红外热成像在医学疼痛中的应用

胡珊; 薛朝霞; 李晓洁; 陆谛

doi:10.12122/j.issn.1674-4500.2021.01.42

红外热成像在医学疼痛中的应用

doi: 10.12122/j.issn.1674-4500.2021.01.42

胡珊^1,,
薛朝霞^2, ,,
李晓洁¹,
陆谛³

1.
山西医科大学麻醉学院，山西太原 030001
2.
山西医科大学第一医院疼痛科，山西太原 030001
3.
山西医科大学第二医院麻醉科，山西太原 030001

基金项目:

山西医科大学校基金 01201512

详细信息

作者简介:
胡珊，硕士，医师，E-mail: hushan0223@163.com

通讯作者:
薛朝霞，硕士，主任医师，E-mail: xuezhaoxia63@sxmu.edu.cn

计量
- 文章访问数: 759
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- PDF下载量: 34
- 被引次数: 0
出版历程
- 收稿日期: 2020-11-28
- 刊出日期: 2021-01-20

Application of infrared thermal imaging in department of pain

Shan HU^1
,,
Zhaoxia XUE^{2
, ,},
Xiaojie LI¹,
Di LU³

1.
Department of Anaesthesia, Shanxi Medical University, Taiyuan 030001, China
2.
Department of Pain, the First Hospital of Shanxi Medical University, Taiyuan 030001, China
3.
Department of Anaesthesia, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China

摘要

摘要: 红外热成像是一种无接触，无辐射，相对便宜的新型检查方式，它将人体对外辐射出的红外热转变为数字和图像信号，准确的表现身体各部位的温度高低，将主观化的疼痛转变为客观化的数据，尤其适用于慢性疼痛，痛敏感，游走性疼痛, 对疼痛的诊断和疗效评估均有一定的参考价值。本文综述了红外热成像的工作原理以及在医学疼痛中的应用，包括软组织疼痛、带状疱疹及带状疱疹性神经痛、关节炎、颈腰椎病、原发性骨质疏松等，并总结了红外热成像在临床应用中的优势和不足。在未来的疼痛诊疗过程中，红外热成像将发挥不可替代的作用。
- 红外热成像 /
- 软组织疼痛 /
- 带状疱疹性神经痛 /
- 关节炎 /
- 颈腰椎病 /
- 皮肤温度
Abstract: Medical infrared thermal imaging is a non-contact, non-radiation, relatively cheap method. It will change the human body infrared radiation into digital and image signals, showing the temperature of the body parts accurately, and is especially suitable for pain chronic, sensitive, and wandering. It has a certain reference value for the diagnosis of pain and the evaluation of curative effect. This article reviews the working principle of infrared thermal imaging and its application in medical pain, including soft tissue pain, herpes zoster and herpetic neuralgia, arthritis, cervical and lumbar diseases, primary osteoporosis and so on. Finally, we summarize the advantages and disadvantages of infrared thermal imaging in clinical application. In the future, infrared thermal imaging will play an irreplaceable role on pain diagnosis and treatment process.
- infrared thermal imaging /
- soft tissue pain /
- herpetic neuralgia /
- arthritis /
- cervical and lumbar disease /
- skin temperature

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参考文献(46)

