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关于强直性脊柱炎论文范文 强直性脊柱炎骨密度与炎性标志物和寒、热证候的相关性相关论文写作参考文献

分类:职称论文 原创主题:强直性脊柱炎论文 更新时间:2024-02-06

强直性脊柱炎骨密度与炎性标志物和寒、热证候的相关性是关于本文可作为强直性脊柱炎方面的大学硕士与本科毕业论文强直性脊柱炎论文开题报告范文和职称论文论文写作参考文献下载。

【摘 要】目的:观察强直性脊柱炎患者骨密度、炎性标志物的变化,研究其与强直性脊柱炎寒热不同证候的相关性.方法:依照纳入标准选取146例强直性脊柱炎患者,以双光能X法检测腰椎、股骨骨密度,与31例健康体检者(健康对照组)比较.同时将全部强直性脊柱炎患者以中医辨证分为肾虚督寒组和肾虚湿热组,分别检测足骨超声硬度指数、C-反应蛋白、红细胞沉降率、免疫球蛋白G、免疫球蛋白M、免疫球蛋白A、补体C3、补体.分析寒热证型之间的指标差异.结果:强直性脊柱炎组与健康对照组比较,三角区、股骨粗隆、腰椎双光能X法骨密度差异有统计学意义(P < 0.05).肾虚督寒组与肾虚湿热组补体C3比较,差异有统计学意义(P < 0.05);腰椎及股骨骨密度、足骨超声硬度指数、C-反应蛋白、红细胞沉降率、免疫球蛋白G、免疫球蛋白M、免疫球蛋白A、补体C4比较,差异无统计学意义(P > 0.05).结论:强直性脊柱炎患者骨密度明显降低,且是强直性脊柱炎患者不同寒热证候的共同特征.肾虚湿热证炎性标志物补体C3水平高于肾虚督寒证.

【关键词】 脊柱炎,强直性;中医证型;寒证;热证;骨密度;炎性标志物

【ABSTRACT】Objective:To observe the changes of bone density and inflammatory markers in patients with ankylosing spondylitis to study their correlation with cold and heat syndromes.Methods:One hundred and forty six cases of ankylosing spondylitis were selected according to the inclusion criteria.The double light energy X method was used to detect the bone density of the lumbar spine and femur,which was compared with that of

31 health examinees(the health control group).All patients with ankylosing spondylitis according to traditional Chinese medicine syndrome differentiation were divided into a Shenxu Duhan Group(a group with syndromes of kidney asthenia and cold governor meridian)and a Shenxu Shire Group(a group with syndromes of kidney asthenia and heat dampness).Both groups were detected on the aspects of foot bone ultrasound bone mineral density(BMD),C-reactive protein(CRP),red blood cell sedimentation rate,immunoglobulin G,immunoglobulin M,immunoglobulin A,and complements C3 and .The index differences between cold and heat syndromes were analyzed.Results:Compared with the health control group,the differences of bone mineral density in the triangle area,the femur and the lumbar vertebra were statistically significant(P < 0.05).The difference of complement C3 between the Shenxu Duhan Group and the Shenxu Shire Group was statistically significant(P < 0.05).The differences of the bone density of lumbar and femur,foot bone ultrasound BMD,CRP,red blood cell sedimentation rate,immunoglobulin G,immunoglobulin M,immunoglobulin A,and complement C4 were not statistically significant(P > 0.05).Conclusion:Bone density in patients with ankylosing spondylitis has significantly reduced,which is a common feature of different cold and heat syndromes.The level of complement C3 in the Shenxu Shire Group is higher than that in the Shenxu Duhan Group.

【Keywords】 spondylitis,ankylosing;traditional Chinese medicine syndrome type;cold syndrome;heat syndrome;bone density;inflammatory marker

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参考文献:

1、 督灸治疗肾虚督寒型强直性脊柱炎的疗效观察与护理体会 【摘 要】目的:观察督灸治疗肾虚督寒型强直性脊柱炎的临床疗效,并探讨其治疗和护理体会。方法:将60例肾虚督寒型强直性脊柱炎患者给予督灸治疗及护理。

2、 通痹舒筋丸治疗寒湿痹阻型强直性脊柱炎经验 【摘 要】 中医学认为强直性脊柱炎是因素体虚弱、外感风寒湿邪闭阻经络所致。通痹舒筋丸用于治疗强直性脊柱炎,具有祛风湿、止痹痛、舒筋络、活气血、补。

3、 钟琴教授治疗强直性脊柱炎经验 【摘 要】 从强直性脊柱炎的病因病机、辨证分型以及治法方药等方面,探讨钟琴教授治疗强直性脊柱炎的临床经验。【关键词】 脊柱炎,强直性;病因病机。

4、 1,25(OH)2D3治疗强直性脊柱炎的临床 【摘 要】目的:觀察初诊强直性脊柱炎患者25(OH)D3水平,并探讨1,25(OH)2D3是否对强直性脊柱炎有潜在治疗作用。方法:收集60例初诊。

5、 强直性脊柱炎合并过敏性紫癜3例并文献复习 【关键词】 脊柱炎,强直性;过敏性紫癜;病案强直性脊柱炎(ankyloing spondylitis,AS)是一种慢性炎症性疾病,以中轴关节受。

6、 强直性脊柱炎患者血清胶原的表达与临床意义 [摘要] 目的 观察胶原在强直性脊柱炎患者血清中的表达。 方法 30例早中期AS患者入组作为AS组,并以30例健康志愿者为对照组。分别检测AS组。