强直性脊柱炎的早期临床特征研究

目的探讨强直性脊柱炎的早期临床特征，为其早期初步诊断提供依据。方法对51例确诊为强直性脊柱炎早期患者的临床症状和体征按性别分别进行统计学分析。结果本组资料中有52％男性有休息痛和晨僵，女性为53．84％和46．15％；活动后疼痛缓解男女分别为80％和96．15％。骶髂关节检查的阳性率为80％，指地距离大于10cm者，男女分别为64％和42％，Schober试验阳性者男女分别为20％和3．84％；胸廓活动度小于5cm者，男性8％，女性3．84％。血沉和C反应蛋白的阳性率分别为21．57％和47．06％。结论晨僵和休息后疼痛加重以及活动后缓解是强直性脊柱炎早期重要的临床症状。骶髂关节检查和指地距离具有较高的阳性率。血沉和C反应蛋白有辅助诊断意义。

The Study of Early Clinical Features in Patients with Ankylosing Spondylitis

Objeetive To Discuss the early clinical features of ankylosing spondylitis,in order to provide the basis for early preliminary diagnosis. Methods According to the patient＇s gender,their clinical symptoms and signs were conducted statistical and analyzed in 51 patients with early AS. Results In all patients, 52%of the men had resting pain and morning stiffness,in the female were 53.84%and 46.15%respectively. The pain relief after activities in the incidence of men and women were 80 %and 96.15 %. Positive of physical examination of SI ioint was 80 %. Distance of finger to floor〉10 cm,the men and women were 64%and 42%. The positive of Schober test were 20%and 3.84%in the men and women. Thoracal activity〈5 cm were 8%in the men and 3.84%in the women. The positives of ESR and CRP were 21.57%and 47.06%. Conclusion The resting pain,morning stiffness and pain relief after activities are important clinical symptoms for early AS. Physical examination of SI joint and distance of finger to floor,tests of CRP and ESR have a high clinical value in diagnosis of AS.