[1]周新,王越,曹禹,等.双手掌温差与神经根型颈椎病颈椎功能障碍指数相关性研究[J].中国中医骨伤科杂志,2023,31(03):48-54.[doi:10.20085/j.cnki.issn1005-0205.230309]
　ZHOU Xin,WANG Yue,CAO Yu,et al.Study on the Correlation between Palmar Temperature Difference and Neck Disability Index of Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(03):48-54.[doi:10.20085/j.cnki.issn1005-0205.230309]
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双手掌温差与神经根型颈椎病颈椎功能障碍指数相关性研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年03期
页码:
48-54
栏目:
临床研究
出版日期:
2023-03-15

文章信息/Info

Title:
Study on the Correlation between Palmar Temperature Difference and Neck Disability Index of Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2023)03-0048-07
作者:
周新1; 王越1; 曹禹1; 潘兵1
1北京市第二医院康复科(北京,100031)
Author(s):
ZHOU Xin1; WANG Yue1; CAO Yu1; PAN Bing1
1The Department of Physiotherapy, the Second Hospital of Beijing, Beijing 100031, China.
关键词:
神经根型颈椎病;  推拿;  双手掌温差;  颈椎功能障碍指数
Keywords:
cervical spondylotic radiculopathy;  massage;  temperature difference between hands and palms;  neck disability index(NDI)
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.230309
文献标志码:
A
摘要:
目的:探讨双手掌温差与神经根型颈椎病(颈5-6和颈6-7)症状即颈椎功能障碍指数(Neck Disability Index,NDI)的相关性及定量关系。方法:自2020年5月至2021年12月,纳入31例神经根型颈椎病(颈5-6和颈6-7)患者,在第1次治疗前后及末次治疗前通过红外热像仪测量患者双手掌温计算温差,同时评定NDI评分,对患者进行推拿为主的治疗,每周2次,共4次。观察第1次治疗前后及最末次治疗前的双手掌温差、NDI评分。探讨双手掌温差与颈椎病症状的相关性,相关性分析采用Pearson法,定量关系采用线性回归分析。结果:NDI评分:第1次治疗后比治疗前减小(0.23±0.09)分(t=14.23,P<0.01),最末次治疗前比第1次治疗前减小(0.36±0.11)分(t=18.53,P<0.01)。温差:第1次治疗后比治疗前减小(0.30±0.19)℃(t=8.886,P<0.01),最末次治疗前比第1次治疗前温差减小(0.39±0.35)℃(t=6.192,P<0.01)。相关性分析:采用Pearson分析,治疗前温差与治疗前NDI相关性系数为0.326,P=0.047,有相关性。第1次治疗后温差与第1次治疗后NDI相关系数为0.325,P=0.034,有相关性。治疗末次温差与治疗末次前NDI相关系数为0.177,P=0.34,无明显相关性。末次治疗前温差与治疗前温差的变化值和末次治疗前NDI与第1次治疗前NDI变化值的相关系数为0.269,P=0.041,有相关性。温差与NDI不存在线性关系。结论:神经根型颈椎病(颈5-6和颈6-7)患者双手掌温度存在差异,患侧较健侧高; 患者双手掌温差与NDI有相关性,但无线性关系,可以作为诊断神经根型颈椎病(颈5-6和颈6-7)的参考指标,对评定治疗效果可以起到参考作用,但只能作定性的参考不能作定量的参考。
Abstract:
Objective:To explore the correlation and quantitative relationship between the temperature difference between hands and palms and the symptoms of cervical spondylotic radiculopathy(C5-6, C6-7), namely,Neck Disability Index(NDI ).Methods:31 patients with cervical spondylosis of nerve root type were selected from May 2020 to December 2021. Before and after the first treatment and before the last treatment, the temperature difference between hands and palms was measured with the infrared thermal imager, and NDI score was evaluated. The patients were treated mainly with massage twice a week, four times in total. NDI score and temperature difference between hands and palms before and after the first treatment and before the last treatment were observed. To explore the correlation between the temperature difference between hands and palms and the change of symptoms of cervical spondylosis, Pearson method was used for correlation analysis, and linear regression analysis was used for quantitative relationship.Results:NDI score: compared with before treatment, it decreased by 0.23±0.09 after the first treatment(t=14.23, P<0.01), and it decreased by 0.36±0.11 before the last treatment(t=18.53, P<0.01). Temperature difference: compared with before treatment, the temperature difference decreased by(0.30±0.19)℃ after the first treatment(t=8.886, P<0.01), and the temperature difference decreased by(0.39±0.35)℃ before the last treatment(t=6.192, P<0.01). Correlation analysis: Pearson analysis, the correlation coefficient between temperature difference and NDI before treatment was 0.326, P=0.074, and there was a correlation. The correlation coefficient between temperature difference and NDI after the first treatment was 0.325, P=0.054, and there was a correlation. The correlation coefficient between temperature difference and NDI before the last treatment was 0.177, P=0.34, and there was no significant correlation. The correlation coefficient of the change value before the last treatment and before treatment between temperature difference and NDI was 0.269, P=0.041, and there was a correlation.There was no linear relationship between temperature difference and NDI.Conclusion:The temperature difference between hands and palms in patients with cervical spondylotic radiculopathy(C5-6, C6-7)is different, and the affected side is higher than the healthy side. The temperature difference between the patient's hands and palms is related to the NDI, but there is no linear relationship. It can be used as an objective reference index for the diagnosis of cervical spondylotic radiculopathy(C5-6, C6-7), and can play an objective reference role in evaluating the treatment efficacy, but it can only be qualitative but not quantitative.

