脑卒中后肩痛患者肩部红外热成像观察

发布时间：2018-07-23 08:53

【摘要】：目的:观察脑卒中患者及伴有肩手综合征、痉挛和肩关节半脱位的脑卒中患者的肩部皮肤温度变化特点并探讨红外热成像检查是否可作为脑卒中后肩痛的客观评价指标。方法:选取86例脑卒中患者,使用数位式红外线热影像测温系统对脑卒中患者,伴有肩手综合征、痉挛和肩关节半脱位的脑卒中患者,以及脑卒中后肩痛患者进行肩部红外热成像观察。结果:70例(81.4%)患者患侧肩部较健侧温度低,肩手综合征与非肩手综合征患者比较,差异有显著性意义(P0.05);痉挛与非痉挛患者以及肩关节半脱位与非肩关节半脱位患者比较,差异均无显著性意义(P0.05)。脑卒中肩痛与非肩痛患者比较,差异无显著性意义(P0.05)。结论:红外热成像检查能客观反映脑卒中患者肩部皮肤温度变化特点,大部分患者的患侧肩部皮肤温度较健侧低。合并肩手综合征的患者两侧皮肤温度不对称现象更明显,痉挛和肩关节半脱位不会明显影响皮肤温度。脑卒中后肩痛患者与非肩痛患者的红外热成像表现无明显差异。
[Abstract]:Objective: to observe the changes of shoulder skin temperature in patients with stroke and those with shoulder and hand syndrome, spasm and subluxation of shoulder joint, and to explore whether infrared thermal imaging can be used as an objective evaluation index of shoulder pain after stroke. Methods: 86 patients with cerebral apoplexy were treated with digital infrared thermal imaging thermometry system, including patients with shoulder and hand syndrome, spasm and subluxation of shoulder joint. And the patients with shoulder pain after stroke were observed by infrared thermal imaging of shoulder. Results 70 cases (81.4%) had lower shoulder temperature than normal side, there was significant difference between shoulder and hand syndrome and non-shoulder hand syndrome (P0.05), spasm and non-spasm, shoulder subluxation and non-shoulder subluxation. There was no significant difference (P0.05). There was no significant difference between shoulder pain and non-shoulder pain in stroke patients (P0.05). Conclusion: infrared thermal imaging can objectively reflect the characteristics of shoulder skin temperature changes in stroke patients, and the skin temperature of most patients is lower than that of healthy side. Skin temperature asymmetry was more obvious in patients with shoulder-hand syndrome. Spasm and shoulder subluxation did not significantly affect skin temperature. There was no significant difference in infrared thermal imaging between patients with shoulder pain and those with non-shoulder pain after stroke.
【作者单位】：青岛大学医学院;青岛市中心医院康复医学科;青岛大学医学院附属医院康复医学二科;
【基金】：山东省青岛市“民主科技计划”(人口与健康)项目(13-1-3-34-nsh)
【分类号】：R743.3

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