相关实验视频
Updated: May 6, 2026
06:23
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
4.8K
在IBD患者中脊椎关节炎的特征:患病率,转诊趋势和临床影响. 一个基于问卷的研究
Nina Pettersson1, Fredrik Kragbjerg1, Arvid Hamrin2
1Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Scandinavian journal of gastroenterology
|May 16, 2025
概括
许多炎症性肠病 (IBD) 患者表现出脊髓关节炎 (SpA) 的特征,但很大一部分仍未被诊断并未转诊给类风湿病学家,这凸显了改善护理协调的需要.
科学领域:
- 胃肠道学和风湿病学
- 临床免疫学临床免疫学
- 流行病学 流行病学
背景情况:
- 炎症性肠病 (IBD) 通常与肠外表现有关,包括脊椎关节炎 (SpA).
- 在IBD患者中早期发现和治疗SPA对于改善患者的治疗结果至关重要.
- 在IBD患者中,对SPA的诊断和转诊途径存在公认的差距.
研究的目的:
- 在一组炎症性肠病 (IBD) 患者中调查脊椎关节炎 (SpA) 特征的患病率.
- 为了确定具有SpA特征的IBD患者转诊类风湿病学家的比率.
- 确定与IBD中疑似轴向和外周SPA相关的因素.
主要方法:
- 根据适应的ASAS和ESSG标准,对瑞典的2087名IBD患者进行了评估人口统计,药物和SPA特征的问卷调查.
- 1032名IBD患者有反应,那些符合自我报告的适应标准的人被归类为可疑的SPA.
- 使用后勤回归分析来确定与可疑的SpA相关的因素.
主要成果:
- 59.1%的IBD受访者符合基于问卷的调整后的SPA标准.
- 在怀疑SPA的患者中,转诊风湿病学家的比例在24.3%至44.0%之间.
- 疑似SPA患者使用免疫调节剂,生物制剂和类固醇的比例更高,活性结肠炎的发病率更高.
- 与轴性SPA相关的因素包括年龄,吸烟,牛皮,前膜炎和高P-SCCAI得分;女性性别和高BMI与外围SPA相关.
结论:
- 在IBD患者群体中,自报告的SpA特征的显著流行存在.
- 许多具有SpA特征的IBD患者没有被转诊给风湿病学家,这表明潜在的诊断和管理差距.
- 提高胃肠科医生和风湿病学家之间的意识和跨学科合作对于优化IBD患者的SPA管理至关重要.
相关概念视频
01:17Chronic Bowel Disorders: Introduction
345
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
345
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
101
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
101
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
99
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
99
01:30Inflammatory Bowel Disease II: Crohn's Disease
134
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
134
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
259
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
259
01:29Inflammatory Bowel Disease IV: Pharmacological Management
82
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
82