参考文献/References:

[1] 孙宇,李贵存.第二届颈椎病专题座谈会纪要[J].解放军医学杂志,1994,19(12):156-158.
[2] ZHANG H Y,KIM Y S,CHO Y E.Thermatomal changes in cervical disc herniations[J].Yonsei Med J,1999,40(5):401-412.
[3] PARK T Y,SON S,LIM T G,et al.Hyperthermia associated with spinal radiculopathy as determined by digital infrared thermographic imaging[J].Medicine(Baltimore),2020,99(11):e19483.
[4] KIM D H,KIM Y S,SHIN S J,et al.Retrospective outcome evaluation of cervical nucleoplasty using digital infrared thermographic imaging[J].Neurospine,2019,16(2):325-331.
[5] RA J Y,AN S,LEE G H,et al.Skin temperature changes in patients with unilateral lumbosacral radiculopathy[J].Ann Rehabil Med,2013,37(3):355-363.
[6] BEN-ELIYAHU D J.Thermographic imaging of pathoneurophysiology due to cervical disc herniation[J].J Manipulative Physiol Ther,1989,12(6):482-490.
[7] VOLOSHYN H H.The thermal pattern of skin in healthy persons[J].Lik Sprava,2002(1):20-24.
[8] 罗芸,薛毅珑.急、慢性颈肩痛患者的远红外热像特征分析[J].中国激光医学杂志,2008,17(6):431-433.
[9] 吕少文,赵丽君,李红,等.人体红外热图像分析技术的应用原理和意义[J].中国体视学与图像分析,2002,7(3):150-152.
[10] 贾桂林,吕少文,韩世发,等.颈椎病治疗前后的红外热图像分析[J].激光与红外,2006,36(2):122-124.
[11] 蒋崇博,王军,郑志新,等.红外热成像在神经根型颈椎病定位诊断的临床观察[J].临床军医杂志,2011,39(4):679-680.
[12] 王军,邓方阁,王刚,等.红外热成像在腰椎间盘突出症诊断中的地位[J].临床军医杂志,2010,38(1):133-134.
[13] 李远栋,刘爱峰,张君涛,等.红外热成像评估定点侧屈旋扳手法治疗神经根型颈椎病的可视化研究[J].辽宁中医杂志,2021,48(3):85-88.
[14] 蒋崇博,李军,赵凯明,等.红外热成像技术对强刺激压痛点手法治疗颈源性头痛的临床观察[J].空军医学杂志,2021,37(2):149-151.
[15] 马碧涛,金立伦,滕蔚然,等.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(2):28-31.
[16] 吴思,王平,谢海波,等.腰椎间盘突出症肢体红外多尺度熵变规律研究[J].中国中医骨伤科杂志,2021,29(11); 28-31.
[17] 蔺福辉,何正保,计姜逊,等.基于红外热成像技术对不同证型腰椎间盘突出症患者相关经穴皮肤温度变化的分析[J].中国中医骨伤科杂志,2022,30(6):12-15.
[18] 时宗庭,阮安民,王庆甫,等.基于红外热像原理探讨斜方肌及胸锁乳突肌对青少年颈痛的影响[J].中国中医骨伤科杂志,2019,27(6):23-25.
[19] 徐萌萌,王琳,万慧伟,等.红外热成像用于慢性足底筋膜炎诊断的临床研究[J].中国中医骨伤科杂志,2020,28(4):29-32.
[20] WASE S,CUI J,WALLIN B G,et al.Effects of increased ambient temperature on skin sympathetic nerve activity and core temperature in humans[J].Neurosci Lett,2002,327(1):37-40.
[21] BERNARDI L,RADAELLI A,SOLDA P L,et al.Autonomic control of skin microvessels:assessment by power spectrum of photoplethysmographic waves[J].Clin Sci(Lond),1996,90(5):345-355.
[22] 涂远荣,李旭,林敏,等.肱动脉血流动力学和掌温检测在胸交感神经干切断术中的临床意义[J].中华胸心血管外科杂志,2006,22(6):369-370.
[23] 涂远荣,李旭,林敏,等.手汗症患者胸交感神经超微结构观察[J].中华实验外科杂志,2006,23(7):884.

更新日期/Last Update: 2023-03-10