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为了解深圳市类风湿关节炎的流行情况,随机整群抽取深圳市3个地区(沙井村、坪山村、翠竹苑)16岁以上人群为调查对象,共计6 684名,实际调查5 922名。采用世界卫生组织社区控制风湿病规划调查程序,即第1、2阶段询问过筛;第3阶段对第1、2阶段阳性反应者由风湿病专科医师进行体检;第4阶段对疑似病例进行相应的辅助检查。结果表明,类风湿关节炎的患病率为0.44%;其中女性和男性患病率分别为0.64%和0.19%;沙井村、坪山村、翠竹苑患病率分别为0.58%、0.39%和0.36%。误诊率、早期诊断率和不合理用药率分别为35%、54%和46%。
In order to understand the epidemic situation of rheumatoid arthritis in Shenzhen, random sampling of population from 16 districts over the age of 3 in Shenzhen (Shajing Village, Pingshan Village, Tsui Chuk Court) was conducted to investigate the prevalence of rheumatoid arthritis in Shenzhen City. A total of 6 684 people were surveyed, 5 922 . The World Health Organization (WHO) community-controlled rheumatism planning and investigation program was used, ie screens 1 and 2 were queried and sieved; stage 3 was performed on patients with stage 1 and 2 positive samples by a rheumatologist; stage 4 was performed on suspected cases Auxiliary examination. The results showed that the prevalence of rheumatoid arthritis was 0.44%; the prevalence rates of females and males were 0.64% and 0.19% respectively; the prevalence rates of Shajing, Pingshan and Cuizhu were 0.58% and 0.39% respectively 0.36%. The misdiagnosis rate, early diagnosis rate and irrational drug use rate were 35%, 54% and 46% respectively.