中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (1): 95-100.doi: 10.13418/j.issn.1001-165x.2021.01.018

• 临床研究 • 上一篇    下一篇

脑性瘫痪儿童红外热成像特点观察研究

白文芳1, 杨婉欣2, 余小塘3, 黄宏亮3, 许伟成1
刘兰仁4, 樊燕刚4, 黄旭明2, 张鸣生1
  

  1. 1.广东省人民医院(广东省医学科学院),广东省老年医学研究所,康复医学科,  广州   510080;    2.广东药科大学附属第一医院,康复医学科,  广州   510080;   3.广州市社会福利院康复医院,  广州   510000;    4.广州市无创医学技术有限公司,  广州    510290
  • 收稿日期:2019-11-28 出版日期:2021-01-25 发布日期:2021-01-27
  • 通讯作者: 余小塘,副主任医师,E-mail:xtyu118@126.com
  • 作者简介:白文芳(1982-),男,医学博士,主治医师,主要从事康复新理念新技术基础应用与转化研究,E-mail:freedombwf1008@126.com

Study on the characteristics of infrared thermography in children with cerebral palsy

Bai  Wenfang1, Yang Wanxin2, Yu Xiaotang3, Huang Hongliang3, Xu Weicheng1, Liu Lanren4, Fan Yangang4, Huang Xuming2, Zhang Mingsheng1   

  1. 1.Department of Rehabilitaion Medicine, Guangdong Geriatric institute, Guangdong Academy of Medical Sciences, Guangdong Provincial People's Hospital, Guangzhou 510080, China;2. Department of Rehabilitation Medicine,The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou 510080, China;3.Rehabilitation Hospital of Guangzhou Social Welfare Institute,Guangzhou 510000, China;4. Guangzhou Noninvasive Medical Technology Co., Ltd., Guangzhou 510290, China
  • Received:2019-11-28 Online:2021-01-25 Published:2021-01-27

摘要: 目的 探讨脑瘫儿童热像特点,为临床应用热像观察脑瘫患儿提供参考。 方法 选取广州市社会儿童福利院中符合入选标准的脑瘫儿童(n=42)和正常儿童(n=42)分别作为观察组和对照组,使用TMI-BX1便携式红外线热影像测温系统采集儿童全身热像,通过计算机抓取额头、前胸、上腹、下腹、脊椎T4、脊椎T12、脊椎L4、左手心、右手心、左足背、右足背共11个点的平均温度值,并统计分析。  结果 两组的左右侧肢端温度差异无统计学意义(P>0.05),两组的头面及躯干温度均高于四肢肢端温度(P<0.01);最高温度与最低温度的极差,观察组大于对照组(P<0.05);两组的头面温度分别低于其腹部温度,两者差异均有显著意义(P<0.01);观察组腹部温度高于背部温度,对照组反之,两组间比较差异有显著意义(P<0.01)。  结论 脑瘫儿童腹部温度高于背部温度,正常儿童均反之,此热像特点可为临床研究提供参考。

关键词: 脑性瘫痪,  红外热成像,  儿童

Abstract: Objective To observe and compare the infrared thermogram of children with cerebral palsy and normal children, and to explore and analyze the characteristics of the thermogram of children with cerebral palsy, so as to provide reference for clinical application. Methods Children with cerebral palsy (n=42) and normal children (n=42) were selected as an observation group and a control group respectively. The whole body thermal images of children were collected by TMI-BX1 portable infrared thermal image temperature measurement system. The average temperature values of 11 points which included forehead, chest, upper abdomen, lower abdomen, fourth thoracic vertebra(T4), twelfth thoracic vertebra(T12), fourth lumber vertebra(L4), left and right palms, dorsum pedis of each child were grabbed and analyzed by computer. Results There was no significant difference in the temperature of the left and right extremities between the two groups (P>0.05). The head and trunk temperatures of the two groups were higher than the extremities (P < 0.01). The extreme difference between the highest temperature and the lowest temperature was greater in the observation group than that of the control group (P<0.05). The temperature of the forehead was significantly lower than that of abdomen(P<0.01) in both of the two groups. The temperature of the abdomen was significantly higher in the observation group than that in the back (P<0.01), but significantly lower in the control group (P<0.01). Conclusions The abdominal temperature of children with cerebral palsy is higher than that of children with back, but that of normal childrem is lower than that of children with back. The characteristics of thermal imaging can provide reference for clinical research.

Key words: Cerebral palsy,   Infrared thermography,  Children

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