[1]马碧涛 金立伦 滕蔚然 褚立希△.急慢性膝骨关节炎的红外热像图特征及与VAS评分的相关性研究[J].中国中医骨伤科杂志,2017,25(02):28-31.
 MA Bitao JIN Lilun TENG Weiran CHU Lixi.Study on Infrared Thermal Imaging Features of Acute and ChronicKnee Osteoarthritis and Its Correlation with VAS Score[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(02):28-31.
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急慢性膝骨关节炎的红外热像图特征及与VAS评分的相关性研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年02期
页码:
28-31
栏目:
临床研究
出版日期:
2017-02-15

文章信息/Info

Title:
Study on Infrared Thermal Imaging Features of Acute and Chronic Knee Osteoarthritis and Its Correlation with VAS Score
文章编号:
1005-0205(2017)02-0028-04
作者:
马碧涛12 金立伦2 滕蔚然2 褚立希3△
1上海中医药大学(上海,201203) 2上海交通大学医学院附属新华医院中医科 3上海中医药大学康复医学院 通信作者 E-mail:chulixi2@126.com
Author(s):
MA Bitao12 JIN Lilun2 TENG Weiran2 CHU Lixi3△
1Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; 2Department of Traditional Chinese Medicine, Xinhua Hospital Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China; 3 College of Rehabilitation Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
关键词:
膝骨关节炎 红外热像 急性期 慢性期
Keywords:
knee osteoarthritis infrared thermograph acute stage chronic stage
分类号:
R684.3
文献标志码:
A
摘要:
目的:探讨膝骨关节炎患者急性期和慢性期红外热像图特征以及与VAS评分的相关性,建立膝骨关节炎急慢性期红外热像诊断方法以及疼痛评估。方法:通过选取36例KOA急性患膝、32例KOA慢性患膝以及40例正常膝关节,采用红外热像仪测量膝关节4个区域温度,以视觉模拟量表测量膝关节炎患者VAS评分。结果:膝骨关节炎急性期组、慢性期组膝关节红外热像温度明显高于正常组膝关节(P<0.05),其中急性期组膝关节区域温度高于慢性期组(P<0.05); 急性期组VAS评分高于慢性期组(P<0.05),膝关节炎患者膝关节区域平均温度与VAS评分呈正相关(P<0.05)。结论:红外热像可有效地诊断膝骨关节炎急慢性并对疼痛评分进行客观化评估,为研究疾病的发生机制及其精确诊断提供更有价值的参考。
Abstract:
Objective:To investigate infrared thermal imaging features of acute and chronic knee osteoarthritis and its correlation with VAS score, and to establish an infrared thermal imaging diagnostic method for acute and chronic knee osteoarthritis and pain assessment method. Methods:Through the selection of 36 acute cases suffering from KOA, 32 cases of chronic KOA and 40 cases of normal knee joint, the infrared thermal imaging system was used to measure the temperature of the 4 regions of the knee joint. The VAS score of knee arthritis patients was measured by visual analog scale. Results:The infrared temperature of acute KOA group and chronic KOA group was significantly higher than that in the normal group(P<0.05). The infrared temperature of acute KOA group is higher than that of chronic group(P<0.05).The VAS score in the acute KOA group was higher than that in the chronic KOA group(P<0.05), and the average temperature of the KOA joint was positively correlated with the VAS score(P<0.05).Conclusion:The infrared thermograph can effectively diagnose the acute and chronic knee osteoarthritis, and objectively evaluate the pain score, so as to provide a more valuable reference for the study of the pathogenesis of the disease and its accurate diagnosis.

参考文献/References:

[1] 中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中国临床医生,2008,36(1):28-30.
[2] 洪昆达,万甜.浅针配合委中放血治疗急性期膝骨性关节炎的临床研究[J].中华中医药杂志,2015,30(6):2226-2229.
[3] 池锐忠,黄东锋,王于领.综合康复治疗原发性膝关节骨关节炎的观察[J].现代康复,1998,2(9):918-919.
[4] Kellgren J,Lawrence J.Radiological assessment of osteoarthrosis[J].Ann Rheum Dis,1957,16(4):494-502.
[5] Reginster JY,Deroisy R,Rovati LC,et al.Long term effects of glucosamine sulphate on Osteoarthritis progression,a randomized placed controlled clinical trial[J].Lancet,2001,357(9252):251-256.
[6] 李准.电针加中药离子导入治疗增生性膝关节炎60例临床观察[J].中医药导报,2007,13(4):55-56.
[7] Kennedy DA,Lee T,Seely D.A comparative review of thermography as a breast cancer screening technique[J].In-tegr Cancer Ther,2009,8(1):9-16.
[8] Swerdlow B,Dieter JN.An evaluation of the sensitivity and specificity of medical thermography for the documentation of myofascial trigger points[J].Pain,1992,48(2):205-213.
[9] Jesensek Papez B,Palfy M,Mertik M,et al.Infrared thermography based on artificial intelligence as a screening method for carpal tunnel syndrome diagnosis.Infrared thermography based on artificial intelligence as a screening method for carpal tunnel syndrome diagnosis[J].J Int Med Res,2009,37(3):779-790.
[10] Ming Z,Zaproudina N,Siivola J,et al.Sympathetic pathology evidenced by hand thermal anomalies in carpal tunnel syndrome[J].Pathophysiology,2005,12(2):137-141.
[11] 唐皓,蒋盛昶,陈坚,等.红外热成像技术在膝关节骨性关节炎中医证型诊断中的意义[J].湖南中医药大学学报,2015,35(2):43-45.
[12] 宋杰,王军龙,徐琳,等.基于红外热成像技术评价针刺循经筋阿是穴治疗膝骨性关节炎的临床疗效[J].世界中西医结合杂志,2014,9(9):948-953.
[13] 董宝强,赵宗仙,宋杰,等.膝骨性关节炎经筋病灶点体表温度分布规律分析[J].中华中医药杂志,2014,29(9):2757-2760.
[14] 金超,杨阳,薛祖军,等.基于红外热成像的膝关节骨性关节炎早期筛查临床研究[J].北京生物医学工程,2014,33(5):456-462.

备注/Memo

备注/Memo:
基金项目:上海市科委重点项目(154019700500; 13401906500) 卫计委临床重点专科建设项目(ZJ0901EK013)
更新日期/Last Update: 2017-09-08