肌骨超声在类风湿关节炎活动期的评估作用及其DAS28评分、RF、ESR、CRP分析

The Evaluation of Musculoskeletal Ultrasound in the Active Stage of Rheumatoid Arthritis and Its DAS28 Score,RF,ESR,CRP Analysis

目的以类风湿关节炎者为研究对象,探究肌骨超声的应用效果。方法选取2020年4月至2021年4月时段我院接收的150例类风湿关节炎患者为研究对象,依照DAS28(疾病活动性评分)对入选病例进行分组,即活动期组(DAS28评分≥3.2)、缓解期组(DAS28评分<3.2),其中,活动期组例数为108例,缓解期组例数为42例。分析比较两组的DAS28评分、血清学指标、MSUS半定量评分情况,并分析三者间的相关性情况。结果在比较DAS28评分、血清学指标中,活动期组、缓解期组数据评分结果相比,前者高于后者,数据差异有统计意义(P<0.05)。在比较MSUS半定量评分中,活动期组、缓解期组数据评分结果相比,前者高于后者,数据差异有统计意义(P<0.05)。MSUS总分和血清学指标、DAS28评分呈正相关(P<0.05)。结论类风湿关节炎病症活动性和MSUS半定量评分有一定关联性,在评估类风湿关节炎病情活动性中有较高应用价值。

Objective To explore the effect of musculoskeletal ultrasound on patients with rheumatoid arthritis.Method Select 150 cases of rheumatoid arthritis patients accepted by our hospital from April 2020 to April 2021 as subjects,and divide the selected cases according to DAS28(disease activity score),namely the active group(DAS28 score≥3.2),In the remission group(DAS28 score<3.2),the number of cases in the active period group was 108 cases,and the number of cases in the remission period group was 42 cases.Analyze and compare the DAS28 scores,serological indicators,and MSUS semi-quantitative scores of the two groups,and analyze the correlation between the three.Results In the comparison of DAS28 scores and serological indicators,compared with the data scores of the active group and the remission group,the former is higher than the latter,and the data difference is statistically significant(P<0.05).In comparing the semi-quantitative MSUS scores,the data scores of the active and remission period groups were compared with the former being higher than the latter,and the difference in data was statistically significant(P<0.05).The total score of MSUS was positively correlated with serological indexes and DAS28 score(P<0.05).Conclusion There is a certain correlation between the activity of rheumatoid arthritis and the MSUS semi-quantitative score,and it has high application value in evaluating the activity of rheumatoid arthritis.