CAJ | 학술논문

目的：借助临床流行病学调查方法，筛查被忽视的类风湿关节炎患者的若干痛苦，以期在治疗时能全面关注患者的痛苦及生存质量。方法：通过检索相关文献、阅读专著、咨询专家和预调查等方法，设计类风湿关节炎主要痛苦调查表，对186例类风湿关节炎患者进行临床流行病学调查，并指导患者对程度比较严重的痛苦运用视觉模拟评分法（VAS）进行评分，最后将收集的资料输入数据库，采用SPSS 19.0软件进行统计分析，运用描述性分析、频数分析等方法得出类风湿关节炎患者的主要痛苦（即患者进行VAS评分的痛苦）频数表，并选取VAS频数≥24的主要痛苦与类风湿关节炎相关权威文献中的临床表现进行对比，筛查出被忽视的类风湿关节炎患者的若干痛苦。结果：在186例类风湿关节炎患者中，筛查出被忽视的RA患者的若干痛苦，按VAS频数依次为全身怕风怕冷（109，58.60%）、易怒（98，52.69%）、畏寒肢冷（86，46.24%）、健忘（43，23.12%）、失眠（41，22.04%）、盗汗（40，21.51%）、脱发（38，20.43%）、口干（37，19.89%）、易感冒（35，18.82%）、夜尿频（26，13.98%）、口苦（25，13.44%）、五心烦热（24，12.90%）等；VAS评分分别为全身怕风怕冷（5.04±1.67）分、易怒（5.50±1.68）分、畏寒肢冷（5.40±1.82）分、健忘（4.90±1.95）分、失眠（4.83±1.32）分、盗汗（4.90±1.34）分、脱发（4.57±1.80）分、口干（4.17±1.45）分、易感冒（4.96±1.35）分、夜尿频（5.00±1.59）分、口苦（3.68±1.74）分、五心烦热（4.37±1.42）分。结论：这些痛苦的VAS频数较高且VAS评分绝大多数>4.0分，影响类风湿关节炎患者的生存质量，不容被忽视。
목적：차조림상류행병학조사방법，사사피홀시적류풍습관절염환자적약간통고，이기재치료시능전면관주환자적통고급생존질량。방법：통과검색상관문헌、열독전저、자순전가화예조사등방법，설계류풍습관절염주요통고조사표，대186례류풍습관절염환자진행림상류행병학조사，병지도환자대정도비교엄중적통고운용시각모의평분법（VAS）진행평분，최후장수집적자료수입수거고，채용SPSS 19.0연건진행통계분석，운용묘술성분석、빈수분석등방법득출류풍습관절염환자적주요통고（즉환자진행VAS평분적통고）빈수표，병선취VAS빈수≥24적주요통고여류풍습관절염상관권위문헌중적림상표현진행대비，사사출피홀시적류풍습관절염환자적약간통고。결과：재186례류풍습관절염환자중，사사출피홀시적RA환자적약간통고，안VAS빈수의차위전신파풍파랭（109，58.60%）、역노（98，52.69%）、외한지랭（86，46.24%）、건망（43，23.12%）、실면（41，22.04%）、도한（40，21.51%）、탈발（38，20.43%）、구간（37，19.89%）、역감모（35，18.82%）、야뇨빈（26，13.98%）、구고（25，13.44%）、오심번열（24，12.90%）등；VAS평분분별위전신파풍파랭（5.04±1.67）분、역노（5.50±1.68）분、외한지랭（5.40±1.82）분、건망（4.90±1.95）분、실면（4.83±1.32）분、도한（4.90±1.34）분、탈발（4.57±1.80）분、구간（4.17±1.45）분、역감모（4.96±1.35）분、야뇨빈（5.00±1.59）분、구고（3.68±1.74）분、오심번열（4.37±1.42）분。결론：저사통고적VAS빈수교고차VAS평분절대다수>4.0분，영향류풍습관절염환자적생존질량，불용피홀시。
Objective:To screen neglected anguishes of patients with rheumatoid arthritis by means of investigation of clinical epidemiology in order to fully pay a close attention to patients’ anguishes and quality of life in the treatment.Methods:By way of literature retrieval,reading related books,consulting experts and pre-survey,a questionnaire of main anguishes of patients with rheumatoid arthritis was designed and a clinical epidemiological investigation was made on 186 cases of patients with rheumatoid arthritis,guiding patients to score the more serious anguishes with visual analogue score(VAS).The collected data were input into the database and statistically analyzed with SPSS 19.0.A frequency table for main anguishes in patients with rheumatoid arthritis (anguishes scored with VAS by patients)was obtained by descriptive analysis and frequency analysis.Anguishes (the frequency of VAS≥24)were compared with the clinical manifestations in authoritative literatures related with rheumatoid arthritis to screen neglected anguishes of patients with rheumatoid arthritis.Results:In 186 cases of rheumatoid arthritis,according to the VAS frequency,the screened anguishes are respectively:being afraid of cold and wind (109,58.60%),irritability (98,52.69%),aversion to cold and cold limbs (86,46.24%),forgetfulness (43,23.12%),insomnia(41,22.04%),night sweats(40,21.51%),alopecia(38,20.43%),dry mouth (37,19.89%),being apt to catching cold(35,18.82%),frequent urination at night(26,13.98%),bitter mouth (25,13.44%) and burning sensation of five centres(24,12.90%);the VAS scores were respectively:being afraid of cold and wind(5.04 ± 1.67),irritability(5.50 ± 1.68),aversion to cold and cold limbs(5.40 ± 1.82),forgetfulness(4.90 ± 1.95),insomnia(4.83 ± 1.32),night sweats(4.90 ± 1.34),alopecia(4.57 ± 1.80),dry mouth(4.17 ± 1.45),being apt to catching cold(4.96 ± 1.35),frequent urination at night (5.00 ± 1.59),bitter mouth(3.68 ± 1.74),burning sensation of ifve centres(4.37 ± 1.42).Conclusion:The frequency of those anguishes was higher and the majority of VAS scores were over 4.0,which inlfuenced the life quality of patients with rheumatoid arthritis and should not be ignored.