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Updated: Jun 29, 2025
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Investigating Intestinal Inflammation in DSS-induced Model of IBD
Published on: February 1, 2012
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一项调查探讨炎症性肠病患者的炎症性背痛
Onkarpreet K Jassel1, Hasan Tahir2, Sian Bamford3
1Internal Medicine, Royal Free London NHS Foundation Trust, London, GBR.
Cureus
|April 1, 2024
概括
许多炎症性肠病患者没有被诊断为轴性脊椎关节炎 (axSpA). 在IBD诊所中早期发现炎症性背痛 (IBP) 对于及时诊断和治疗至关重要,减少了患者的负担.
科学领域:
- 类风湿病学 类风湿病学
- 胃肠病学 胃肠病学
- 临床医学 临床医学
背景情况:
- 轴性脊柱关节炎 (axSpA) 诊断在全球范围内经常延迟,影响患者的生活质量.
- AxSpA经常与炎症性肠病 (IBD) 共同存在,这表明患者群体的潜在重叠.
- 在IBD患者中识别炎症性背痛 (IBP) 是解决诊断延迟的关键.
研究的目的:
- 为了确定IBD诊所的患者中IBP的患病率.
- 调查IBD患者的IBP是否会导致进一步的转诊和诊断.
- 探索在这个队列中导致axSpA诊断延迟的因素.
主要方法:
- 在英国国家卫生服务信托基金会的IBD诊所对75名患者进行了一项调查.
- 根据调查答复,使用柏林标准来评估IBP的存在.
- 收集的数据包括IBD细节,医疗保健专业人员对背部疼痛的咨询,以及关节外特征.
主要成果:
- 61%的患有大肠炎的参与者报告背部疼痛; 41%的人经历了超过三个月的背部疼痛.
- 39%的长期背痛患者符合IBP的柏林标准.
- 10%符合IBP标准,但缺乏诊断,见过全科医生和相关专业人士,但没有见过风湿病学家.
结论:
- 很大一部分IBD患者可能未被诊断为axSpA.
- 诊断延迟源于多因素问题,包括患者因素,认识差距和推系统的低效率.
- 需要改善教育,意识和综合护理模式,如联合专科诊所,以便在IBD患者中及时诊断axSpA.
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