红外线热成像仪在皮瓣术后血运观察中的临床应用效果研究  

Applicational efficacy of infrared thermal imager in monitoring postoperative blood supply of flap

作　　者：孙雅妮[1] 郑宪友[1] 何丹[1] 钱会娟[1] 李迪斐[1] 胡三莲[1] SUN Yani;ZHENG Xianyou;HE Dan;QIAN Huijuan;LI Difei;HU Sanlian(Department of Orthopedics,Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200233,P.R.China)

机构地区：[1]上海交通大学医学院附属第六人民医院骨科,上海200233

出　　处：《华西医学》2022年第12期1812-1817,共6页West China Medical Journal

基　　金：上海交通大学医学院科技基金项目(jyhz1907)。

摘　　要：目的探讨红外线热成像仪与接触式皮温仪在皮瓣术后血运监测中的临床应用效果。方法2019年10月-2020年10月,分别采用红外线热成像仪和接触式皮温仪对上海交通大学医学院附属第六人民医院显微外科病房行皮瓣修复术的50例患者进行术后即刻至术后第7天的皮温监测,比较不同护士操作耗时,两种仪器在皮瓣测温效率、在不同测量时间上的温度差异,以及红外线热成像仪在距皮瓣区域不同高度测得温度数值差异。结果不同护士使用两种设备的操作用时差异无统计学意义(P>0.05);用红外线热成像仪对皮瓣区域进行测温耗时更短[(39.28±3.52)vs.(103.85±9.09)s,P<0.001];红外线热成像仪所测皮温高于接触式皮温仪(P<0.001),用红外线热成像仪在30 cm处测量的皮瓣温度高于50 cm处测量的皮瓣温度(P=0.006),但二者的温差均趋于稳定。结论红外线热成像仪无论在测温时间、操作便捷性,还是对皮瓣术后温度变化敏感性方面都优于接触式皮温仪。红外线热成像仪采集的热像图,可为皮瓣血管危象识别提供重要依据,是一种具有应用前景的可视性、客观性的血运监测辅助设备,在术后血运监测中具有较高的应用价值。Objective To explore the clinical application and effect of infrared thermal imager in blood flow monitoring after skin flap surgery by comparing with skin-contact thermometer.Methods Fifty patients who had undergone flap repair in the microsurgery ward of Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine between October 2019 and October 2020 were enrolled.An infrared thermal imager(FLIR ONE Pro)and a skin-contact thermometer were applied to monitor the skin temperature change till 7 d after surgery.The time consumed of using infrared thermal imager and skin-contact thermometer by different nurses,the efficacy of flap temperature monitoring of the two devices,the temperatures at different time points by using the two devices,and the temperatures under different distances to the flaps by using infrared thermal imager were compared.Results Different nurses had no difference in operating either of the two devices(P>0.05).It took significantly less time to measure the temperature of the flap area with the infrared thermal imager than using skin-contact thermometer[(39.28±3.52)vs.(103.85±9.09)s,P<0.001].The skin temperature measured by the infrared thermal imager was significantly higher than that by the skin-contact thermometer(P<0.001),and the skin temperature measured by the infrared thermal imager at a height of 30 cm was higher than that at a height of 50 cm(P=0.006),but the temperature change amplitudes were both stable.Conclusions Infrared thermal imager is superior to skin-contact thermometer in terms of temperature measurement time,ease of operation,and sensitivity to temperature changes after skin flap operations.The thermal image collected by infrared thermal imager can provide an important basis for the identification of flap vascular crisis.It is a visual and objective blood supply monitoring equipment.

关 键 词：红外线热成像仪 接触式皮温仪 皮瓣术 血运观察 血管危象 

分 类 号：R687.3[医药卫生—骨科学]