丘脑出血恢复期的热像图研究

Relationship between the thermography patterns and the clinical features of thalamus hemorrhage

目的探讨热像图与丘脑出血临床症状及体征之间的关系。方法应用日本电子热像图仪 ,在室温下对 3 2例丘脑出血恢复期患者进行左右手皮温测定 ,以左右温差≥ 0 5℃作为异常指标。结果 3 2例患者中热像图异常者 2 1例 ,其中 ,患侧低温 12例 ,高温 9例。热像图异常与瘫痪有关 (P <0 0 5 ) ,而与感觉异常无明显相关性。大血肿患者出现热像图异常比率比小血肿患者高(P <0 0 5 )。在丘脑出血恢复早期 (1— 3个月 ) ,热像图异常以高温型为主 ,而 3个月以后以低温型为主。结论丘脑出血恢复期患者的临床症状及体征与热像图模式之间有一定关系。

ObjectiveTo explore the relationship between thermography patterns and the clinical features of thalamus hemorrhage in the recovery period. MethodsTwo hands skin temperature of 32 patients with thalamus hemorrhage were measured with infrared heat radiation imaging 1 month after the stroke. Results21(66%) of 32 patients showed different imaging patterns between the affected limbs and the healthy sides. Of the 25 palsy patients, 18 (72%) showed abnormal images, just 3 of 7(42.6%) patients with normal muscle force showed abnormal images, and the difference was significanct( P <0.05). There was no relation between sensory disorder and imaging pattern. Patients with hematom lager than 10 millilitre showed more abnormal images than those with hematom under 10 millilitre( P <0.05 ). Patients with a course within 3 months had a tendency to show hot pattern, while those with a course beyond 3 month showed cold pattern. Conclusion There are certain relations between thermograpy patterns and the symptoms, signs of thalamus hemorrhage.