| 膝关节骨性关节炎X线测量与WOMAC评分的多重线性回归分析 |
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Received:February 20, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 马玉峰 |
MA Yu-feng |
北京中医药大学,北京 100029 |
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| 王庆甫 |
WANG Qing-fu |
北京中医药大学第三附属医院,北京 100029 |
The Third Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100029,China |
qingpu-wang@sohu.com |
| 陈兆军 |
CHEN Zhao-jun |
北京中医药大学第三附属医院,北京 100029 |
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| 杜春林 |
DU Chun-lin |
北京中医药大学第三附属医院,北京 100029 |
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| 李俊海 |
LI Jun-hai |
北京中医药大学第三附属医院,北京 100029 |
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| 黄沪 |
HUANG Hu |
北京中医药大学第三附属医院,北京 100029 |
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| 时宗庭 |
SHI Zong-ting |
北京中医药大学第三附属医院,北京 100029 |
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| 殷岳杉 |
YIN Yue-shan |
北京中医药大学,北京 100029 |
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| 张雷 |
ZHANG Lei |
北京中医药大学,北京 100029 |
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| 阿迪力江 |
A-DI Li-jiang |
北京中医药大学,北京 100029 |
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| 董士宇 |
DONG Shi-yu |
北京中医药大学,北京 100029 |
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| 吴忌 |
WU Ji |
北京中医药大学,北京 100029 |
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| 期刊信息：《中国骨伤》2012年25卷，第5期，第373-376页 |
| DOI：10.3969/j.issn.1003-0034.2012.05.005 |
| 基金项目:“十一五”国家科技支撑计划(编号：2008BAI53B017);首都医学科技发展基金(编号：SF-2009-Ⅱ-08);北京中医药大学自主选题(编号：JYBZZ-XS03) |
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目的：进行膝关节骨性关节炎X线测量与WOMAC评分的多重线性回归分析,结合临床和生物力学分析两者的关系。
方法：自2011年3月至2011年7月,膝关节骨性关节炎患者140例250膝,左侧132膝,右侧118膝;年龄40～71岁,平均54.68岁。应用MB-RULER测量软件测量患膝正侧位X线片股骨角、胫骨角、股胫角及关节间隙角等数值,并采集WOMAC评分,应用多重线性回归建立回归方程分析两者相关性。
结果：应用多重线性回归分析正位X线片测量数值与WOMAC评分的回归方程有统计学意义(P<0.05),而侧位X线片测量数值与WOMAC评分的回归方程无统计学意义(P>0.05).
结论：①膝关节X线数据测量可以一定程度上反映WOMAC评分的情况;②局部膝关节X线力线测量对诊治膝关节骨性关节炎是必须的检查之一,应予以重视。③正位片上胫骨角、关节间隙角与WOMAC评分的相关性最大,可用于评估患者在治疗前后的功能恢复情况。 |
| [关键词]:骨关节炎,膝 X线 放射测量术 治疗结果 |
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| Multiple linear regression analysis of X-ray measurement and WOMAC scores of knee osteoarthritis |
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Abstract:
Objective:To perform Multiple Linear Regression analysis of X-ray measurement and WOMAC scores of knee osteoarthritis,and to analyze their relationship with clinical and biomechanical concepts.
Methods:From March 2011 to July 2011,140 patients(250 knees) were reviewed,including 132 knees in the left and 118 knees in the right;ranging in age from 40 to 71 years,with an average of 54.68 years. The MB-RULER measurement software was applied to measure femoral angle,tibial angle,femorotibial angle,joint gap angle from antero-posterir and lateral position of X-rays. The WOMAC scores were also collected. Then multiple regression equations was applied for the linear regression analysis of correlation between the X-ray measurement and WOMAC scores.
Results:There was statistical significance in the regression equation of AP X-rays value and WOMAC scores(P<0.05),while there was no statistical significance in the regression equation of lateral X-ray value and WOMAC scores(P>0.05).
Conclusion:① X-ray measurement of knee joint can reflect the WOMAC scores to a certain extent. ② It is necessary to measure the X-ray mechanical axis of knee,which is important for diagnosis and treatment of osteoarthritis. ③ The correlation between tibial angle,joint gap angle on antero-posterior X-ray and WOMAC scores is significant,which can be used to assess the functional recovery of patients before and after treatment. |
| KEYWORDS:Osteoarthritis,knee X-rays Radiometry Treatment outcome |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 马玉峰,王庆甫,陈兆军,杜春林,李俊海,黄沪,时宗庭,殷岳杉,张雷,阿迪力江,董士宇,吴忌.膝关节骨性关节炎X线测量与WOMAC评分的多重线性回归分析[J].中国骨伤,2012,25(5):373~376 |
| 英文格式: | MA Yu-feng,WANG Qing-fu,CHEN Zhao-jun,DU Chun-lin,LI Jun-hai,HUANG Hu,SHI Zong-ting,YIN Yue-shan,ZHANG Lei,A-DI Li-jiang,DONG Shi-yu,WU Ji.Multiple linear regression analysis of X-ray measurement and WOMAC scores of knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(5):373~376 |
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