红外热像图指导下颈肩臂软组织疼痛的诊治疗效

Diagnosis and treatment of neck and shoulder soft tissue pain under the guidance of digital infrared thermographic imaging

目的 探讨红外热像图（DITI）指导下颈肩臂软组织疼痛诊断治疗的效果.方法 颈肩臂软组织疼痛患者240例,随机均分为两组,行DITI检查并指导治疗患者为A组,行DITI检查但未用来指导临床治疗的患者为B组.另取健康人120例做DITI为C组.A组患者根据DITI分为：充血性、炎症性、充血炎症混合型.根据分类A组采用神经阻滞、星状神经节阻滞、消炎镇痛液注射、三氧注射及银质针软组织加热松解治疗.B组根据临床经验选取上述治疗方法.比较A组与C组患者DITI,并对治疗前后A、B组DITI改变和临床效果进行比较.结果 与C组比较,A组不同类型患者双侧肩臂温差、背部两侧温差及臂部最大温差均较大（P＜0.05）.A组有效率95％（114/120例）高于B组有效率75％（90/120例）.结论 DITI可提高颈肩臂软组织疼痛诊断的准确性,并提高其临床疗效.

Objective To evaluate the efficacy of the diagnosis and treatment under the guid- ance of digital infrared thermographic imaging （DITI） for patients with soft tissue injuries in neck and shoulder. Methods Two hundred and forty patients with pain due to soft tissue injuries in neck and shoulder were divided into two groups, 120 patients in group A were examined and treated ac- cording to DITI; 120 patients in group B were examined by DITI, but treated without guidance of DITI. In addition, 120 healthy individuals in group C were examined by DITI as control. Group A was divided into inflammation, ischemia and combined groups by DITI, then patients were treated by nerve block, stellate ganglion block,analgesic mixture, ozone injection and silver needle acupuncture according to the classification. Patients in group B were treated without the guidance of DITI. The effects and DITI were compared between group A and B. Results The temperature difference in bi- lateral shoulder, arm and back, and the maximum temperature difference in group A were greater than those in group C respectively （P〈0.05）. The effective rate was higher in group A （95 %, 114/ 120 cases） than that in group B （75%, 90/120 cases） （P〈0.05）. Conclusion DITI can improve the accuracy and clinical effects of diagnosis and treatment of soft tissue injuries pain in neck and shoulder.