莱姆病患者的长期结果
E G Seltzer1, M A Gerber, M L Cartter
1Department of Medicine, Yale University School of Medicine, New Haven, Conn 06520-8064, USA.
JAMA
|February 9, 2000
概括
莱姆病的长期结果显示,许多患者报告症状增加和日常活动困难,但这些比例与没有莱姆病的人相似. 这表明莱姆病可能不是这些长期问题的唯一原因.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 对于被诊断患有莱姆病的个人长期健康结果的数据有限.
- 了解莱姆病的慢性影响对于患者管理和公共卫生战略至关重要.
研究的目的:
- 评估被诊断患有莱姆病的患者的长期健康状况和日常功能.
- 为了比较莱姆病患者的结果与年龄相匹配的无病对照.
主要方法:
- 这是一项两部分研究,结合了基于社区的纵向队列和匹配的队列设计.
- 通过对症状,日常活动和健康状况尺度的调查,评估了678名怀疑莱姆病的患者和212名年龄匹配的对照.
- 通过自我或家长报告收集的数据,采访时间均为诊断后51个月.
主要成果:
- 69%的莱姆病患者报告症状增加或日常活动困难,但只有19%的人将这些归因于莱姆病.
- 不符合监视病例定义的患者报告的症状和困难比符合监视病例定义的患者更多.
- 莱姆病患者报告的症状增加和日常活动困难的频率与年龄匹配的对照组的频率相似.
结论:
- 许多被诊断患有莱姆病的人在诊断后的几年内会出现症状增加和功能困难.
- 然而,这些报告的问题与没有莱姆病的个体的情况相似,这表明其他因素可能有所贡献.
- 这些发现突显出需要对莱姆病患者的长期健康状况进行全面评估,远远超过最初的诊断.
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