理筋手法治疗兔骨骼肌静力性损伤的红外热成像分析
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摘要
目的通过红外热成像技术评价理筋手法对兔骨骼肌静力性损伤的治疗效果。方法模拟人颈椎前屈位,利用自制模型架对兔采取颈椎前屈位固定方法造模,造成颈后肌群损伤,利用红外热成像技术记录和测量兔在自然恢复和手法干预下的各时间段平均温度变化。结果治疗前理筋组和自然恢复组的兔平均温度均高于正常组(P均<0.05);自然恢复组治疗前的兔平均温度均高于治疗后14和21d(P均<0.05);理筋组治疗前的兔平均温度均高于治疗后的7、14和21d(P均<0.05);治疗14和21d,理筋组兔平均温度均低于自然恢复组(P均<0.05)。结论理筋手法能够改善颈部组织代谢,从而降低局部体表温度;红外热成像技术在软组织损伤疗效评价中具有可观性,为临床治疗提供有益的参考价值。
Objective To evaluate therapeutic effect of Massage Technique on rabbit skeletal muscle static injury by infrared thermography. Methods In order to simulate the anterior flexion of human cervical spine,a self-made model frame was used to fix the anterior flexion of cervical spine in rabbits,which resulted in the injury of posterior cervical muscle groups. The average temperature changes of rabbits at different stages of self-recovery and manual intervention were recorded and measured by infrared thermography. Results The average temperature of the rabbits in the Lijin treatment group and the natural recovery group before treatment was higher than that of the normal group(P all <0.05);the average temperature of the rabbits in the natural recovery group before treatment was higher than that of the rabbits14 days and 21 days after treatment(P all < 0.05);the average temperature of the rabbits in the Lijin treatment group before treatment was higher than that of the 7 days,14 days and 21 days after treatment(P all <0.05);and the average temperature of the rabbits in the Lijin treatment group after 14 days and 21 days was lower than that of the natural recovery group(P all <0.05). Conclusion The massage technique can improve the metabolism of the neck tissue and reduce the local temperature. Infrared thermography has considerable value in evaluating the curative effect of soft tissue injury and provides useful reference value for clinical treatment.
Objective To evaluate therapeutic effect of Massage Technique on rabbit skeletal muscle static injury by infrared thermography. Methods In order to simulate the anterior flexion of human cervical spine,a self-made model frame was used to fix the anterior flexion of cervical spine in rabbits,which resulted in the injury of posterior cervical muscle groups. The average temperature changes of rabbits at different stages of self-recovery and manual intervention were recorded and measured by infrared thermography. Results The average temperature of the rabbits in the Lijin treatment group and the natural recovery group before treatment was higher than that of the normal group(P all <0.05);the average temperature of the rabbits in the natural recovery group before treatment was higher than that of the rabbits14 days and 21 days after treatment(P all < 0.05);the average temperature of the rabbits in the Lijin treatment group before treatment was higher than that of the 7 days,14 days and 21 days after treatment(P all <0.05);and the average temperature of the rabbits in the Lijin treatment group after 14 days and 21 days was lower than that of the natural recovery group(P all <0.05). Conclusion The massage technique can improve the metabolism of the neck tissue and reduce the local temperature. Infrared thermography has considerable value in evaluating the curative effect of soft tissue injury and provides useful reference value for clinical treatment.
引文
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[11]赵丽君,吕少文,何文彤,等.健康青年男女脊柱区红外热像图的定位、定量研究[J].武警医学院学报,2003,12(1):27-29.
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[13]张斌青,张敏,郭会利.红外热成像技术在腰背肌筋膜炎诊断中的应用[J].山东中医,2015,55(34):109.
[14]李红,邓方阁,周伟,等.颈椎病红外热成像的表达特点[J].当代医学,2018,56(21):77.
[15]尹继勇,车旭东,田亮,等.红外热成像引导推拿治疗神经根型颈椎病疗效观察[J].湖南中医药大学学报,2018,38(3):322-323.
[2]谢晓梅,余晓云,周平,等.肌筋膜放松术对慢性颈部疼痛的疗效优于静态牵引术[J].基因组学与应用生物学,2018,37(04):1745.
[3]应航,陈立.实验性无创兔颈椎间盘退变模型的建立[J].中国骨伤,2004,17(8):466.
[4]余家阔,吴毅文,戴先进,等.颈椎病生物力学发病机制实验研究[J].安徽医科大学学报,1990,25(1):47-50.
[5]刘志华,马惠昇,穆静,等.理筋手法不同时间干预兔颈肌慢性损伤的组织学研究[J].宁夏医科大学学报,2013,10(35):1069.
[6]武震.手法治疗颈型颈椎病及颈后肌群受长期应力作用的相关研究[D].北京:中国中医科学院,2003:69-70.
[7]陈道洪.推拿治疗颈型颈椎病筋结超微结构及-SMA的实验研究[D].成都:成都中医药大学,2013:8-9.
[8]柳百智.慢性软组织损伤的病因病理几针刀治疗的机制探讨[J].中国中医药现代远程教育,2012,10(17):58.
[9]尹继勇,车旭东,田量,等.红外热成像引导推拿治疗神经根型颈椎病疗效观察[J].湖南中医药大学杂志,2018,38(3):322-323.
[10]李晓会.利用红外热像诊断人体内部病灶机理的研究[D].天津:天津理工大学,2007:13.
[11]赵丽君,吕少文,何文彤,等.健康青年男女脊柱区红外热像图的定位、定量研究[J].武警医学院学报,2003,12(1):27-29.
[12]Jinkins JR,Whittemore AR,Bradley WG.The anatomic basis of vertebrogenic pain and the autonomic syndrome associated with lumbar disk extrusion[J].Am J radiol,1989,152(6):1277-1289.
[13]张斌青,张敏,郭会利.红外热成像技术在腰背肌筋膜炎诊断中的应用[J].山东中医,2015,55(34):109.
[14]李红,邓方阁,周伟,等.颈椎病红外热成像的表达特点[J].当代医学,2018,56(21):77.
[15]尹继勇,车旭东,田亮,等.红外热成像引导推拿治疗神经根型颈椎病疗效观察[J].湖南中医药大学学报,2018,38(3):322-323.