| 基于聚类分析的膝骨关节炎压痛点分布规律研究 |
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投稿时间：2013-04-17
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| 作者 | Author | 单位 | Address | E-Mail |
| 庞坚 |
PANG Jian |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
lidazul@126.com |
| 石瑛 |
SHI Ying |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
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| 曹月龙 |
CAO Yue-long |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
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| 陈东煜 |
CHEN Dong-yu |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
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| 顾新丰 |
GU Xin-feng |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
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| 陈博 |
CHEN Bo |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
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| 吴玉云 |
WU Yu-yun |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
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| 詹红生 |
ZHAN Hong-sheng |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
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| 石印玉 |
SHI Yin-yu |
上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Traumatology & Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China |
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| 期刊信息：《中国骨伤》2014年，第27卷，第1期，第21-24页 |
| DOI：10.3969/j.issn.1003-0034.2014.01.006 |
| 基金项目:国家自然基金项目（编号：81102603,81173277,81072830）；国家重点学科“中医骨伤科学”项目（编号：100508）；上海市教育委员会科研创新项目（编号：12YZ064,11YZ64）；“海派中医流派传承研究基地”（编号：ZYSNXD-CC-HPGC-JD-001）；上海领军人才项目（编号：041）；上海市科学技术委员会科技支撑项目（编号：3401902502） |
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中文摘要:
目的：观察膝骨关节炎膝关节部位压痛点的分布特点，探索其分布规律，为临床诊疗提供依据。
方法：2011年11月至2012年12月，上海中医药大学附属曙光医院石氏伤科医学中心门诊招募受试者，按照既定纳入、排除标准筛选后获得86例膝骨关节炎患者资料，其中男21例，女65例；年龄45～85岁，平均（59.98±8.23） 岁；病程3个月～15年。受试者接受详细的膝部触诊，体检膝关节局部的压痛点并记录，录入数据库。研究数据采用频数、频率分析来描述，通过系统聚类法分析聚类。
结果：频数、频率统计结果显示，膝关节前缘（髌周）与膝关节内侧为压痛点常见分布区域，如髌尖下缘压痛的发生率最高达93%，其次为收肌结节。聚类分析的结果显示各个压痛点基本按照膝关节内侧与外侧部位来分成2个群组。
结论：研究提示聚类分析方法可以用来开展膝骨关节炎疾病压痛点分布规律的研究，而研究结果提示膝部压痛点的分布主要与内侧、外侧的解剖结构部位有关。 |
| 【关键词】骨关节炎 膝关节 疼痛 聚类分析 |
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| Study on distribution features of tender points in patients with knee osteoarthritis by cluster analysis |
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ABSTRACT
Objective: To observe the distribution features of tender points in knee of patients with knee osteoarthritis in order to provide evidences for the treatment and diagnosis.
Methods: From November 2011 to December 2012,86 patients with knee osteoarthritis were recruited,including 21 males and 65 females,ranging in age from 45 to 85 years old,with an average of（59.98±8.23） years old. The course of disease ranged from 3 months to 15 years. The tender points and its distributions were determined by finger press carefully on their knees. Data of studying was analyzed by frequency statistics and Hierachical cluster analysis.
Results: The distribution of tender points in the knee osteoarthritis was mainly in the interior region and anterior area such as in apex of patella,adductor tubercle and et al. According to the results of hierachical cluster analysis,the tender points could be divided into two categories,the first cluster was in the interior region of knee,the second cluster was in the lateral region.
Conclusion: The findings demonstrated that cluster analysis statistical method can be used for classification of the distribution of tender points. The distribution features of tender points in knee osteoarthritis are related to the anatomic site in knee. |
| KEY WORDS Osteoarthritis Knee joint Pain Cluster analysis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 庞坚,石瑛,曹月龙,陈东煜,顾新丰,陈博,吴玉云,詹红生,石印玉.基于聚类分析的膝骨关节炎压痛点分布规律研究[J].中国骨伤,2014,27(1):21~24 |
| 英文格式: | PANG Jian,SHI Ying,CAO Yue-long,CHEN Dong-yu,GU Xin-feng,CHEN Bo,WU Yu-yun,ZHAN Hong-sheng,SHI Yin-yu.Study on distribution features of tender points in patients with knee osteoarthritis by cluster analysis[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(1):21~24 |
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