重度骨性关节炎患者双膝皮肤温度差异及其临床意义  

The Difference of Skin Temperature between Knees in Patients with Severe Osteoarthritis and its Clinical Significance

作　　者：范猛[1] 张婉宜 王英 姜蓉蓉 FAN Meng;ZHANG Wan-yi;WANG Ying;JIANG Rong-rong(Department of Orthopedics,Tianjin First Central Hospital,Tianjin 300192,China)

机构地区：[1]天津市第一中心医院骨科,天津300192

出　　处：《医学信息》2020年第12期105-106,112,共3页Journal of Medical Information

基　　金：天津市第一中心医院院级课题(编号:YLC2017013)。

摘　　要：目的检测重度膝关节骨性关节炎的双膝关节皮肤温度,获得双侧温度差异情况并分析其临床意义。方法收集2018年10月~2019年5月在天津市第一中心医院骨科拟行首次单侧膝关节置换的骨性关节炎患者40例,通过红外热像仪测定双膝关节前侧皮肤温度,比较患者双侧皮肤表面温度及膝关节HSS评分,并分析其与皮肤温度的相关性。结果重度膝关节骨性关节炎患者拟手术侧(症状较重侧)皮肤温度为(33.62±1.04)℃,对侧皮肤温度为(33.01±1.18)℃,手术侧相对于对侧皮肤温度差值为(0.60±1.03)℃,双侧温度比较,差异具有统计学意义(P<0.05);HSS评分为(55.86±10.43)分,双侧温差、HSS评分比较,差异无统计学意义(P>0.05)。结论重度骨性关节炎患者通常表现为症状较重的一侧膝关节皮肤温度较对侧高。对重度骨性关节炎患者在术前进行双膝皮肤温度的测定,可能有助于降低感染风险,对于准备通过双膝皮肤温度差异协助进行术后感染判断的患者,建议术前测量双膝皮温基础值。Objective To detect the skin temperature of both knee joints of severe knee osteoarthritis,obtain the temperature difference of both sides and analyze its clinical significance.Methods Collected 40 cases of osteoarthritis patients who planned to undergo the first unilateral knee replacement in the Department of Orthopedics,Tianjin First Central Hospital from October 2018 to May 2019,measure the skin temperature on the anterior side of both knee joints with an infrared camera,compare the patient's bilateral skin surface temperature and knee HSS score,and analyze the correlation with skin temperature.Results In patients with severe osteoarthritis of the knee,the skin temperature of the planned surgical side(heavier symptom side)was(33.62±1.04)℃,the contralateral skin temperature is(33.01±1.18)℃,and the difference between the surgical side and the contralateral skin temperature was(0.60±1.03)℃,the temperature difference between the two sides was statistically significant(P<0.05);the HSS score was(55.86±10.43)points,and there was no statistically significant difference between the temperature difference between the two sides and the HSS score(P>0.05).Conclusion Patients with severe osteoarthritis usually show that the skin temperature of one side of the knee with higher symptoms is higher than that of the other side.Before the operation,the measurement of the skin temperature of the knees in patients with severe osteoarthritis may help reduce the risk of infection.For patients who are prepared to assist in the judgment of postoperative infection through the difference in skin temperature of the knees,it is recommended to measure the skin of the knees before surgery temperature base value.

关 键 词：骨性关节炎 膝关节 皮肤温度 

分 类 号：R684.3[医药卫生—骨科学]