Berglund B, Nordström G
Department of Nursing, Karolinska Institutet, Stockholm, Sweden.
J Clin Rheumatol. 2001 Oct;7(5):308-14. doi: 10.1097/00124743-200110000-00010.
Ehlers-Danlos syndrome (EDS) is an inherited connective tissue disorder that can have a substantial impact on daily life. The aims of this study were to describe the symptoms reported in a group of individuals with EDS and to investigate the impact on functional health status by means of the Sickness Impact Profile (SIP). Seventy-seven individuals, members of the Swedish EDS Association, completed 2 mailed questionnaires. The most frequent symptoms were related to activity, e.g., joint problems (75%), to pain (71%), and to skin/tissue (52%). Pain was reported by 37 individuals (48%) as their most severe symptom. The SIP results showed an overall mean score of 13.0 (females 13.9, males 5.6), compared with a Swedish reference group with a SIP score 1.3. Women with EDS reported a better functional health status than females with rheumatoid arthritis (overall SIP score 13.9 versus 21.4). In comparison with women with fibromyalgia, the EDS females rated their functional health status as worse on the physical dimension (p <0.05) and the subscale home management (p <0.05), and as better on the subscale work (p <0.05). Impact of EDS on the individual's daily life needs to be acknowledged, assessed, and evaluated in healthcare.
埃勒斯-当洛综合征(EDS)是一种遗传性结缔组织疾病,会对日常生活产生重大影响。本研究的目的是描述一组EDS患者报告的症状,并通过疾病影响量表(SIP)调查对功能健康状况的影响。77名瑞典EDS协会成员填写了2份邮寄问卷。最常见的症状与活动有关,如关节问题(75%)、疼痛(71%)和皮肤/组织问题(52%)。37名个体(48%)报告疼痛是他们最严重的症状。SIP结果显示总体平均分为13.0(女性为13.9,男性为5.6),而瑞典参照组的SIP评分为1.3。患有EDS的女性报告的功能健康状况优于类风湿性关节炎女性(SIP总体评分13.9对21.4)。与纤维肌痛女性相比,患有EDS的女性在身体维度(p<0.05)和家庭管理子量表(p<0.05)上对自身功能健康状况的评价更差,而在工作子量表上的评价更好(p<0.05)。在医疗保健中,需要认识、评估和评价EDS对个体日常生活的影响。