未分化脊柱关节病分类标准的临床验证

Clinical verification of classified standards for undifferentiated spondyloarthropathy

目的 通过临床资料来验证脊柱关节病的 2个分类标准 ,即Amor标准和欧洲脊柱关节病研究组 (ESSG)标准。方法 采用 1995— 1999年以慢性腰痛及关节痛 (炎 )为主诉的临床病例(包括门诊和住院病例 ) ,分别用Amor标准和ESSG标准进行诊断。结果 用Amor标准诊断的敏感性是 88 2 % ,特异性是 99 7% ,阳性预测值是 99 7% ,阴性预测值是 89 8% ;用ESSG标准诊断的敏感性是 92 0 % ,特异性是 97 9% ,阳性预测值是 97 7% ,阴性预测值是 92 7%。两种标准的敏感性及特异性比较差异无显著性 (P >0 0 5 )。结论 Amor标准和ESSG标准对我国相关人群的临床诊断均具有较高的敏感性和特异性 ,并且两种标准间无统计学差异 ,可以相互替代。

Objective To verify two classified standards (Amor and ESSG) for spodyloarthropathy by authors′clinical data.Method The clinical data in the authors′ Hospital have been used from 1995 to 1999 (including outpatients and inpatients).They were diagnosed with standard of Amor and standard of ESSG respectively.Results The sensitivity of Amor standard was 88 2% and specificity was 99 7%,the positive forecast value was 99 6% and negative forecast value was 89 8%.The sensitivity of ESSG standard was 92 0% and specificity was 97 9%,the positive forecast value was 97 7%and negative forecast value was 92 7%.There was no significant difference between the two standards ( P >0 05).Conclusion The standards of Amor and ESSG have higher sensitivity and specificity to diagnose spondyloarthropathy in China.The two standards have no difference in statistics.