关节炎

Final diagnoses at 1-year follow-up were RA in 31 patients, undifferentiated arthritis in 7 (5 self-limiting), and psoriatic arthropathy and antisynthetase syndrome in 1 patient each.

仅7例抗CCP抗体阳性，但最后均诊为类风湿关节炎，在该组血清阴性类风湿患者中的抗CCP阳性率仅23%(7/31)，其诊断特异性达100%(95%可信区间为71.7-100)，敏感性为23%(95%可信区间为9.6-41.1)，而用MRI标准则100%的类风湿患者诊断正确，另外有2例假阳性结果(1例银屑病关节炎和1例抗合成酶综合症)，MRI标准对诊断血清阴性类风湿关节炎的特异性为78%(95%可信区间为40.0-97.2)，敏感性为100%(95%可信区间为90.8-100)。

Type Ⅱ collagen-induced arthritis in mice,which shares similar characteristics with rheumatoid arthritis,was used as the mode for RA in this study,by taking the incidence,arthritis index,the level of anti-collagenase Ⅱ antibody,the histo-pathological changes as quotas,we observed cantharis plaster's effect on the model by applicating it on acupoints,and measured the splenic interleukin-1 β level of collagen-immunized mice.

采用与类风湿性关节炎特征相似的小鼠胶原诱导性关节炎(Collagen-induced arthritis，CIA)模型，以关节炎发病率、关节炎指数、抗Ⅱ型胶原抗体水平、组织病理学改变等为指标，观察了斑蝥膏穴位敷贴对此模型的影响，并检测了胶原免疫小鼠脾脏白介素-1β水平。

In conclusion, we suggest that the mechanism of knee OA is: flaccidity of base and arthralgia of superficies, the deficiency of liver and kidney is the root cause, followed by blockade of meridians. In dealing with knee OA, LiXiJianBu Tang matching TongLuoRouXi manipulation is highly effective, safe and free of side effect.

讨论与结论：根据两组治疗前后结果的统计分析，结合导师观点，对膝关节骨关节炎的病因病机、利膝健步汤组方特点及通络柔膝的手法作用机理进行了探讨，认为膝关节骨关节炎乃本痿标痹之证，肝肾不足为本，瘀滞经脉为标，利膝健步汤配合通络柔膝的手法能有效地治疗膝关节骨关节炎。

The time of hight incidence of gout, tuberculosis and traumatic arthritis is from 20 to 40 years old; peak age of rheumatoid arthritis is 40 to 60 years of age; and synovial chondromatosis, osteoarthritis, infectious arthritis lumbar hip disease caused the incidence of knee pain increases with age increased.

3痛风、结核及创伤性关节炎的高发年龄为20～40岁，类风湿性关节炎的高峰年龄为40～60岁，滑膜软骨瘤、骨性关节炎、感染性关节炎及腰髋部疾病造成膝关节疼痛的发病率随年龄的增长而升高。

The patients had polyarticular disease course (48 polyarthritis, 19 extended oligoarthritis, two systemic arthritis, and two enthesitis related arthritis).

患者有多关节病程（48例多关节炎，19例扩展型少关节炎，2例系统性关节炎，2例附着点炎性反应相关关节炎）。

Therapeutic ultrasound has been used in the treatment of osteoarthritis for the relief of symptom and improvement of functional status. In recent study, we found that ultrasound enhances cartilage repair in experimental early stage osteoarthritis, and prevents deteriorative changes in later stages.

治疗性超音波已长久使用在关节炎治疗上以减轻关节炎症状并改善其功能，在最近的研究中我们发现超音波可促进大白鼠诱发性早期关节炎中关节软骨的修护，同时可阻止晚期关节炎中关节软骨的恶化。

The process of osteoarthritis mesochondrium degradation is possibly attributed to the synergistical consequence of MMPs and other factors. Pilose antler peptide can promote the proliferation of OA chondrocytes of rabbits ,inhibit the overexpression of MMPs of OA chondrocytes.It can possibly play a effective role in the treatment of OA.

结论骨性关节炎软骨细胞在骨性关节炎发病过程中，软骨细胞正常分化及增殖发生改变；骨性关节炎软骨基质降解过程可能是金属蛋白酶与其它因子协同作用的结果；鹿茸多肽可促进骨性关节炎软骨细胞增殖，并可抑制骨性关节炎软骨细胞中金属蛋白酶的过度表达，可能对治疗骨性关节炎有较好的作用。

Seronegative Arthritis : These are a class of arthritis disorders that manifest symptoms similar to those of rheumatoid arthritis, but the patient does not test positive for that condition, or osteoarthritis.

血清关节炎：这是一类关节炎疾病表现的症状类似，以类风湿关节炎，但病人并不测试呈阳性反应这一条件，或骨性关节炎。

Methods: After the model of adjuvant arthritis was made in rat, tinospora hainanensis made from tinospora stem was injected into abdominal cavity of rats, then the changes of weight, circular diameter of ankle joint, time of thermalgesia, grades of the secondary arthritis and pathological influence were observed.

建立大鼠佐剂性关节炎模型，腹腔注射青牛胆茎水煎剂，观察其对佐剂性关节炎大鼠的体重、踝周径、热致敏时间、继发性关节炎评分、以及继发性关节炎关节病理的影响。

For the study of radiographic knee OA, 2519 knees were evaluated in 1617 participants who did not have radiographic tibiofemoral OA at baseline, and 3392 knees were assessed for combined radiographic OA and symptomatic OA in 2078 participants without this combination of findings at baseline.

有关X光显示膝关节炎的研究，评估了1，617名参与者的2，519个膝盖，这些人在开始时，X光显示并没有胫骨-股骨关节炎，另外有2，078名病患的3，392个膝盖被评估合并X光显示的关节炎以及有症状的关节炎，开始时也没有胫骨-股骨关节炎。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。