超聲在維醫(yī)沙療治療類風(fēng)濕性關(guān)節(jié)炎中的應(yīng)用
本文選題:高頻超聲 + 類風(fēng)濕性關(guān)節(jié)炎。 參考:《新疆醫(yī)科大學(xué)》2014年碩士論文
【摘要】:目的:探討高頻超聲在維醫(yī)沙療治療類風(fēng)濕性關(guān)節(jié)炎中的應(yīng)用。方法:選取2012-2013年在新疆醫(yī)科大學(xué)第一附屬醫(yī)院確診的類風(fēng)濕性關(guān)節(jié)炎的膝關(guān)節(jié)病變的患者56例,正常組(對(duì)照組)56例。應(yīng)用高頻超聲對(duì)其進(jìn)行檢查,主要分析對(duì)比RA病例組與正常組髕上囊液體、滑膜厚度及滑膜動(dòng)脈阻力指數(shù)RI值,治療前后股骨內(nèi)髁及外髁軟骨厚度、髕上囊滑膜多普勒彩色血流分級(jí)四項(xiàng)指標(biāo)的改變。結(jié)果:沙療前RA組與正常組相比較,髕上囊液體厚度,髕上囊滑膜厚度及滑膜動(dòng)脈阻力指數(shù)RI值均有統(tǒng)計(jì)學(xué)意義(P0.05);股骨內(nèi)踝及外踝軟骨厚度改變無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),沙療前RA組與沙療后RA組比較,髕上囊液體厚度及髕上囊滑膜厚度改變均有統(tǒng)計(jì)學(xué)意義(P0.05);股骨內(nèi)踝及外踝軟骨厚度改變無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);RA組治療前后髕上囊滑膜彩色血流分級(jí)對(duì)比差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1、高頻超聲檢查可作為類風(fēng)濕性膝關(guān)節(jié)炎診斷較為可靠客觀的檢查方法。2、高頻超聲檢查可作為維醫(yī)沙療有效性的評(píng)判標(biāo)準(zhǔn)。
[Abstract]:Objective: To explore the application of high frequency ultrasound in the treatment of rheumatoid arthritis in vitamin D therapy. Methods: 56 cases of patients with rheumatoid arthritis diagnosed in the First Affiliated Hospital of Xinjiang Medical University were selected for 2012-2013 years, and 56 cases of normal group (control group) were examined with high frequency ultrasound, and the main analysis and comparison of RA's disease was made. The fluid of the patellar capsule, the thickness of the synovial membrane and the RI value of the synovial artery resistance index, the thickness of the femoral condyle and the outer condyle before and after treatment, the four indexes of the Doppler color flow classification of the supracpatellar capsule synovium before and after treatment. Results: the thickness of the upper patellar capsule, the thickness of the superior patellar capsule and the synovial artery resistance compared with the normal group before the therapy was compared with the normal group. The index RI values were statistically significant (P0.05); there was no significant difference in the thickness of the medial malleolus and the cartilage of the malleolus (P0.05). Compared with the RA group after sand therapy, the thickness of the upper patellar capsule and the thickness of the patellar capsule were statistically significant (P0.05), and there was no statistical significance (P0.05) between the medial malleolus and the cartilage of the malleolus (P0.05); RA group (P0.05). There was significant difference in the color flow classification of the patellar capsule before and after the treatment (P0.05). Conclusion: 1, high frequency ultrasound can be used as a reliable and objective method for the diagnosis of rheumatoid arthritis (.2), and high frequency ultrasound can be used as a criterion for evaluating the effectiveness of vascular sand therapy.
【學(xué)位授予單位】:新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2014
【分類號(hào)】:R445.1
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