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[1]王國杰,張作君,張川,等.紅外熱成像技術(shù)在指導肘關(guān)節(jié)骨化性肌炎松解術(shù)后康復鍛煉中的應(yīng)用[J].中醫(yī)正骨,2018,30(10):49-53.
　WANG Guojie,ZHANG Zuojun,ZHANG Chuan,et al.Applied value of infrared thermography for guiding rehabilitation exercises after release surgery for treatment of elbow myositis ossificans[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(10):49-53.
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紅外熱成像技術(shù)在指導肘關(guān)節(jié)骨化性肌炎松解術(shù)后康復鍛煉中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年10期
頁碼:
49-53
欄目:
臨床研究
出版日期:
2018-10-20

文章信息/Info

Title:
Applied value of infrared thermography for guiding rehabilitation exercises after release surgery for treatment of elbow myositis ossificans
作者:
王國杰; 張作君; 張川; 趙明; 昌中孝; 楊林平; 李星星; 段小波
(河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002)
Author(s):
WANG Guojie; ZHANG Zuojun; ZHANG Chuan; ZHAO Ming; CHANG Zhongxiao; YANG Linping; LI Xingxing; DUAN Xiaobo
Luoyang Orthopedic-Traumatological Hospital,Luoyang 471002,Henan,China
關(guān)鍵詞:
肘關(guān)節(jié);  骨化性肌炎;  紅外熱成像術(shù);  皮膚溫度;  康復鍛煉
Keywords:
elbow joint;  myositis ossificans;  infrared thermography;  skin temperature;  rehabilitation exercise
摘要:
目的:觀察紅外熱成像技術(shù)在指導肘關(guān)節(jié)骨化性肌炎松解術(shù)后康復鍛煉中的應(yīng)用價值。方法:將符合要求的84例肘關(guān)節(jié)骨化性肌炎患者隨機分為2組,每組42例,分別在紅外熱成像技術(shù)指導下進行常規(guī)康復鍛煉(觀察組)和單純常規(guī)康復鍛煉(對照組)。兩組均于術(shù)后24 h開始進行常規(guī)康復鍛煉,每天6～9次,每次30 min,共鍛煉14 d; 于術(shù)后3 d開始,觀察組用醫(yī)用紅外熱成像儀測量患者鍛煉后雙側(cè)肘關(guān)節(jié)的溫度差,并根據(jù)其大小調(diào)整鍛煉強度。分別于康復鍛煉前和康復鍛煉結(jié)束后24周,比較2組患者的肘關(guān)節(jié)疼痛視覺模擬量表(visual analogue scale,VAS)評分、肘關(guān)節(jié)活動度和骨化性肌炎復發(fā)率。結(jié)果:①肘關(guān)節(jié)疼痛VAS評分。康復鍛煉前2組患者肘關(guān)節(jié)疼痛VAS評分比較,差異無統(tǒng)計學意義(t=-0.104,P=0.749); 康復鍛煉結(jié)束后24周,2組患者肘關(guān)節(jié)疼痛VAS評分均低于康復鍛煉前[(0.75±0.09)分,(2.13±0.19)分,t=-9.840,P=0.000;(1.36±0.14)分,(2.06±0.21)分,t=-3.640,P=0.001],觀察組肘關(guān)節(jié)疼痛VAS評分低于對照組(t=-4.224,P=0.000)。②肘關(guān)節(jié)活動度。康復鍛煉前2組患者肘關(guān)節(jié)活動度比較,差異無統(tǒng)計學意義(t=-1.904,P=0.352); 康復鍛煉結(jié)束后24周,2組患者肘關(guān)節(jié)活動度均大于康復鍛煉前(99.70°±2.90°,11.50°±3.20°,t=-10.691,P=0.000; 70.50°±3.20°,12.10°±3.10°,t=-8.738,P=0.000),觀察組肘關(guān)節(jié)活動度大于對照組(t=10.036,P=0.000)。③骨化性肌炎復發(fā)率。康復鍛煉結(jié)束后24周,觀察組骨化性肌炎復發(fā)1例,對照組骨化性肌炎復發(fā)15例; 觀察組骨化性肌炎復發(fā)率低于對照組(χ2=15.132,P=0.000)。結(jié)論:采用紅外熱成像技術(shù)指導肘關(guān)節(jié)骨化性肌炎松解術(shù)后的康復鍛煉,可更好地緩解肘關(guān)節(jié)疼痛,改善肘關(guān)節(jié)活動度,降低骨化性肌炎的復發(fā)率,值得臨床推廣應(yīng)用。
Abstract:
