[1]赵小琪 刘广会△ 张晨 朱永涛 于俊欣 唐先平 李光宇 郭玲.痛风性膝关节炎中医证型与高频超声影像的相关性研究[J].中国中医骨伤科杂志,2025,33(09):29-32.[doi:10.20085/j.cnki.issn1005-0205.250905]
　ZHAO Xiaoqi LIU Guanghui ZHANG Chen ZHU Yongtao YU Junxin TANG Xianping LI Guangyu GUO Ling.Study on the Correlation between Traditional Chinese Medicine Syndrome Types of Gouty Knee Arthritis and High-Frequency Ultrasound Images[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(09):29-32.[doi:10.20085/j.cnki.issn1005-0205.250905]
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痛风性膝关节炎中医证型与高频超声影像的相关性研究()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年09期
页码:
29-32
栏目:
临床研究
出版日期:
2025-09-15

文章信息/Info

Title:
Study on the Correlation between Traditional Chinese Medicine Syndrome Types of Gouty Knee Arthritis and High-Frequency Ultrasound Images
文章编号:
1005-0205(2025)09-0029-04
作者:
赵小琪1 刘广会1△ 张晨1 朱永涛1 于俊欣1 唐先平1 李光宇1 郭玲1
1中国中医科学院望京医院(北京,100102)
Author(s):
ZHAO Xiaoqi1 LIU Guanghui1△ ZHANG Chen1 ZHU Yongtao1 YU Junxin1 TANG Xianping1 LI Guangyu1 GUO Ling1
1Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China.
关键词:
痛风;  膝关节炎;  中医证型;  高频超声
Keywords:
gout;  knee arthritis;  TCM syndrome types;  high-frequency ultrasound
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.250905
文献标志码:
A
摘要:
目的:探讨痛风性膝关节炎中医证型与高频超声声像图特征的相关性。方法:依据中医证型选取2021年9月至2024年9月收治的痛风性膝关节炎患者60例,其中湿热蕴结型和肝肾阴虚型各30例。观察并分析两组患者一般临床资料、中医证候评分、视觉模拟量表(VAS)评分、尿酸水平及声像图特征(包括关节积液、滑膜增生、滑膜血流、双轨征、高回声聚集体、痛风石及骨侵蚀)。结果:两组患者中医证候评分、VAS评分、尿酸水平差异无统计学意义(P>0.05),两组患者均可能出现关节积液、滑膜增生、滑膜血流、双轨征、高回声聚集体、痛风石及骨侵蚀。两组患者间关节积液、滑膜增生及高回声聚集体的发生率差异无统计学意义(P>0.05); 肝肾阴虚型组患者的双轨征、痛风石、骨侵蚀的发生率高于湿热蕴结型组,差异有统计学意义(P<0.05); 两组患者关节积液、滑膜增生及滑膜血流半定量分级差异有统计学意义(P<0.05)。结论:不同中医证型痛风性膝关节炎声像图特征具有一定差异性,肝肾阴虚型患者痛风石、双轨征及骨侵蚀发生率较高,湿热蕴结型患者关节积液、滑膜增生、滑膜血流半定量分级较高,临床应注意结合声像图辨证诊治。
Abstract:
Objective:To explore the correlation between traditional Chinese medicine(TCM)syndrome types and high-frequency ultrasound features of gouty knee arthritis.Methods:According to the TCM syndrome types,60 patients with gouty knee arthritis from September 2021 to September 2024 were selected,including 30 cases of damp-heat aggregation type and 30 cases of liver-kidney Yin deficiency type.The general clinical data,TCM syndrome score,visual analogue scale(VAS)score,uric acid level and ultrasonographic features(including joint effusion,synovial hyperplasia,synovial blood flow,double contour sign,hyperechoic aggregates,tophi and bone erosion)were observed and analyzed.Results:In this study,there was no significant difference in TCM syndrome score,VAS score and uric acid level between the two groups(P>0.05).Joint effusion,synovial hyperplasia,synovial blood flow,double contour sign,hyperechoic aggregates,tophus and bone erosion could be observed in both groups.There was no significant difference in the incidence of joint effusion,synovial hyperplasia and hyperechoic aggregates between the two groups(P>0.05).The incidence of double contour sign,tophus and bone erosion in the Yin deficiency of liver and kidney group was higher than that in the damp-heat accumulation group,and the difference was statistically significant(P<0.05).There were significant differences in semi-quantitative grading of joint effusion,synovial hyperplasia and synovial blood flow between the two groups(P<0.05).Conclusion:The sonographic features of gouty knee arthritis with different TCM syndromes are different.The incidence of tophi,double contour sign and bone erosion in patients with Yin deficiency of liver and kidney is higher,and the semi-quantitative grading of joint effusion,synovial hyperplasia and synovial blood flow in patients with damp-heat accumulation is higher.Clinical diagnosis and treatment should be paid attention to combined with sonography.

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(收稿日期:2025-03-16)

备注/Memo

备注/Memo:
基金项目:中国中医科学院科技创新工程项目(CI2021A03307)
△通信作者 E-mail:dliu_1573@163.com
更新日期/Last Update: 2025-09-15