Study on the relationship between imaging features of rheumatoid arthritis and TCM syndrome types

Abstract

Objective To study the relationship between magnetic resonance imaging (MRI) of rheumatoid arthritis (RA) and traditional Chinese medicine (TCM) syndrome types. Methods 90 patients with RA were selected as the research subjects.Through 2 attended doctors more strict according to the specific diagnostic criteria of the syndrome, the implementation of the diagnosis of TCM syndromes.The conventional treatment of the patients were recorded, and the X line of the two hands joint was obtained by double blind reading.At the same time, the relevant symptoms and symptoms of the laboratory and other related information were analyzed. Results Of 90 RA patients, 22.22% patients were cold dampness stasis type, 27.78% patients were damp heat blocking collaterals, 26.67% patients were cold and heat syndromes, 23.33% patients were deficiency of liver and kidney and phlegm stasis stasis type.Patients after the initial diagnosis, hands joint implementation hands joint side position was detected by MRI, the MRI results showed thickened synovium, bone erosion, bone marrow edema and joint effusion, and the constituent ratio of MRI images had significant difference (χ2=13.372, P<0.05). Four TCM syndrome types of RA patients, after treatment, again implement hands joint anteroposterior and lateral radiographs of the MRI detection, after detection of radiology hands joint MRI detection results showed that implementation stage and detailed records, and at the time of initial diagnosis.The patients' hands joint MRI examination test showed that the control, any bone damage intensifies, the MRI signs of more serious progress.However, impaired bone level unchanged, MRI without aggravate was not changed. Conclusion For RA patients, MRI manifestations and TCM syndrome type has relationship.At early stage of the disease, active and reasonable use of anti-rheumatic drug treatment to improve the condition of RA can reduce the morbidity. Key words: Arthritis, rheumatoid; Magnetic resonance imaging; Medicine, Chinese tradition