武警某部新兵脊柱关节炎筛查方法评价  

Comparative study on screening methods of spondyloarthritis in recruits of People 's Armed Police Force

作　　者：曹茂荣[1] 周秀荣[1] 孙大炜[1] 董鹏飞[1] 孙志宏[1] 赵凌怡[1] 蔡英杰[1] 张春妍[1] 

机构地区：[1]武警黑龙江总队医院内一科,哈尔滨150076

出　　处：《武警医学》2016年第5期482-485,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的评价不同的检查方法在武警部队新兵脊柱关节炎筛查中的应用价值。方法采用COPCORD询问表配合体检的方法,对武警部队某部入伍新兵共5402名进行初步筛查,而后对纳入的疑似病例进行HLA-B27检查、骨盆平片、骶髋关节CT检查,必要时进行核磁共振检查。结果最终确诊病例42例,其中AS 8例,Re A 2例,Ps A1例,USp A 31例。结论未分化脊柱关节炎在所有风湿性疾病中占相当大的比例,单项检查方法上X线平片的效能差,CT和HLA-B27的检查组合可以有效地提高脊柱关节炎的检出率。Objective To investigate the most effective screening method of the spondyloarthritis in recruits of People＇s Armed Police Force. Methods 2-phase survey was conducted in 5402 recruits of People＇s Armed Police Forces,including face-to-face interviews with standardized COPCORD questionnaires and physical examination（ Phase Ⅰ screening）; further examination with X-ray film and CT of sacroiliac joint and laboratory detection of HLA-B27 of the suspected cases（ Phase Ⅱ）. Reault 42 cases were confirmed,there were 8 cases of AS,2 cases were indentified with Re A,1 case was indentified with Ps A,31 cases were indentified with USp A. Conclusions USp A accounts for a large enough proportion of all the spondyloarthritis. The diagnostic value of X-ray film in single examination is poor,CT combined with laboratory detection of HLA-B27 can raise diagnostic rate of spondyloarthritis.

关 键 词：部队 脊柱关节炎 患病率 筛查 

分 类 号：R593.23[医药卫生—内科学]