本文關(guān)鍵詞： 類風(fēng)濕關(guān)節(jié)炎 疾病活動度 DAS28 核磁共振 肌肉骨骼超聲　出處：《新疆醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:將肌肉骨骼超聲與DAS28評分及增強MRI進(jìn)行比較,探討肌肉骨骼超聲在評估類風(fēng)濕關(guān)節(jié)炎患者病情活動度中的應(yīng)用價值。方法:選取2015年11月~2016年11月就診于新疆維吾爾自治區(qū)人民醫(yī)院風(fēng)濕免疫科,符合1987年ACR診斷標(biāo)準(zhǔn)的RA患者35例(男5,女30)。上述患者均完善雙手增強MRI檢查、DAS28評分、骨骼肌肉超聲檢查,記錄數(shù)據(jù)并對其進(jìn)行統(tǒng)計學(xué)分析。結(jié)果:(1)35名RA患者中,共有33人DAS28評分2.6;(2)MSUS和MRI分別對35名患者的右腕關(guān)節(jié)及左腕關(guān)節(jié)的檢查結(jié)果差異的比較無統(tǒng)計學(xué)意義(P0.05),兩種檢查方法的一致性檢驗系數(shù)К=0.759,К=0.825,P=0.000,說明這兩種檢查方法的一致性檢驗有統(tǒng)計學(xué)意義(P0.001)。(3)MSUS與DAS28評分之間存在顯著的相關(guān)性(P0.001)。結(jié)論:骨骼肌肉超聲結(jié)果與增強MRI結(jié)果有較強一致性,與DAS28評分有較強一致性,在評估RA患者病情活動度中有應(yīng)用價值。
[Abstract]:Objective: to compare musculoskeletal ultrasound with DAS28 score and enhanced MRI. To explore the value of musculoskeletal ultrasound in evaluating the disease activity of patients with rheumatoid arthritis. Selected from November 2015 to November 2016 to visit the people's Hospital of Xinjiang Uygur Autonomous region rheumatism immune department. In 1987, 35 RA patients (5 males and 30 females) met the diagnostic criteria of ACR. All the above patients were assessed with enhanced MRI and skeletal muscle ultrasound. The data were recorded and analyzed statistically. Results 33 of 35 RA patients were assessed with DAS28 score of 2.6; There was no significant difference between MSUS and MRI in the examination of right wrist joint and left wrist joint in 35 patients (P 0.05). The consistency coefficient of the two methods was 0.759 and 0.825% respectively. The results showed that there was a significant correlation between MSUS and DAS28 score (P 0.001). Conclusion: the results of skeletal muscle ultrasound are consistent with those of enhanced MRI. There is strong consistency with DAS28 score, and it is valuable in evaluating the disease activity of RA patients.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R593.22

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