论文部分内容阅读
目的:归纳总结强直性脊柱炎早期的重要临床表现及检查方法,为提高强直性脊柱炎的早期诊断提供临床数据。方法:统计我院2010年1月至2013年12月间157例确诊的强直性脊柱炎患者,回顾性分析其影像图特征及临床资料。结果:57例早期AS患者中,I级患者21例(36.8%),Ⅱ期36例(63.2%)。有休息痛、晨僵及活动后缓解分别占54.4%、64.9%和82.5%。“4”字检查、骶骼关节叩击、骨盆分离挤压试验呈阳性者分别占57.9%、40.4%和21.1%。CRP及ESR检测的阳性率分别为47.4%%和40.4%。结论:早期诊断对强直性脊柱炎的治疗和预后至关重要。早期诊断应重视临床表现包括活动后疼痛缓解、晨僵以及休息痛等,同时重视体格检查,辅助必要的实验室检查,可以明显提高对其早期筛选和诊断。
OBJECTIVE: To summarize the important clinical manifestations and examination methods of early ankylosing spondylitis and provide clinical data for improving the early diagnosis of ankylosing spondylitis. Methods: A total of 157 patients with ankylosing spondylitis diagnosed in our hospital from January 2010 to December 2013 were retrospectively analyzed. The features and clinical data were analyzed retrospectively. Results: Among the 57 patients with early stage AS, 21 (36.8%) were in stage I and 36 (63.2%) were in stage II. Rest pain, morning stiffness and post-activity relief accounted for 54.4%, 64.9% and 82.5% respectively. “4 ” word examination, sacral joint percussion, pelvic separation squeeze test were 57.9%, 40.4% and 21.1% respectively. The positive rates of CRP and ESR were 47.4% and 40.4% respectively. Conclusion: Early diagnosis of ankylosing spondylitis treatment and prognosis is essential. Early diagnosis should pay attention to clinical manifestations, including postoperative pain relief, morning stiffness and rest pain, while focusing on physical examination, laboratory tests necessary to assist, can significantly improve its early screening and diagnosis.