摘要
目的:探讨强直性脊柱炎(AS)的误诊原因与对策。方法:通过现场问卷,收集235例AS患者的诊治情况,对有误诊史患者进行分析。结果:1235例AS患者中,153例65.1%患者有误诊史。2年龄越大,被误诊数越多且时间越长,差异均有统计学意义(P<0.05)。3被误诊的疾病种类中,椎间盘突出最多,占总数的35.3%,其次为腰肌劳损,占20.4%。4被误诊患者中77.8%在风湿科被确诊。513.7%的患者根据"医师建议"选择科室就诊,28.8%的患者则根据"媒体资料"选择科室,其余多数患者是根据他人建议选择就诊。结论:多数AS患者曾经被误诊;临床医师对该病的认识不足,媒体宣传不够是AS患者容易被误诊的重要原因,应当有针对地采取措施减少AS的误诊率。
To discuss the cause of misdiagnosis of ankylosing spondylitis （AS） and the strategy to reduce the misdiagnosis rate . Methods： The clinical data of 235 outpatients with questionnaire were collected. Results： First, in these patients diagnosed found that the older the patient was ,the of AS, 153 （61.5%） were misdiagnosed. Second, with Stratified Analysis ,we more and the longer the patient was misdiagnosed, and the difference was statistically significant （P〈0.05）. Third, 35.3% of these patients were misdiagnosed as lumbar intervertebral disc protrusion and 20.4% as lumbar muscle strain. Fourth, most patients （77.8%） were misdiagnosed in the department of rheumatism. Fifth, by analyzing the data of how to choose the exact department ,of all patients ,13.7% based on doctors＇ advice ,28.8% based on media information, the rest based on the advice of other patients or colleagues and friends. Conclusion： There are many important reason is the lack of enough patients were misdiagnosed according to our analysis of the data, the most knowledge of AS of the doctors and the lack of enough medium reports of AS, so we need to take effective measure to reduce the misdiagnosis rate.
出处
《安徽卫生职业技术学院学报》
2014年第6期66-67,69,共3页
Journal of Anhui Health Vocational & Technical College
关键词
强直性脊柱炎
误诊
对策
Ankylosing spondylitis（AS）
Misdiagnosis
Strategy
