四川中医2024，Vol.42Issue(4)：108-113,6.
膝骨关节炎五种中医证候程度与膝关节Kellgren-Lawrence的X线分级、磁共振Recht分级的相关性研究
A Study on the Correlation between the Degree of Five Traditional Chinese Medicine Syndromes of Knee Osteoar-thritis and Kellgren Lawrence's X-ray and Magnetic Resonance Recht Grades of the Knee Joint
摘要
Abstract
Objective:To study the correlation between the degree of five traditional Chinese medicine syndromes of knee os-teoarthritis and the X-ray grading and magnetic resonance Recht grading of Kellgren Lawrence in the knee joint.Method:160patients with different syndromes of knee osteoarthritis were selected to use the Traditional Chinese Medicine Syndrome Scoring Scale to quantify the degree of symptoms,Kellgren Lawrence X-ray grading of the knee joint,magnetic resonance imaging(MRI)Recht grading of cartilage degeneration,and the correlation between each group was statistically analyzed.Result:The TCM syndrome scoring scale for five types of knee osteoarthritis patients was used to quantify the degree of syndrome and plot a scatter plot with the X-ray grading of Kellgren Lawrence and the Recht grading of cartilage degeneration under MRI.The correla-tion analysis between the degree of five traditional Chinese medicine syndromesand the X-ray grading of Kellgren Lawrence in the knee joint:liver and kidney deficiency type(r=0.895,P＜0.01),phlegm and blood stasis accumulation type(r=0.545,P＜0.05),and qi and blood deficiency type(r=0.748,P＜0.01)have statistical significance.The correlation analysis between the degree of five traditional Chinese medicine syndromes and the Recht grading of cartilage degeneration under MRI:liver and kidney deficiency type(r=0.839,P＜0.01),phlegm and blood stasis accumulation type(r=0.572,P＜0.01),and qi and blood defi-ciency type(r=0.898,P＜0.01),the correlation between the two is statistically significant.Conclusion:The X-ray grading of Kellgren Lawrence in the knee joint and the Magnetic Resonance Imaging(MRI)Recht grading of cartilage degeneration in pa-tients with different syndromes of knee osteoarthritis present varying degrees of correlation.Among them,the degree of symptoms in patients with liver and kidney deficiency,phlegm and blood stasis,and qi and blood deficiency can reflect the severity of Kell-gren Lawrence's X-ray grading and MRI grading of cartilage damage in the knee joint.Through research,we can find that:,There is a certain correlation between the syndrome differentiation and classification of traditional Chinese medicine and the ima-ging grading of Western medicine in certain aspects,which may mean that both traditional Chinese and Western medicine have common goals and strategies in treating knee osteoarthritis.关键词
膝骨关节炎/中医证候程度/Kellgren-Lawrence的X线分级/磁共振Recht分级/相关性Key words
knee osteoarthritis/Degree of Traditional Chinese Medicine Syndrome/Kellgren Lawrence's X-ray grading/Magnetic resonance Recht grading/relativity分类
医药卫生引用本文复制引用
余文景,梁翼,沙湖,王翠平,刘进,许萌..膝骨关节炎五种中医证候程度与膝关节Kellgren-Lawrence的X线分级、磁共振Recht分级的相关性研究[J].四川中医,2024,42(4):108-113,6.基金项目
四川省中医药管理局2022年度川派中医药学术传承和古籍文献整理研究项目(编号:2022CP7511). （编号:2022CP7511）
