摘要
目的分析腰背肌筋膜炎诊断中运用红外热成像技术的临床价值。方法选择2020年1月至2021年2月赤道几内亚首都马拉博医院骨科及疼痛科门诊收治的90例慢性腰痛患者为研究对象,根据随机数表法将其分为三组,每组各30例,分别给予棍点理筋、激痛点针灸以及口服非甾体药物治疗,对治疗前后三组的红外热像图进行拍摄,并且比较分析三组治疗前后视觉模拟评分法(VAS)评分和红外线温度(最低温度、温差、最高温度、平均温度)。结果治疗前,三组的VAS评分比较,差异无统计学意义(P>0.05);治疗后,激痛点针灸组和棍点理筋组的VAS评分均低于口服药物组,差异有统计学意义(P<0.05),但是两组的VAS评分差异无统计学意义(P>0.05);三组治疗前的红外线温度差异无统计学意义(P>0.05);三组治疗后的平均温度、最高温度、温差以及最低温度比较有统计学意义(P<0.05)。结论对于腰背肌筋膜炎患者,采用棍点理筋法和激痛点针灸治疗均可以获得较好的效果,并且可以将红外热成像技术作为评价疗效的一个有效指标。
Objective To investigate and analyze the clinical value of infrared thermography in the diagnosis of low back myofascitis.Methods A total of 90 patients with chronic low back pain admitted to the outpatient clinic of the Department of Orthopaedics and Pain in Malabo Hospital in the capital of Equatorial Guinea from January 2020 to February 2021 were selected as the study subjects.They were divided into three groups according to the random number method,with 30 patients in each group,and the three groups were treated with Gundian Lijin,trigger point acupuncture and oral non-steroidal drugs,respectively.The infrared thermograms of the three groups before and after treatment were taken,and the visual analogue scale(VAS)scores and infrared temperatures(minimum temperature,temperature difference,maximum temperature and mean temperature)were compared among the three groups before and after treatment.Results Before treatment,there was no statistically significant difference among the three groups in VAS scores(P>0.05).After treatment,the VAS scores in the group with trigger point acupuncture and the group with Gundian Lijin were both lower than those in the group with oral non-steroidal drugs,with statistically significant differences(P<0.05),but there was no statistically significant difference between the group with trigger point acupuncture and the group with Gundian Lijin in VAS scores(P>0.05).There were no statistically significant differences among the three groups in infrared temperatures before treatment(P>0.05).There were statistically significant differences among the three groups in the mean temperature,maximum temperature,temperature difference,and minimum temperature after treatment(P<0.05).Conclusion Both Gundian Lijin and trigger point acupuncture can achieve ideal efficacy in the treatment of patients with low back myofasciitis,and infrared thermography can be used as a valid indicator to evaluate the efficacy.
作者
林志光
陈壮浩
刘群芳
朱向琥
林县杰
魏锦华
梁敏儿
李六民
苏圣贤
温君琳
张振山
LIN Zhiguang;CHEN Zhuanghao;LIU Qunfang;ZHU Xianghu;LIN Xianjie;WEI Jinhua;LIANG Min'er;LI Liumin;SU Shengxian;WEN Junlin;ZHANG Zhenshan(31st Chinese Medical Team for Equatorial Guinea,Guangdong,Zhongshan 528400,China;Department of Pain,Zhongshan City People’s Hospital,Guangdong,Zhongshan 528400,China;Department of AnesthesiaⅠ,Zhongshan City People’s Hospital,Guangdong,Zhongshan 528400,China)
出处
《中国医药科学》
2023年第13期164-167,共4页
China Medicine And Pharmacy
基金
广东省医学科学技术研究基金项目(C2021113)。
关键词
腰背肌筋膜炎
红外热成像技术
理筋
针灸
Low back myofascitis
Infrared thermography
Lijin
Acupuncture
