| WORMS评分中滑膜炎症与膝骨性关节炎中医证型的关联性研究 |
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投稿时间：2019-08-19
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| 作者 | Author | 单位 | Address | E-Mail |
| 顾庾国 |
GU Yu-guo |
南京中医药大学附属苏州市中医医院, 江苏 苏州 215009 |
Department of Orthopaedics and Ttraumatology, Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou 215009, Jiangsu, China |
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| 姜宏 |
JIANG Hong |
南京中医药大学附属苏州市中医医院, 江苏 苏州 215009 |
Department of Orthopaedics and Ttraumatology, Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou 215009, Jiangsu, China |
honghong751@126.com |
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| 期刊信息：《中国骨伤》2019年，第32卷，第12期，第1108-1111页 |
| DOI：10.3969/j.issn.1003-0034.2019.12.008 |
| 基金项目: |
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中文摘要:
目的：探讨膝骨性关节炎性滑膜炎与膝骨关节炎中医证型的相关性。
方法：自2015年1月至2018年6月，选取213例膝骨关节炎的患者，进行中医辨证分型，其MRI影像进行WORMS评分，同时做WORMS评分中滑膜炎和中医证型的相关性分析。
结果：213例患者中，风寒湿痹证25例（占11.7%），风湿热痹证84例（占39.4%），瘀血痹阻证43例（占20.2%），肝肾亏虚证61例（占28.6%）；在WORMS评分中，滑膜炎评分为0分的12例（占5.6%），1分的60例（占28.2%），2分的50例（占23.5%），3分的91例（占42.7%）；相关性分析中，差异有统计学意义，WORMS评分中滑膜炎3分组更容易发生在风湿热痹证中（χ2=137.286，P=0.000）。
结论：膝骨性关节炎滑膜炎患者临床上以风湿热痹型（39.4%，84/213）为主，这对于相关治疗有一定的指导意义。 |
| 【关键词】骨关节炎,膝 滑膜炎 辨证分型 WORMS评分 |
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| Correlation between synovitis and traditional Chinese medicine syndromes of knee osteoarthritis in WORMS score |
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ABSTRACT
Objective: To explore the correlation between knee osteoarthritis synovitis and traditional Chinese medicine syndromes of knee osteoarthritis.
Methods: From January 2015 to June 2018,213 patients with knee osteoarthritis were selected for traditional Chinese medicine syndrome differentiation and typing,and their MRI images were scored by WORMS. Meanwhile,the correlation between synovitis and traditional Chinese medicine syndromes in WORMS score was analyzed.
Results: Among 213 patients,25 (11.7%) were wind-cold-dampness arthralgia syndrome,84 (39.4%) were rheumatic-heat arthralgia syndrome,43(20.2%) were blood stasis arthralgia syndrome,61(28.6%) were liver and kidney deficiency syndrome;12 (5.6%) were synovitis score 0,60(28.2%) were synovitis score 1,50(23.5%) were synovitis score 2,91(42.7%) were 3 points in WORMS score,and there was significant difference in correlation analysis. Three points group was more likely to occur in rheumatic fever arthralgia syndrome(χ2=137.286,P=0.000).
Conclusion: Rheumatic fever arthralgia type(39.4%,84/213) is the main clinical manifestation of knee osteoarthritis synovitis,which has certain guiding significance for the treatment of knee osteoarthritis. |
| KEY WORDS Osteoarthritis,knee Synovitis Syndrome differ classification WORMS score |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 顾庾国,姜宏.WORMS评分中滑膜炎症与膝骨性关节炎中医证型的关联性研究[J].中国骨伤,2019,32(12):1108~1111 |
| 英文格式: | GU Yu-guo,JIANG Hong.Correlation between synovitis and traditional Chinese medicine syndromes of knee osteoarthritis in WORMS score[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(12):1108~1111 |
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