,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
