CAJ | 학술논문

目的：研究类风湿关节炎( rheumatioid arthritis, RA)蒙医证型与关节疼痛、压痛、肿胀、关节活动度、晨僵时间、关节功能分级等指标的相关性。方法采用临床流行病学调查方法,对53例RA患者进行辨证分析,分为齐素协日、巴达干赫依、协日乌素3种证型。设计统一调查量表,对RA患者关节疼痛、压痛、肿胀、关节活动度、晨僵时间、关节功能分级等指标进行评分,详细记录相关数据,进行统计学分析。结果3种证型间关节疼痛、肿胀和压痛积分差异有统计学意义(P<0．05),积分高到低依次为：齐素协日型>协日乌素型>巴达干赫依型；关节活动度积分差异无统计学意义(P>0．05)；关节功能分级上差异有统计学意义(P<0．05),巴达干赫依型以关节功能Ⅰ级,协日乌素型以Ⅱ级,齐素协日型以Ⅲ级为多见；晨僵时间上差异有统计学意义(P<0．05),长到短依次为：齐素协日型>协日乌素型>巴达干赫依型。结论蒙医证型中齐素协日证型者关节疼痛、肿胀、压痛、晨僵时间等症状体征较重,关节功能较差,而巴达干赫依型及协日乌素型者关节症状体征较轻,关节功能较好。
목적：연구류풍습관절염( rheumatioid arthritis, RA)몽의증형여관절동통、압통、종창、관절활동도、신강시간、관절공능분급등지표적상관성。방법채용림상류행병학조사방법,대53례RA환자진행변증분석,분위제소협일、파체간혁의、협일오소3충증형。설계통일조사량표,대RA환자관절동통、압통、종창、관절활동도、신강시간、관절공능분급등지표진행평분,상세기록상관수거,진행통계학분석。결과3충증형간관절동통、종창화압통적분차이유통계학의의(P<0．05),적분고도저의차위：제소협일형>협일오소형>파체간혁의형；관절활동도적분차이무통계학의의(P>0．05)；관절공능분급상차이유통계학의의(P<0．05),파체간혁의형이관절공능Ⅰ급,협일오소형이Ⅱ급,제소협일형이Ⅲ급위다견；신강시간상차이유통계학의의(P<0．05),장도단의차위：제소협일형>협일오소형>파체간혁의형。결론몽의증형중제소협일증형자관절동통、종창、압통、신강시간등증상체정교중,관절공능교차,이파체간혁의형급협일오소형자관절증상체정교경,관절공능교호。
Objective To investigate the relationship between various syndromes of rheumatioid arthritis ( RA) according to mongolian medicine and joints pain, tenderness, swelling, joint mobility, time of morning stiffness, joint function grading index of correlation. Methods 53 patients with RA were in-cluded in the standard dialectical analysis, which divided into three types:QiSuXieRi day type, BaDaGan-HeYi type and XieRi WuSu type. Unified survey scale were Designed, related data of RA patients such as Joint pain in , tenderness, swelling, joint mobility, time of morning stiffness, joint function classification indexes were recorded and analyzed. the correlation study were done between the three syndromes and relat-ed symtoms and signs. Results The differences of joint pain, swelling and tenderness points among the three syndrome types the difference were all statistically significant ( P<0. 05 ) , particularly, QiSuXieRi day type>XieRi WuSu type>BaDaGanHeYi type;There was no statistically significant difference of motion (P>0. 05);The joint function was statistically significant difference (P<0. 05), particularly, BaDaGan-HeYi type is Joint function Ⅰ level , XieRi WuSu type is Joint function Ⅱ level, QiSuXieRi day type is Joint function Ⅲ level commonly; Morning stiffness time difference was statistically significant ( P <0. 05), short to long in the order: QiSuXieRi day type >XieRi WuSu type >BaDaGanHeYi type type. Conclusion Among the three Mongolian medicine card types, the symptoms and signs such as morning stiffness time, joint pain, swellingand tenderness as well as the joint function were seriously, while the symptoms and signs of BaDaGanHeYi type and XieRi WuSu type were much better.