Correlation between synovitis and traditional Chinese medicine syndromes of knee osteoarthritis in WORMS score

Abstract

To explore the correlation between knee osteoarthritis synovitis and traditional Chinese medicine syndromes of knee osteoarthritis. From January 2015 to June 2018, 213 patients with knee osteoarthritis were selected for traditional Chinese medicine syndrome differentiation and typing, and their MRI images were scored by WORMS. Meanwhile, the correlation between synovitis and traditional Chinese medicine syndromes in WORMS score was analyzed. Among 213 patients, 25 (11.7%) were wind-cold-dampness arthralgia syndrome, 84 (39.4%) were rheumatic-heat arthralgia syndrome, 43(20.2%) were blood stasis arthralgia syndrome, 61(28.6%) were liver and kidney deficiency syndrome; 12 (5.6%) were synovitis score 0, 60(28.2%) were synovitis score 1, 50(23.5%) were synovitis score 2, 91(42.7%) were 3 points in WORMS score, and there was significant difference in correlation analysis. Three points group was more likely to occur in rheumatic fever arthralgia syndrome(χ²=137.286, P=0.000). Rheumatic fever arthralgia type(39.4%, 84/213) is the main clinical manifestation of knee osteoarthritis synovitis, which has certain guiding significance for the treatment of knee osteoarthritis.