[1]	Jiang LJ, Ng EY, Yeo AC, et al. A perspective on medical infrared imaging[J]. J Med Eng Technol, 2005, 29(6): 257-67. doi: 10.1080/03091900512331333158
[2]	Ali SS, Khan AY, Michael SG, et al. Use of digital infrared thermal imaging in the electromyography clinic: a case series[J]. Cureus, 2019, 11(2): e4087. http://www.zhangqiaokeyan.com/academic-journal-foreign-pmc_detail_thesis/040005201031.html
[3]	Hatipoglu S, Abdullayev R. Could infrared thermal imaging be a new diagnostic tool for acute appendicitis?[J]. Adv Clin Exp Med, 2019, 28(3): 361-7. doi: 10.17219/acem/87114
[4]	Ring EFJ, Ammer K. Infrared thermal imaging in medicine[J]. Physiol Meas, 2012, 33(3): R33-R46. doi: 10.1088/0967-3334/33/3/R33
[5]	Zolet CMLS, Ulbricht L, Romaneli EFR, et al. Thermal asymmetries and mean foot temperature[J]. 2019 41st Annu Int Conf IEEE Eng Med Biol Soc EMBC, 2019: 2821-4. http://www.researchgate.net/publication/335115436_Thermal_Asymmetries_and_Mean_Foot_Temperature
[6]	Cho CW, Nahm FS, Choi E, et al. Multicenter study on the asymmetry of skin temperature in complex regional pain syndrome: an examination of temperature distribution and symptom duration[J]. Medicine (Baltimore), 2016, 95(52): e5548. doi: 10.1097/MD.0000000000005548
[7]	周鑫, 王平. 医用红外热成像技术在中医学研究中的应用[J]. 中国中西医结合外科杂志, 2018, 24(2): 258-60. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZX201802039.htm
[8]	Freire MO, van Dyke TE. Natural resolution of inflammation[J]. Periodontol 2000, 2013, 63(1): 149-64. doi: 10.1111/prd.12034
[9]	Chang TC, Hsiao YL, Liao SL. Application of digital infrared thermal imaging in determining inflammatory state and follow-up effect of methylprednisolone pulse therapy in patients with Graves' ophthalmopathy[J]. Albrecht Von Graefes Arch Fur Klinische Und Exp Ophthalmol, 2008, 246(1): 45-9. doi: 10.1007/s00417-007-0643-0
[10]	Polidori G, Kinne M, Mereu T, et al. Medical Infrared Thermography in back pain osteopathic management[J]. Complement Ther Med, 2018, 39: 19-23. doi: 10.1016/j.ctim.2018.05.010
[11]	da Silva W, Machado ÁS, Souza MA, et al. Can exercise-induced muscle damage be related to changes in skin temperature?[J]. Physiol Meas, 2018, 39(10): 104007. doi: 10.1088/1361-6579/aae6df
[12]	Merla A, Ciuffolo F, D'Attilio M, et al. Functional infrared imaging in the diagnosis of the myofascial pain[J]. Conf Proc IEEE Eng Med Biol Soc, 2004, 2004: 1188-91. http://ieeexplore.ieee.org/document/1403380/
[13]	宋青凤, 张斌青, 张敏, 等. 红外热成像诊断足底筋膜炎[J]. 中国中医骨伤科杂志, 2018, 26(4): 33-5. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG201804008.htm
[14]	唐学章, 丁海涛, 安荣姝, 等. 背肌筋膜炎红外热成像特征及推拿治疗研究[J]. 北京中医药, 2009, 28(10): 760-1, 773. https://www.cnki.com.cn/Article/CJFDTOTAL-BJZO200910008.htm
[15]	郭锰, 齐伟, 孙雅蕙, 等. 红外热成像技术在腰背肌筋膜炎诊断中的应用[J]. 临床医药文献电子杂志, 2019, 6(92): 137, 140. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201992103.htm
[16]	徐萌萌, 王琳, 万慧伟, 等. 红外热成像用于慢性足底筋膜炎诊断的临床研究[J]. 中国中医骨伤科杂志, 2020, 28(4): 29-32. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG202004007.htm
[17]	李莉, 吴士明, 耿忠奎, 等. 依托芬那酯凝胶超声透入治疗软组织疼痛的红外热成像研究[J]. 中国疼痛医学杂志, 2015, 21(12): 949-51. https://www.cnki.com.cn/Article/CJFDTOTAL-ZTYZ201512022.htm
[18]	Demirtaş RN, Oner C. The treatment of lateral epicondylitis by iontophoresis of sodium salicylate and sodium diclofenac[J]. Clin Rehabilitation, 1998, 12(1): 23-9. doi: 10.1191/026921598672378032
[19]	唐家斌, 李少华. 红外热成像在肱骨外上髁炎患者疼痛定位中的应用价值探讨[J]. 中国烧伤创疡杂志, 2020, 32(2): 124-7. https://www.cnki.com.cn/Article/CJFDTOTAL-SSCS202002012.htm
[20]	陈菲, 朱彩云, 程锦珍, 等. 红外热成像在肱骨外上髁炎疼痛管理的应用价值[J]. 中西医结合心血管病电子杂志, 2020, 8(18): 10-2, 19. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH202018007.htm
[21]	Park J, Jang WS, Park KY, et al. Thermography as a predictor of postherpetic neuralgia in acute Herpes zoster patients: a preliminary study[J]. Skin Res Technol, 2012, 18(1): 88-93. doi: 10.1111/j.1600-0846.2011.00535.x
