目的:探讨利用红外热像仪监测微波辐照式全身热疗中体表温度的可行性。 方法:于2004-04/05选择在北京大学第一医院肿瘤中心参加全身热疗治疗的患者3例,女2例(分别为43岁和60岁,患有肺癌并已发生转移),男1例(67岁,肺癌)。实验经医院伦理委员会批准,3例患者均知情同意。采用红外热像仪对3例全身热疗患者的体表温度进行定量测定和分析,重点考察局部血液循环相对较差容易造成热聚集的脸部、胸部、颈部、手部、小腿部、脚部的温度变化。治疗过程中同时对患者直肠温度实时监测。 结果:患者热疗前后全身各部位体表的热状态易于显示在监视器上,有助于整个治疗过程的进程控制及评价。3例患者中只有1例的脚背部温度稍有升高,但未出现皮肤烫伤。 结论:使用红外热像仪监测全身热疗中人体表面温度特别是局部血液循环较差的四肢具有重要的参考价值,可有效防止皮肤烫伤。
AIM: To investigate the feasibility of monitonng human skin temperature with infrared thermal imager. METHODS: Three patients including 2 females (43 and 60 years old with lung cancer metastasis) and 1 male (67 years old with lung cancer), who participated in whole body thermotherapy in Tumor Center of First Hospital Peking University, were selected from Apnl to May 2004. The experiment was permitted by the Hospital Ethics Committee, and agreed by the patients. The body surface temperature of 3 patients underwent whole body hyperthermia was measured and analyzed by the infrared thermal imaging method, in particular the temperature changes in face, breast, neck, hands, legs and foot which were easy for heat aggregation caused by poor blood circulation. Meanwhile, the rectal temperature was monitored during treatment. RESULTS: The thermal state for each part of the patient skin surface was easily displayed on the screen, which was very beneficial for the administration and evaluation of the whole treatment procedure. Slightly increasing temperature was found in only one of the three patients. But no skin bum was observed. CONCLUSION: Infrared thermal imaging is significant to monitor human skin temperature during whole body hyperthermia, especially the limbs with poor local blood circulation. It could effectively prevent skin from burning injury.