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系统性硬化症中足部损伤的评估:一个横截面研究
Juliana Yuri Sekyama1, Ibsen Bellini Coimbra1, Zoraida Sachetto1
1Department of Orthopedics and Rheumatology, University of Campinas-Unicamp, Campinas, San Paolo, Brazil.
Rheumatology (Oxford, England)
|January 5, 2024
概括
疼痛和功能障碍等脚部问题在全身性硬化症 (SSc) 中很常见. 足部功能受损和疼痛与残疾相关,突出了SSc患者需要更好的足部护理的需要.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 整形外科 整形外科 整形外科
背景情况:
- 系统性硬化症 (SSc) 是一种复杂的自身免疫性疾病,影响连接组织.
- 脚部并发症在SSc中很普遍,影响患者的流动性和生活质量.
研究的目的:
- 评估SSc患者的脚功能及其与社会人口统计学和临床因素的关系.
- 为了评估这一群体的移动性,脚部变化,疼痛和护理实践.
主要方法:
- 101名SSc患者接受了结构化采访和体检.
- 用HAQ-DI和SHAQ评估残疾,用FFI评估足部功能,用NPS评估疼痛,用TUG测试评估运动能力.
主要成果:
- 常见的脚部问题包括前脚疼痛 (50.5%),后脚疼痛 (31.7%), (38.6%).
- 较高的FFI,NPS和TUG分数与增加的残疾相关 (SHAQ,HAQ-DI).
- 很大一部分患者缺乏定期的足部检查 (36.6%从未,过去一年内32.7%).
结论:
- 足部功能障碍和疼痛在SSc中很常见,并且与残疾有关.
- 在SSc患者的临床实践中,常规脚部检查的使用率不足.
- 加强对脚部评估和护理的关注对于管理SSc至关重要.
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