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关节计数和体格检查

Joint counts and physical measures.

作者信息

Fuchs H A

机构信息

Nashville Department of Veterans Affairs Medical Center, Tennessee, USA.

出版信息

Rheum Dis Clin North Am. 1995 May;21(2):429-44.

PMID:7631037
Abstract

The joint examination is the major source of information to determine clinical status of rheumatoid arthritis in the clinic or in a clinical trial. Quantitative methods may evaluate tenderness, pain on motion, swelling, deformity, and limitation of motion. Use of self-report, simplified, reduced, and binary (normal/abnormal) evaluations are presented in this article with emphasis on using binary evaluations in clinical settings. The uses of grip strength, button test, and walk time are also discussed.

摘要

联合检查是在临床或临床试验中确定类风湿性关节炎临床状况的主要信息来源。定量方法可评估压痛、活动时疼痛、肿胀、畸形和活动受限情况。本文介绍了自我报告、简化、缩减和二元(正常/异常)评估方法,重点是在临床环境中使用二元评估。还讨论了握力、纽扣试验和步行时间的用途。

相似文献

1
Joint counts and physical measures.关节计数和体格检查
Rheum Dis Clin North Am. 1995 May;21(2):429-44.
2
The joint alignment and motion scale: a simple measure of joint deformity in patients with rheumatoid arthritis.关节对线与活动量表:类风湿关节炎患者关节畸形的一种简易测量方法。
J Rheumatol. 1987 Oct;14(5):887-92.
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A proposed 30-45 minute 4 page standard protocol to evaluate rheumatoid arthritis (SPERA) that includes measures of inflammatory activity, joint damage, and longterm outcomes.一项拟议的用于评估类风湿性关节炎的30 - 45分钟、4页的标准方案(SPERA),其中包括炎症活动、关节损伤及长期预后的测量指标。
J Rheumatol. 1999 Feb;26(2):473-80.
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Self-administered joint counts in rheumatoid arthritis: comparison with standard joint counts.类风湿关节炎的自我关节计数:与标准关节计数的比较。
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Patient self-administered joint tenderness counts in rheumatoid arthritis are reliable and responsive to changes in disease activity.类风湿关节炎患者自我管理的关节压痛计数可靠,且对疾病活动度的变化有反应。
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An index of the three core data set patient questionnaire measures distinguishes efficacy of active treatment from that of placebo as effectively as the American College of Rheumatology 20% response criteria (ACR20) or the Disease Activity Score (DAS) in a rheumatoid arthritis clinical trial.在一项类风湿性关节炎临床试验中,由三个核心数据集患者问卷测量指标组成的一个指数,与美国风湿病学会20%反应标准(ACR20)或疾病活动评分(DAS)一样,能有效地区分积极治疗与安慰剂治疗的疗效。
Arthritis Rheum. 2003 Mar;48(3):625-30. doi: 10.1002/art.10824.
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Standardization of joint examination technique leads to a significant decrease in variability among different examiners.关节检查技术的标准化会显著降低不同检查者之间的变异性。
J Rheumatol. 2010 Apr;37(4):860-4. doi: 10.3899/jrheum.090195. Epub 2010 Feb 15.
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Quantitative joint assessment in rheumatoid arthritis.类风湿关节炎的定量关节评估
Clin Exp Rheumatol. 2005 Sep-Oct;23(5 Suppl 39):S58-62.
9
Self-assessment of disease activity by patients with rheumatoid arthritis.类风湿关节炎患者对疾病活动度的自我评估。
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What are we measuring? An examination of walk time and grip strength.我们在测量什么?对步行时间和握力的一项检查。
J Rheumatol. 1987 Feb;14(1):80-6.

引用本文的文献

1
Depression history, stress, and pain in rheumatoid arthritis patients.类风湿关节炎患者的抑郁病史、压力与疼痛
J Behav Med. 2007 Jun;30(3):187-97. doi: 10.1007/s10865-007-9097-4. Epub 2007 Apr 5.
2
Disease activity and health status in rheumatoid arthritis: a case-control comparison between Norway and Lithuania.类风湿关节炎的疾病活动与健康状况:挪威与立陶宛的病例对照比较
Ann Rheum Dis. 2003 Mar;62(3):231-5. doi: 10.1136/ard.62.3.231.