McGuigan L E, Hart H H, Gow P J, Kidd B L, Grigor R R, Moore T E
Ann Rheum Dis. 1984 Aug;43(4):604-6. doi: 10.1136/ard.43.4.604.
All patients with ankylosing spondylitis attending our rheumatology clinics were reviewed to assess the effect of their disease on employment. Back movement was measured in three planes, chest expansion determined, and peripheral joint involvement was noted to see whether these correlated with work capability. Sixty patients were reviewed (47 men, 13 women; mean disease duration 24.3 years). Nine were unemployed, but only four of these attributed this condition to ankylosing spondylitis. Although all four had severe neck, back, and hip involvement, this did not differentiate them from other patients who were fully employed. There was no relationship between disease duration and employment. The prospect for continued employment in ankylosing spondylitis is good even when the disease is long standing and severe.
我们对所有在风湿科门诊就诊的强直性脊柱炎患者进行了评估，以了解疾病对其就业的影响。测量了患者在三个平面上的背部活动度，测定了胸廓扩张度，并记录了外周关节受累情况，以观察这些因素是否与工作能力相关。共评估了60例患者（47例男性，13例女性；平均病程24.3年）。其中9人失业，但只有4人将失业归因于强直性脊柱炎。尽管这4人都有严重的颈部、背部和髋部受累，但这并未使他们与其他全职工人区分开来。病程与就业情况之间没有关联。即使强直性脊柱炎病程长且病情严重，继续就业的前景依然良好。
