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["属于“风湿病”这一统称下的各种临床表现对社会医学的意义"]

[Significance of various clinical pictures falling under the general term "rheumatism" for social medicine].

作者信息

Pohl W, Hinz G

出版信息

Z Rheumatol. 1977 Nov-Dec;36(11-12):404-16.

PMID:304288
Abstract

Statistical reports of the "Bundesversicherungsanstalt für Angestellte" and from an affiliated rheumatological rehabilitation clinic show that within the general term of "rheumatism" inflammatory rheumatic diseases are only a few per cents. Myalgic syndromes of the vertebral column without obvious changes of the skeleton rank first. They are followed by degenerative diseases of the vertebral column and peripheral joints. While the number of treatment courses of cardiovascular disorders for men and women (male predominance) remained relatively constant from 1968-1974 and in 50% of the cases lead to pensioning-off, treatment courses of bone and joint diseases have clearly increased with a female predominance; pensioning-off is necessary only in a few cases. There is no correlation between morbidity and number of treatment courses; the importance of economical and social factors for the therapeutic regimen is pointed out. Rehabilitation clinics of the pension-paying institutions offer optimal possibilities of a long term treatment of rheumatic diseases, as single or repeat treatment. The activities of a league against rheumatism should concentrate on the clinically and sociomedically most severe joint diseases.

摘要

“联邦雇员保险机构”以及一家附属风湿病康复诊所的统计报告显示,在“风湿病”这一统称下,炎性风湿性疾病仅占百分之几。无明显骨骼变化的脊柱肌痛综合征位居首位。其次是脊柱和外周关节的退行性疾病。1968年至1974年期间,男性和女性心血管疾病的治疗疗程数量(男性居多)相对稳定,且50%的病例会导致退休,而骨与关节疾病的治疗疗程明显增加,女性居多;仅在少数情况下需要退休。发病率与治疗疗程数量之间没有关联;指出了经济和社会因素对治疗方案的重要性。养老金支付机构的康复诊所提供了对风湿性疾病进行长期治疗的最佳可能性,无论是单次治疗还是重复治疗。抗风湿病联盟的活动应集中于临床和社会医学上最严重的关节疾病。

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Z Rheumatol. 1977 Nov-Dec;36(11-12):404-16.
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