[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 Xin1WANG Yue1CAO Yu1PAN 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.

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更新日期/Last Update: 2023-03-10