AS评分系统.ppt

1、强直性脊柱炎及其评分,0utline,BASDAI BASFI BASMI BAS-G MASES ASDAS 改良Stoke强直性脊柱炎脊柱评分(mSASSS) 强直性脊柱炎生活质量问卷 (ASQoL) 强直性脊柱炎评价(ASAS),毕氏疾病活动度评分（BASDAI）,fatigue pain of the spine and hips pain or swelling of the peripheral joints localised tenderness as a proxy for enthesitis severity and duration of morning stiffne

2、ss. The index consists of six “10-cm” horizontal VAS to measure severity of fatigue, spinal and peripheral joint pain, localized tenderness, and morning stiffness (both qualitative and quantitative) .,BASDAI（过去的一周内）,1.您身体疲倦的总体程度： 2.您的颈部、背部或髋关节的整体疼痛程度: 3.除颈部、背部或髋关节外，您的其他关节疼痛或肿胀的整体程度： 4.您身体的触痛或压痛部位的整体

3、不适程度 5.您起床时腰背部的整体僵硬程度： 6.从起床开始计算，您腰背部僵硬持续的时间： 0 h 0.5h 1h 1.5h 2h 0分 2.5分 5分 7.5分 10分 计算公式 0.2X（A+b+c+d+(E+F)/2） 评定标准：4分活动,强直性脊柱炎病情活动判断-BASDAI评价,A 过去1周你感受到的疲劳/困倦的总体程度 B 过去1周你感受到的颈痛、背痛和髋痛的总体程度 C 过去1周你感受到的其他关节疼痛/肿胀(不包括颈痛、背痛和髋痛)的总体程度 D 过去1周你感受到的因触痛导致不适的总体程度？ E 过去1周你清醒后感受到的晨僵的总体程度？ F 当你清醒后晨僵持续多长时间？请在下列标

4、尺上标出,5项,Bath Ankylosing Spondylitis Functional Index(BASFI),This measure includes ten items which ask the respondents about their perception of their functional ability and how well they are able to function in everyday life. Subjects rate their functional ability from 010 on a VAS that best describ

5、es the current condition . The mean of the ten scales gives the BASFI score (range, 010cm). The SDD for the BASFI is 2.1 cm.,BASFI,1无需借助帮忙而能穿上袜子或紧身衣 2能自己弯腰从地上拾起钢笔 3无需借助帮助而能触及比自己高的地方 4不用手支撑或借助帮助而能从无扶手的椅子上站起来 5躺在地板上，无需他人帮助而能站起来 6独立站立10分钟无不适感 7不扶栏杆也不依靠工具而能爬1215级楼梯(每步一梯级) 8不转动躯干即能望向您的肩部 9能进行体能活动，如物理训练、散

6、步或其他体育运动 10做家务活或上班，均能完成一整天的活动 取得分的均值,Bath强直性脊柱炎度量指数BASMI,BASMI,A new scoring system for the Bath Ankylosing Spondylitis :Metrology Index.,Bath Ankylosing Spondylitis Global Score (BAS-G),The purpose of this measure is to make a global assessment of the well-being of the person with AS over a given p

7、eriod of time. The questions ask the patients to rate the effect of AS on their well-being over the last week and the last 6 months . The score range is 0 = none to 10 = very severe effect. The mean of the two scales gives the BASG (score range: 010).,“Maastricht Ankylosing Spondylitis Enthesitis Sc

8、ore”(MASES),Assessment for enthesitis Without gradation Range（0-13）,Disease measurement enthesitis, skin, nails, spine and dactylitis. Best Practice 1=erosion, sclerosis or squaring; 2=syndesmophyte; and 3=total bony bridging at each site.,Assessment of outcome in ankylosing spondylitis: an extended

9、 radiographic scoring system. Ann Rheum Dis 2005,mSASSS,Cervical spine: The scoring system was identical to that of the lumbar spine. The lower border of the 2nd cervical vertebra up to and including the upper border of the 1st thoracic vertebra were viewed on the lateral radiograph. Owing to the or

10、iginal straight shape of the lateral surface of the 3rd cervical vertebra it was decided that this vertebra should not be scored for squaring, although erosions and sclerosis were scored.,Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Ann Rheum Dis 2005,Rad

11、iographic Ankylosing Spondylitis Spinal Score (RASSS),2009, American College of Rheumatology,RASSS,The inclusion of the lower part of the T-spine signicantly increases the sensitivity to change when scoring radiographic damage in AS because more syndesmophytes are potentially scored. The new tool, t

12、he RASSS, has better face and content validity than the mSASSS. Overall, it proved to be clearly superior for the assessment of structural damage in patients with AS. The RASSS should be further evaluated in clinical trials and cohort studies of patients with AS.,Development of a Radiographic Scorin

13、g Tool for Ankylosing Spondylitis Only Based on Bone Formation: Addition of the Thoracic Spine Improves Sensitivity to Change,强直性脊柱炎生活质量问卷 (ASQoL),Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis,ASQoL,强直性脊柱炎生活质量问卷 (ASQoL),目前的身体状况限制了我的活动范围 有时候疾病的痛苦使我想哭 我穿衣服有困

14、难 做家务活有困难 疼痛使我难以入睡 我不能参与家庭或朋友们的集体活动 我一整天都感觉疲倦 我必须停止手头的工作去休息 疼痛使我无法忍受,晨起的僵硬感使我很久才能起身活动 我几乎不能做家务劳动 我很容易疲倦 我经常觉得失落 我感到疼痛一直持续存在 我因为此疾病而失去了很多机会 我洗头发有困难 我的状况使我感到灰心失望 我担心我让周围人失望,ASQoL,This measure adopted the needs-based model that postulates that QoL is dependent on an individuals ability to meet his or her needs. It is a xed-response questionnaire that asks endorsement (yes/no) of 18 items related to symptoms, functioning, and disease-related concern. The