肌骨超声指导老年类风湿性关节炎腕关节和膝关节康复治疗的价值探讨  

Value of Musculoskeletal Ultrasound in the Rehabilitation of Wrist and Knee Joint in Elderly Patients with Rheumatoid Arthritis

作　　者：苏琳 李金康 张鑫 SU Lin;LI Jin-kang;ZHANG Xin(Department of Ultrasound,The Third People's Hospital of Henan Province,Zhengzhou 450000,Henan Province,China)

机构地区：[1]河南省直第三人民医院超声科,河南郑州450000

出　　处：《罕少疾病杂志》2025年第3期138-140,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的 探讨肌骨超声指导老年类风湿性关节炎(RA)腕关节和膝关节康复治疗的价值。方法 选取2019年6月至2022年4月本院收治的98例老年RA患者为研究对象,均于治疗前后采用彩色多普勒超声诊断仪对患者双侧腕关节和膝关节进行检查,对RA患者治疗前与治疗后的超声半定量分级各项评分以及总评分展开记录,并进行对比分析,检测并对比治疗前后RA患者血清类风湿因子(RF)、抗环瓜氨酸肽抗体(CCP)、红细胞沉降率(ESR)、C-反应蛋白(CRP)水平以及28关节疾病活动度(DAS28)评分。采用pearson法分析治疗前.后肌骨超声半定量分级总评分与RF、CCP、ESR、CRP及DAS28评分的相关性。结果 98例RA患者中,腕关节受累频率为8928%,膝关节受累频率为40.31%,且受累类型主要集中在关节积液和滑膜炎。治疗后RA患者滑膜增生、关节积.液、骨侵蚀、腱鞘炎的超声半定量分级评分及总分均低于治疗前(P<005);治疗后RA患者血清RF、CCP、ESR、CRP水平及DAS28评分均.低于治疗前(P<005);经Pearson相关性分析显示,肌骨超声半定量分级总评分均与RA患者的血清RF、CCP、ESR、CRP水平及DAS28评分呈正相关(P<005)。结论 肌骨超声半定量分级评分与RA患者的血清RF、CCP、ESR、CRP水平及DAS28评分密切相关,肌骨超声半定量分级有助于临床评估RA患者病情活动性及疗效。Objective To investigate the value of musculoskeletal ultrasound in the rehabilitation of wrist and knee joints in elderly patients with rheumatoid arthritis(RA).Methods 98 elderly patients with RA admitted to our hospital from June 2019 to April 2022 were selected as the research objects.Both wrists and knees were examined with color doppler ultrasound before and after treatment.The scores and total scores of semi-quantitative ultrasound grading of RA patients before and after treatment were recorded,and a comparative analysis was conducted.The levels of serum rheumatoid factor(RF),anti cyclic citrullinated peptide antibody(CCP),erythrocyte sedimentation rate(ESR),C-reactive protein(CRP)and 28 joint disease activity(DAS28)of RA patients before and after treatment were detected and compared.Pearson method was used to analyze the correlation between the total score of musculoskeletal ultrasonic semi quantitative grading and RF,CCP,ESR,CRP and DAS28 scores before and after treatment.Results In 98 RA patients,the frequency of wrist joint involvement was 89.28%,and the frequency of knee joint involvement was 40.31%,and the types of involvement were mainly concentrated in joint effusion and synovitis.The semi quantitative ultrasonic grading score and total score of synovial hyperplasia,joint effusion,bone erosion and tenosynovitis in RA patients after treatment were lower than those before treatment(P<0.05).The serum RF,CCP,ESR,CRP levels and DAS28 scores of RA patients after treatment were lower than those before treatment(P<0.05).Pearson correlation analysis showed that,the total score of musculoskeletal ultrasound semi quantitative grading were positively correlated with the serum RF,CCP,ESR,CRP levels and DAS28 scores of RA patients(P<0.05).Conclusion The semi quantitative grading of musculoskeletal ultrasound is closely related to the serum RF,CCP,ESR,CRP levels and DAS28 scores of RA patients,and the semi quantitative grading of musculoskeletal ultrasound is helpful for clinical evaluation of disease activity an

关 键 词：肌骨超声. 腕关节 膝关节 类风湿性关节炎 

分 类 号：R593.22[医药卫生—内科学]