不同中医证候的膝关节骨关节炎患者的X线比较研究  

Comparatvie Research on X-ray Film of Knee Joint Osteoarthritis with Different TCM Syndroms

作　　者：杨锦华[1] 曹惠英[1] 邹万成[1] 

机构地区：[1]韶关学院.医学院,广东韶关512026

出　　处：《时珍国医国药》2009年第10期2626-2627,共2页Lishizhen Medicine and Materia Medica Research

摘　　要：目的观察不同中医证型的膝关节骨关节炎患者的X线正侧位片是否有差异性。方法收集阳虚型和非阳虚型的膝关节骨关节炎患者的正侧位片进行测量,观察骨赘发生、关节间隙、骨端囊性变、股胫角、胫骨角、膑骨位置及KL分级等。结果两组患者骨赘的发生位置和频次、KL分级经卡方检验认为两组无显著性差别(P>0.05);两组患者关节间隙、股胫角、胫骨角、膑骨位置等经方差分析无明显差别(P>0.05)。结论X线摄像只能作为诊断膝骨性关节炎的依据,不能成为中医辨证诊断的要点,即是辨病而不能作为辨证要素。Objective To discuss the X-Ray information of knee joint asteoarohritis patients with different TCM syndromes.Methods Measuring posterior-anterior and lateral X-Ray film belong to knee joint osteoarthritis patient with or without deficiency of yang,on osteophyte,joint space,cystic degeneration below knee joint,femorotibial angle,upper tibial angle,patella location and kellgren-lawrence grade.Results Between the two groups,there was no significant difference about the occurrence location and frequence of osteophyte,kellgren-lawrence grade and cystic degeneration by chi square test（P〉0.05）,the same as joint space,femorotibial angle,upper tibial angle,patella location by F test（P〉0.05）.Conclusion X photograph information only can be taken as diagnostic basis of knee osseous arthritis,cannot become the main point of TCM differentiation,in other words,it can distinguish sick but cannot be taken as the differentiation of symptoms basis.

关 键 词：膝关节 骨关节炎 辨证分型 X线影像 

分 类 号：R2-031[医药卫生—中西医结合]