Study On Characteristic Of Sinew Lesion Of Knee Joint In Remission Stage Of Rheumatoid Arthritis

Objective:To observe and analyze the sinew meridians of patients with knee joint lesions in the remission stage of rheumatoid arthritis(RA)and summarize its clinical dialectical characteristics,so as to provide a theoretical basis for the treatment of joint pain and movement disorders in patients with RA in the remission stage based on the theory and technology of sinew meridians.Methods:In this study,we examined the distribution of the sinew nodes around the knee in 100 patients with knee joint disease in the remission stage of rheumatoid arthritis to determine the distribution characteristics of the related sinew nodes.At the same time,we performed the imaging examination around the knee using color Doppler ultrasonography to further verify the distribution rules of the sinew nodes..Result:1.There is no significant difference in the average number of nodules between male and female patients with knee joint disease in remission stage of rheumatoid arthritis.The top five most common focal points for tendon junction in female patients are Ququan Times,Xiguan Times,Xuehai Times,between his knees and Jimen Times.The top five most common focal points for tendon junction in male patients are Chengshan Times,between his knees,Guantu Times,Xiguan Times and Chengshan Nei.2.With the prolongation of the course of disease,the average number of focal points for tendon junction increases.the top five most common focal points for tendon junction within five years of the course of disease are ququan times,liao xijian times,xiguan times,xuehai times,and zusanli times.the top five most common focal points for tendon junction within five to ten years of the course of disease are: xiguan times,xuehai times,liao xijian times,yinbao times,liao times.the top five most common focal points for tendon junction with a course of more than ten years are: xiguan times,chengshan times,xuehai times,liao times.3.There is no significant difference in the average number of nodule foci in different age groups.the top five most common focal points for tendon junction in the youth group were tiaoxian,chengshan,Zusanli,guantu and xiguan.the top five most common focal points for tendon junction in the middle-aged group were ququan,tiaxi,xiguan,xuehai and jimen.the top five most common focal points for tendon junction in the aged group were xiguan,xuehai,tiao,yinbao and liao.4.The top five most common focal points for sinew accumulation in the knee joints of patients with rheumatoid arthritis were Xiguan(EX-B2),Ququan(EX-B2),Liao(EX-B2),Xuehai(SP 10)and Zusanli(ST 36).5.Ultrasound imaging examination shows that the frequency of patholog-ical changes in the medial aspect of the knee joint is higher,accounting for81.50% of the total number of knees in patients with lesions.The different pathological change sites in ultrasound imaging are consistent with the focal sites of tendon junction.Conclusion:1.The sinew lesions of the knee joint may be one of the main causes of knee pain and movement disorders in patients with rheumatoid arthritis in remission.2.The medial aspect of the knee joint is more common in the distribution parts of the sinew of the knee joint in patients with rheumatoid arthritis in remission.3.The focal points of high-frequency secondary tendon nodules in the knee joints of patients with rheumatoid arthritis in the remission stage can be seen in the tendons of the three yin and three yang meridians of the foot.4.The color Doppler ultrasound imaging of the knee joints of patients in the remission stage of rheumatoid arthritis is basically the same as the lesion site of meridian sinew.