Objective:To explore the applied value of infrared thermography for guiding rehabilitation exercises after release surgery for treatment of elbow myositis ossificans.Methods:Eighty-four patients with elbow myositis ossificans were randomly divided into 2 groups,42 cases in each group.The patients were treated with conventional rehabilitation exercises under the guidance of infrared thermography(observation group)and monotherapy of conventional rehabilitation exercises(control group)respectively.The conventional rehabilitation exercises were performed since the 24th hour after the surgery,6-9 times a day and 30 minutes at a time for consecutive 14 days.The temperature difference between bilateral elbow joints of patients in observation group were measured by using medical infrared thermal imager after rehabilitation exercises since the 3rd day after the surgery,and the exercise intensity was adjusted according to the temperature difference.The elbow pain visual analogue scale(VAS)scores,range of motion(ROM)of elbow and recurrence rate of myositis ossificans were compared between the 2 groups before rehabilitation exercises and at 24 weeks after the end of rehabilitation exercises respectively.Results:There was no statistical difference in elbow pain VAS scores between the 2 groups before rehabilitation exercises(t=-0.104,P=0.749).The elbow pain VAS scores were lower in both of the 2 group at 24 weeks after the end of rehabilitation exercises compared to pre-rehabilitation exercises(0.75+/-0.09 vs 2.13+/-0.19 points,t=-9.840,P=0.000; 1.36+/-0.14 vs 2.06+/-0.21 points,t=-3.640 P=0.001),and the elbow pain VAS scores were lower in observation group compared to control group(t=-4.224,P=0.000).There was no statistical difference in ROM of elbow between the 2 groups before rehabilitation exercises(t=-1.904,P=0.352).The ROM of elbow were greater in both of the 2 groups at 24 weeks after the end of rehabilitation exercises compared to pre-rehabilitation exercises(99.70+/-2.90 vs 11.50+/-3.20 degrees,t=-10.691,P=0.000; 70.50+/-3.20 vs 12.10+/-3.10 degrees,t=-8.738,P=0.000),and the ROM of elbow were greater in observation group compared to control group(t=10.036,P=0.000).The recurrence of myositis ossificans was found in 1 patient in observation group and 15 patients in control group at 24 weeks after the end of rehabilitation exercises.The recurrence rate of myositis ossificans was lower in observation group compared to control group(χ2=15.132,P=0.000).Conclusion:The rehabilitation exercises under the guidance of infrared thermography can better relieve the elbow pain,improve the ROM of elbow and reduce the recurrence rate of myositis ossificans in patients who receive release surgery for treatment of elbow myositis ossificans,so it is worthy of popularizing in clinic.

