《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (03): 177-178.

• 临床研究 • 上一篇    下一篇

丘脑出血恢复期的热像图研究

赵桂萍1; 周爱红1; 长坂光泰2; 清水庸夫2   

  1. 1.北京大学第一医院神经内科 北京市 100034;2.日本关东脑神经外科病院
  • 收稿日期:2004-02-13 出版日期:2004-03-25 发布日期:2004-03-25

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

ZHAO Gui-ping, ZHOU Ai-hong,Nagasaka Mitsuyasu, et al   

  1. Department of Neurology, First Hospital,Peking University,Beijing 100034, China
  • Received:2004-02-13 Published:2004-03-25 Online:2004-03-25

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摘要： 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32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32例患者中热像图异常者21例,其中,患侧低温12例,高温9例。热像图异常与瘫痪有关(P<0.05),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<0.05)。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。

关键词: 热像图, 丘脑出血, 临床症状, 体征

Abstract: 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.

Key words: thermography, thalamus hemorrhage, clinical symptoms, signs