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[1]馮歡歡,王培民,范競,等.膝骨關(guān)節(jié)炎X線表現(xiàn)與膝關(guān)節(jié)疼痛程度的相關(guān)性分析[J].中醫(yī)正骨,2013,25(06):29-30.
　FENG Huan-huan*,WANG Pei-min,FAN Jing,et al.A correlation analysis of the relationship between X-ray manifestation and knee pain degree in knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(06):29-30.
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膝骨關(guān)節(jié)炎X線表現(xiàn)與膝關(guān)節(jié)疼痛程度的相關(guān)性分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年06期
頁碼:
29-30
欄目:
臨床研究
出版日期:
2013-06-30

文章信息/Info

Title:
A correlation analysis of the relationship between X-ray manifestation and knee pain degree in knee osteoarthritis
作者:
馮歡歡1; 王培民2; 范競2; 程建1
1.南京中醫(yī)藥大學(xué),江蘇 南京 210046; 2.江蘇省中醫(yī)院,江蘇 南京 210029
Author(s):
FENG Huan-huan*; WANG Pei-min; FAN Jing; CHENG Jian.*
Nanjing University of Traditional Chinese Medicine,Nanjing 210046,Jiangsu,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝 疼痛 放射攝影術(shù) 相關(guān)分析
Keywords:
Osteoarthritis; knee;  Pain;  Radiography;  Correlation analysis
摘要:
目的:分析膝骨關(guān)節(jié)炎X線表現(xiàn)與膝關(guān)節(jié)疼痛程度的相關(guān)性。方法:為103例膝骨關(guān)節(jié)炎患者拍攝正位和側(cè)位膝關(guān)節(jié)數(shù)字透視攝影片,測定膝關(guān)節(jié)內(nèi)側(cè)間距、外側(cè)間距、內(nèi)外側(cè)間距比值,并對膝關(guān)節(jié)骨贅進行評分。同時采用視覺模擬評分法評定膝關(guān)節(jié)疼痛程度。對膝關(guān)節(jié)X線表現(xiàn)與膝關(guān)節(jié)疼痛評分進行相關(guān)性分析。結(jié)果:本組患者膝關(guān)節(jié)疼痛評分為(7.49±1.23)分; 膝關(guān)節(jié)內(nèi)側(cè)間距(38.02±9.53)mm,外側(cè)間距(48.01±10.59)mm,內(nèi)外側(cè)間距比值(1.33±0.37)%; 膝關(guān)節(jié)骨贅評分,外側(cè)區(qū)(0.33±0.47)分,中間區(qū)(0.81±0.40)分,內(nèi)側(cè)區(qū)(0.34±0.48)分,髕股區(qū)(0.75±0.44)分,總分(2.22±1.21)分; 無骨贅者9例,1個部位出現(xiàn)骨贅者20例,2個部位出現(xiàn)骨贅者32例,3個部位出現(xiàn)骨贅者23例,4個部位出現(xiàn)骨贅者19例。相關(guān)性分析結(jié)果顯示,膝關(guān)節(jié)中間區(qū)骨贅評分和髕股區(qū)骨贅評分與膝關(guān)節(jié)疼痛評分呈正相關(guān)(r=0.203,P=0.014; r=0.177,P=0.032)。結(jié)論:膝骨關(guān)節(jié)炎患者的膝關(guān)節(jié)中間區(qū)和髕股區(qū)骨贅是影響膝關(guān)節(jié)疼痛程度的主要解剖因素。
Abstract:
Objective:To analyse the correlation between X-ray manifestation and knee pain degree in knee osteoarthritis(KOA).Methods:The frontal and lateral digital radiograph of knee joints of 103 patients with KOA were used to assess such parameters as the medial joint space width,lateral joint space width and the ratio of medial joint space width to lateral joint space width,and the knee joint osteophytes were measured and scored.Meanwhile,the degree of knee joint pain were measured by using a visual analogue scale.Then,the relationship between X-ray manifestation and knee joint pain score were analysed by correlation analysis.Results:The knee joint pain scores of the patients were(7.49±1.23).The medial joint space width,lateral joint space width and the ratio of medial joint space width to lateral joint space width were(38.02±9.53)mm,(48.01±10.59)mm,(1.33±0.37)%,respectively.The scores of knee joint osteophytes in the lateral zone,intermediate zone,medial zone,patellofemoral zone and the total scores were(0.33±0.47),(0.81±0.40),(0.34±0.48),(0.75±0.44),(2.22±1.21)respectively.No osteophytes were found in 9 subjects,while osteophytes were found in one location of the knee in 20 subjects,two locations in 32 subjects,three locations in 23 subjects and four locations in 90 subjects.The results of correlation analysis showed that the scores of knee joint osteophytes in intermediate zone and patellofemoral zone were positively correlated with the scores of knee joint pain(r=0.203,P=0.014; r=0.177,P=0.032).Conclusion:Osteophytes in the intermediate zone and patellofemoral zone of knee joint are the main anatomy factors influencing knee pain degree in patients with KOA.

參考文獻/References:

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備注/Memo

備注/Memo:
基金項目:國家科技部“十一五”國家科技支撐計劃項目(2008BAI53B033),江蘇省科技廳臨床醫(yī)學(xué)科技專項項目(BL2012072) 通訊作者:王培民 E-mail:[email protected]
更新日期/Last Update: 1900-01-01