红外线成像技术在青少年颈痛患者的临床应用

目的:通过对比颈肩部区左右温度分布,为热像图用于未病诊断提供客观参考依据,并论证其在青少年颈椎失衡综合征中的应用价值。方法:自2009年3月至12月,收集45例符合诊断标准的青少年颈椎失衡综合征患者,男23例,女22例;年龄19～22岁,平均21岁;病程2～20周,平均13周。取C7水平线将所选区域分为颈部、肩部,颈部后正中线将所选区域分为左右侧。使用红外热像仪观察患者安静状态下颈肩部区左右温度分布。用计算机图像分析软件处理相关温度数值,并将结果进行统计学分析。结果:①肩部区温度趋势总体高于颈部区。②颈部和肩部左右两侧的最高温、平均温差异均有统计学意义(P<0.05),而颈部区左右两侧的最低温差异无统计学意义(P>0.05)。结论:红外线对青少年颈椎失衡综合征的诊断有重要意义,能够早期发现颈肩部两侧异常的肌肉代谢失衡信号,为预防提供依据。

The clinical application of infrared imaging technology in teenagers with cervicodynia

Objective: To compare the temperature distribution of both sides of shoulder,provide objective reference for the application thermoview in the diagnosis of cervicodynia in teenagers. Methods: Forty-five adolescents with cervicodynias from March 2009 to December 2009 were collected. There were 23 males and 22 females,with an average age of 21 years(ranged from 19 to 22 years). The course of disease ranged from 2 to 20 weeks(averaged 13 weeks). C7 horizontal line were used to divide the back into the neck area and shoulders area,and the midline to subdivide the chosen area into left and right area. Thermal infrared imaging was used to observe the temperature both sides of neck and shoulders,the data was analyzed by the computer. Results: The temperature of shoulder was higher than neck. There were significant differences in the highest and average temperature both of the left and right side of neck and shoulder(P<0.05),but no difference in the lowest temperature both of left and right side of neck. Conclusion: The thermal infrared imaging is important for diagnosing cervical imbalance syndrome,finding the sign of abnormal muscle metabolism of shoulder and providing the basis for prevention.