參考文獻/References:


[1] DEMIR MK,BESER M,AKINCI O.Case 118:proliferative myositis[J].Radiology,2007,244(2):613-616.
[2] 郭振業(yè),段王平,衛(wèi)小春.骨化性肌炎的研究新進展[J].實用骨科雜志,2013,19(7):629-632.
[3] MITTAL R,SAMPATH KUMAR V,GUPTA T.Patella cubiti:a case report and literature review[J].Arch Orthop Trauma Surg,2014,134(4):467-471.
[4] STANLEY D,TRAIL IA.肘關(guān)節(jié)外科手術(shù)學[M].姜保國,蔣協(xié)遠,張長青,譯.北京:人民軍醫(yī)出版社,2014:581-582.
[5] 何大煒,查曄軍,蔣協(xié)遠.肘關(guān)節(jié)僵硬[J].中國醫(yī)刊,2014,49(1):23-25.
[6] 查曄軍,公茂琪,蔣協(xié)遠.創(chuàng)傷后肘關(guān)節(jié)僵硬[J].中華創(chuàng)傷雜志,2013,29(5):474-478.
[7] 何大煒,蔣協(xié)遠,公茂琪,等.開放松解術(shù)結(jié)合鉸鏈式外固定支架治療極重度創(chuàng)傷后肘關(guān)節(jié)僵硬[J].中華創(chuàng)傷骨科雜志,2015,17(10):832-837.
[8] 蔣協(xié)遠,王大偉.骨科臨床療效評價標準[M].北京:人民衛(wèi)生出版社,2005:123. 中醫(yī)正骨2018年10月第30卷第10期 J Trad Chin Orthop Trauma,2018,Vol.30,No.10(總773) (總774)中醫(yī)正骨2018年10月第30卷第10期 J Trad Chin Orthop Trauma,2018,Vol.30,No.10
[9] 切利,切利,莫利.肘關(guān)節(jié)創(chuàng)傷治療進展[M].周智勇,陳旭,張樹棟,等譯.天津:天津科技翻譯出版公司,2012:680.
[10] 王社言,李現(xiàn)林.手足口病并發(fā)髖關(guān)節(jié)骨化性肌炎1例[J].中醫(yī)正骨,2016,28(6):61-62.
[11] 朱海芳.桃紅四物湯加減治療創(chuàng)傷性骨化性肌炎的臨床研究[J].醫(yī)學信息,2016,29(34):133-134.
[12] 章建新,謝偉,吳向科,等.肘關(guān)節(jié)創(chuàng)傷性骨化性肌炎的中西醫(yī)結(jié)合療法[J].浙江醫(yī)學教育,2015,14(3):55-57.
[13] 張敏琴,王爭.自我效能增強干預對膝關(guān)節(jié)骨折術(shù)后患者功能鍛煉康復效果的影響[J].護士進修雜志,2012,27(9):852-853.
[14] 竇思東,許瑞旭,吳南茜,等.中醫(yī)經(jīng)絡(luò)紅外輻射特性研究進展[J].中華中醫(yī)藥雜志,2016,4(7):2709-2712.
[15] 羅翠文.陽虛狀態(tài)人群的寒性特征研究[D].廣州:廣州中醫(yī)藥大學,2015.
[16] 周浩,朱佳玲,張欣悅,等.亞健康陽虛體質(zhì)人群三焦及相關(guān)經(jīng)穴溫度的紅外熱圖[J].廣東醫(yī)學,2017,38(11):1654-1656.
[17] 徐福平,羅翠文,孫晨,等.陽虛質(zhì)主觀怕冷與客觀體表溫度特征的關(guān)系[J].廣東醫(yī)學,2017,38(11):1641-1644.
[18] 張英杰,王圣燕,張曄,等.TTM在艾灸關(guān)元穴治療胞宮虛寒型痛經(jīng)中的應(yīng)用研究[J].山東中醫(yī)雜志,2013,9(9):651-653.
[19] 鄧寶貴,全小明.冷療對全膝關(guān)節(jié)置換術(shù)后出血量、疼痛、腫脹及睡眠質(zhì)量的影響[J].護理研究,2014,28(11):1311-1313.
[20] 何曉萍,陸建陽.人工肱骨頭置換術(shù)治療高齡肱骨近端復雜骨折的圍手術(shù)期護理[J].中醫(yī)正骨,2013,25(6):74-75.
[21] 肖紅云,胡建華,鐘發(fā)明.腧穴熱敏灸加常規(guī)功能鍛煉對預防橈骨遠端骨折術(shù)后腕關(guān)節(jié)僵硬的療效評價[J].江西中醫(yī)藥,2017,48(1):61-64. (收稿日期:2018-07-29 本文編輯:時紅磊)

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備注/Memo

備注/Memo:
基金項目:河南省科技發(fā)展計劃項目(152102310164)
通訊作者:張作君 E-mail:[email protected]
更新日期/Last Update: 2019-02-25