红外热图对带状疱疹后遗痛介入治疗临床疗效的评价观察

Evaluation of Infrared Thermography on the Clinical Effectof Interventional Therapy for postherpetic neuralgia

摘要:

目的：观察红外线热成像技术对带状疱疹后遗痛临床疗效的评价效果。方法：80例带状疱疹后遗神经痛患者均给予外周感觉神经臭氧阻滞术联合阿昔洛韦、维生素B12药物常规综合药物治疗,同时配合给予阿昔洛韦软膏涂擦病变部位皮肤护理,治疗前后分别采集患者患处红外热图局部平均温度、VAS评分和ODI评分,评价治疗前后红外热图温度与VAS评分以及ODI评分之间有无相关性。结果：除5例年龄偏大患者经常规综合治疗后VAS、ODI、红外热图平均温度无改善外,余患者疗效均得到明显改善；治疗前VAS评分和ODI评分均与红外热图局部平均温度具有相关性；治疗后VAS评分、ODI评分与红外热图平均温度亦具有正相关性。结论：红外热图局部平均温度可以作为带状疱疹后遗痛患者临床疗效的一种客观评价方法。

Abstract:

Objective: To observe the clinical effect of infrared thermal imaging in the treatment of postherpetic neuralgia. Methods: Eighty patients with postherpetic neuralgia were treated with ozone blockade of peripheral sensory nerve combined with routine comprehensive drug therapy of acyclovir and vitamin B12. At the same time, they were given acyclovir ointment for skin care of lesions. Before and after treatment, the local average temperature of infrared thermogram, VAS score and ODI score were collected, and the correlation between infrared thermogram temperature, VAS score and ODI score before and after treatment was evaluated. Results: Except that the average temperature of VAS, ODI and infrared thermogram did not improve in 5 older patients after routine comprehensive treatment, the curative effect of the remaining patients was significantly improved. Before treatment, VAS and ODI scores were correlated with the local mean temperature of infrared thermogram. Also, after treatment, there were significant positive correlations between VAS scores and average temperature of infrared thermal images, as well as between ODI scores and average temperature of infrared thermal images. Conclusion: The local average temperature of infrared thermogram can be used as an objective evaluation method for the clinical efficacy of patients with postherpetic neuralgia.