摘要
目的:探讨原发性干燥综合征(pSS)关节炎肌骨超声半定量评分与疾病活动指数(SSDAI)的相关性。方法:选取2014年1月至2017年5月在本院住院治疗的pSS患者31例,根据超声诊断结果分为关节炎组18例,非关节炎组13例。应用高频超声对每个检查关节采用肌骨超声半定量评分法进行评分,根据SSDAI评分表对患者的整体病情进行评分,分析两者间的相关性。结果:关节炎组主要超声表现为滑膜炎,病变程度较轻,肌骨超声半定量评分项目以1~2分为主。关节炎组肌骨超声半定量评分为(13.0±8.52)分;非关节炎组0分。关节炎组SSDAI评分为(10.333±3.272)分,非关节炎组为(7.077±3.252)分,两组比较差异有统计学意义(t=2.741,P=0.01)。Pearson相关分析显示,关节炎组肌骨超声半定量评分与SSDAI评分呈正相关关系(r=0.793,P=0.000)。结论:pSS关节炎的肌骨超声半定量评分与整体疾病活动性关系密切。
Objective:To investigate the correlation between the ultrasonic scoring system of arthritis and the assessment of Sjogren’s syndrome disease activity index(SSDAI)in patients with primary Sjogren’s syndrome(pSS).Methods:Thirty-one patients with pSS in our hospital from January 2014 to May 2017 were enrolled,and divided into arthritis group(n=18)and non-arthritis group(n=13)according to the results of ultrasound.Musculoskeletal ultrasound was performed and the images of the joints were scored using a semiquantitative scoring system.The correlation between the ultrasonic scoring system and the assessment of SSDAI was analyzed.Results:Most of the patients in arthritis group had light arthromeningitis by ultrasound,and the ultrasonic scores were mainly 1 to 2 with an average of 13.0±8.52.The non-arthritis group scored at 0.The SSDAI score was 10.333±3.272 in the arthritis group,and was 7.077±3.252 in non-arthritis group.There was significant difference between the two groups(t=2.741,P=0.01).Pearson correlation analysis revealed that musculoskeletal ultrasound semiquantitative scoring system was positively related to the SSDAI score(r=0.793,P=0.000).Conclusion:The ultrasonic scores for arthritis in pSS was closely correlated with the disease activity.
作者
蒋芳艳
苏海庆
周琛
刘敏
张霞
黄蔚
Jiang Fangyan;Su Haiqing;Zhou Chen;Liu min;Zhang Xia;Huang Wei(Department of Ultrasound,Nationality Hospital Affiliated to Guangxi Medical University,Nanning 530001,China;Department of Ultrasound,The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China)
出处
《广西医科大学学报》
CAS
2018年第4期491-493,共3页
Journal of Guangxi Medical University
基金
广西壮族自治区卫生厅自筹课题基金资助项目(No.Z2015107)