[22]	王家双, 杜雯琼, 包佳巾, 等. 神经损伤疼痛疾病的红外热图临床分析[J]. 中国疼痛医学杂志, 2011, 17(4): 201-4. https://www.cnki.com.cn/Article/CJFDTOTAL-ZTYZ201104004.htm
[23]	Ko EJ, No YA, Park KY, et al. The clinical significance of infrared thermography for the prediction of postherpetic neuralgia in acute Herpes zoster patients[J]. Skin Res Technol, 2016, 22(1): 108-14. doi: 10.1111/srt.12237
[24]	刘兵, 赵姣妹, 任长和, 等. 红外热成像早期预测带状疱疹后神经痛的临床价值[J]. 中国疼痛医学杂志, 2020, 26(4): 276-81. https://www.cnki.com.cn/Article/CJFDTOTAL-ZTYZ202004011.htm
[25]	高雅, 王秋石. 红外热成像及抑郁量表用于评价带状疱疹后神经痛治疗效果的作用分析[J]. 国际麻醉学与复苏杂志, 2018, 39(9): 841-5.
[26]	尚芸, 吕卓敏, 答秀维, 等. 红外热成像图对带状疱疹后神经痛介入治疗临床疗效的评价观察[J]. 中国疼痛医学杂志, 2020, 26(5): 397-400. https://www.cnki.com.cn/Article/CJFDTOTAL-ZTYZ202005020.htm
[27]	Jones B, Hassan I, Tsuyuki RT, et al. Hot joints: myth or reality? A thermographic joint assessment of inflammatory arthritis patients[J]. Clin Rheumatol, 2018, 37(9): 2567-71. http://europepmc.org/abstract/MED/29679167
[28]	Esselinckx W, Bacon PA, Ring EF, et al. A thermographic assessment of three intra-articular prednisolone analogues given in rheumatoid synovitis[J]. Br J Clin Pharmacol, 1978, 5(5): 447-51. http://www.ncbi.nlm.nih.gov/pubmed/656284
[29]	Varjú G, Pieper CF, Renner JB, et al. Assessment of hand osteoarthritis: correlation between thermographic and radiographic methods[J]. Rheumatology: Oxford, 2004, 43(7): 915-9. http://rheumatology.oxfordjournals.org/content/43/7/915.full
[30]	张斌青, 王军辉, 郭会利, 等. 高温红外热图的分型及对冷热治疗的指导作用[J]. 中国中西医结合影像学杂志, 2015, 13(2): 169-71. https://www.cnki.com.cn/Article/CJFDTOTAL-JHYX201502017.htm
[31]	陈柯. 红外热成像技术在膝骨性关节炎中的应用[C]//全国第十七届红外加热暨红外医学发展研讨会论文集: 青岛, 2019: 153-5.
[32]	金超, 杨阳, 薛祖军, 等. 基于红外热成像的膝关节骨性关节炎早期筛查临床研究[J]. 北京生物医学工程, 2014, 33(5): 456-62. https://www.cnki.com.cn/Article/CJFDTOTAL-BJSC201405004.htm
[33]	马碧涛, 金立伦, 滕蔚然, 等. 急慢性膝骨关节炎的红外热像图特征及与VAS评分的相关性研究[J]. 中国中医骨伤科杂志, 2017, 25(2): 28-31. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG201702008.htm
[34]	刘薛峰, 徐静. 细银质针骨骼肌松解治疗膝骨关节炎疗效观察[J]. 中国中医骨伤科杂志, 2020, 28(8): 50-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG202008011.htm
[35]	蒋春梅, 谢启新, 龚文静, 等. 红外热成像检查对关节腔内注射曲安奈德治疗痛风性关节炎的疗效及炎症因子分析[J]. 国际医药卫生导报, 2018, 24(24): 3742-5.
[36]	冯雯琪, 赵泳超, 梁津桦, 等. 红外热成像检查在髌骨软化症诊断中的临床研究[J]. 名医, 2019(7): 142-3. https://www.cnki.com.cn/Article/CJFDTOTAL-MGYI201907134.htm
[37]	梁芳, 张志海, 邓燕霞, 等. 红外热成像与CT/MRI在门诊腰椎间盘突出症患者诊断中的效果对比[J]. 中国现代药物应用, 2017, 11(23): 56-7. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY201723032.htm
[38]	Ammer K, Schartelmueller T, Melnizky P. Thermal imaging in acute Herpes zoster or post-zoster neuralgia[J]. Skin Res Technol, 2001, 7 (4): 219-22. doi: 10.1034/j.1600-0846.2001.70403.x/abstract
[39]	张超, 王平, 刘爱峰, 等. 双极射频联合臭氧治疗腰椎间盘突出症临床及热成像变化研究[J]. 国际生物医学工程杂志, 2020, 43(1): 41-5.
[40]	李红, 邓方阁, 周伟凌, 等. 颈椎病红外热成像的表达特点[J]. 中国现代医生, 2018, 56(21): 75-7, 81, 169. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYS201821021.htm
[41]	蒋崇博, 王军, 郑志新, 等. 红外热成像在神经根型颈椎病定位诊断的临床观察[J]. 临床军医杂志, 2011, 39(4): 679-80. https://www.cnki.com.cn/Article/CJFDTOTAL-JYGZ201104046.htm
[42]	郭锰, 孙雅蕙, 娄惠娟, 等. 观察依据红外热成像引导推拿治疗神经根型颈椎病临床疗效的影响[J]. 世界最新医学信息文摘, 2019, 19(94): 98-9. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201994060.htm
[43]	习世琴, 胡小军, 王磊. 红外热成像检测在内热针颈部软组织松解治疗颈型颈椎病疼痛评估的临床观察[J]. 名医, 2019(9): 130. https://www.cnki.com.cn/Article/CJFDTOTAL-MGYI201909122.htm
[44]	赵雪圆, 杜学忠, 张小青, 等. 红外热成像评估原发性骨质疏松腰背疼痛的应用研究[J]. 天津中医药, 2018, 35(9): 667-70. https://www.cnki.com.cn/Article/CJFDTOTAL-TJZY201809008.htm
[45]	李弘扬, 李宇东. 红外热成像技术在肿瘤疾病诊疗中的应用概况分析[J]. 世界最新医学信息文摘, 2017, 17(A3): 43-4. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA2017A3021.htm
[46]	Romanò CL, Romanò D, Dell'Oro F, et al. Healing of surgical site after total hip and knee replacements show similar telethermographic patterns[J]. J Orthop Traumatol, 2011, 12(2): 81-6. http://pubmedcentralcanada.ca/pmcc/articles/PMC3102809/