AS评分系统
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☺ 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
The purpose of this measure is to make a global assessment of the well-being of the person with AS over a given period 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 total score is the sum of both scores (range 0–72).
Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Ann Rheum Dis 2005
mSASSS
Lumbar spine: the lower border of the 12th thoracic vertebra, all five lumbar vertebrae, the upper border of the sacrum,
viewed on the lateral radiograph. The corresponding nominal scoring system was used: 0=no abnormality; 1=erosion, sclerosis or squaring; 2=syndesmophyte; and 3=total bony bridging at each site.
Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Ann Rheum Dis 2005
mSASSS
Cervical spine: The scoring system was identical to that of the lumbar
5项
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？请在下列标尺上标出
0
0.5h
1.0h
1.5h
>2h
无＝0; 0.5h＝25; 1.0h＝50; 1.5h＝75; >2h＝100
Bath Ankylosing Spondylitis
Maastricht强直性脊柱炎附着点炎评 分
强直性脊柱炎疾病活动性评分
(ASDAS)
该公式包含5项变量：总体背痛评分、患者总体评 分、晨僵时间、C反应蛋白和血沉。
注：腰背痛、患者总体评价、晨僵持续时间、外周 关节疼痛/肿胀பைடு நூலகம்疲倦均采用10cm的VAS来衡量， 评分为0-10分(10分为非常严重)。腰背痛、晨僵持 续时间和疲倦分别为BASDAI第2个、第6个和第1个 问题。
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 stiffness. The index consists of six “10-cm” horizontal VAS to
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）
Subjects rate their functional ability from 0–10 on a VAS that best describes the current condition .
The mean of the ten scales gives the BASFI score (range, 0–10cm). The SDD for the BASFI is 2.1 cm.
Assessment for enthesitis Without gradation Range（0-13）
Disease measurement – enthesitis, skin, nails, spine and dactylitis. Best Practice & Research Clinical Rheumatology (2010) Spondylitis Assessment of enthesitis in ankylosing. Ann Rheum Dis.(2003)
ASDAS
ASDAS1=0.122×腰背痛+0.061×晨僵持续时间+0.119×患 者总体评价+0.210×血沉的平方根+0.383×(C反应蛋白+1) 的自然对数
ASDAS2=0.079×腰背痛+0.069×晨僵持续时间
+0.113×患者总体评价+0.086×外周关节疼痛/肿胀+0.293×
Cut-offs ASDAS<1.3 ASDAS 1.3-2.1 ASDAS 2.1-3.5 ASDAS>3.5
≥1.1 ≥2.0
Cut-offs proved to have external validity Very good performance vs. existing criteria
The new tool, the RASSS, has better face and content validity than the mSASSS.
的自然对数
ASDAS
Four disease states
Inactive
Moderate
High disease activity
Very high disease activity
Improvement scores Minimally important improvement Major improvement
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12～15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
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、
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.
血沉的平方根
ASDAS3=0.121×腰背痛+0.058×晨僵持续时间
+0.110×患者总体评价+0.073×外周关节疼痛/肿胀
+0.579×(C反应蛋白+1)的自然对数
ASDAS4=0.152×腰背痛+0.069×晨僵持续时间
+0.078×疲倦+0.224×血沉的平方根+0.400×(C反应蛋白+1)
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）
The score range is 0 = none to 10 = very severe effect. The mean of the two scales gives the BASG (score range: 0–10).
“Maastricht Ankylosing Spondylitis Enthesitis Score” (MASES)
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 original 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.
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)
Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Ann Rheum Dis 2005
Radiographic Ankylosing Spondylitis Spinal Score (RASSS)
2009, American College of Rheumatology
RASSS
The inclusion of the lower part of the T-spine significantly increases the sensitivity to change when scoring radiographic damage in AS because more syndesmophytes are potentially scored.
• Identification of proposed cut-offs using NOR-DMARD registry, cross-validation performed in ASSERT
改良Stoke强直性脊柱炎脊柱评分 (mSASSS)
The mSASSS system contained a score for the lumbar spine and a score for the cervical spine.
或肿胀的整体程度： ☺ 4.您身体的触痛或压痛部位的整体不适程度 ☺ 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
The purpose of this measure is to make a global assessment of the well-being of the person with AS over a given period 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 total score is the sum of both scores (range 0–72).
Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Ann Rheum Dis 2005
mSASSS
Lumbar spine: the lower border of the 12th thoracic vertebra, all five lumbar vertebrae, the upper border of the sacrum,
viewed on the lateral radiograph. The corresponding nominal scoring system was used: 0=no abnormality; 1=erosion, sclerosis or squaring; 2=syndesmophyte; and 3=total bony bridging at each site.
Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Ann Rheum Dis 2005
mSASSS
Cervical spine: The scoring system was identical to that of the lumbar
5项
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？请在下列标尺上标出
0
0.5h
1.0h
1.5h
>2h
无＝0; 0.5h＝25; 1.0h＝50; 1.5h＝75; >2h＝100
Bath Ankylosing Spondylitis
Maastricht强直性脊柱炎附着点炎评 分
强直性脊柱炎疾病活动性评分
(ASDAS)
该公式包含5项变量：总体背痛评分、患者总体评 分、晨僵时间、C反应蛋白和血沉。
注：腰背痛、患者总体评价、晨僵持续时间、外周 关节疼痛/肿胀பைடு நூலகம்疲倦均采用10cm的VAS来衡量， 评分为0-10分(10分为非常严重)。腰背痛、晨僵持 续时间和疲倦分别为BASDAI第2个、第6个和第1个 问题。
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 stiffness. The index consists of six “10-cm” horizontal VAS to
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）
Subjects rate their functional ability from 0–10 on a VAS that best describes the current condition .
The mean of the ten scales gives the BASFI score (range, 0–10cm). The SDD for the BASFI is 2.1 cm.
Assessment for enthesitis Without gradation Range（0-13）
Disease measurement – enthesitis, skin, nails, spine and dactylitis. Best Practice & Research Clinical Rheumatology (2010) Spondylitis Assessment of enthesitis in ankylosing. Ann Rheum Dis.(2003)
ASDAS
ASDAS1=0.122×腰背痛+0.061×晨僵持续时间+0.119×患 者总体评价+0.210×血沉的平方根+0.383×(C反应蛋白+1) 的自然对数
ASDAS2=0.079×腰背痛+0.069×晨僵持续时间
+0.113×患者总体评价+0.086×外周关节疼痛/肿胀+0.293×
Cut-offs ASDAS<1.3 ASDAS 1.3-2.1 ASDAS 2.1-3.5 ASDAS>3.5
≥1.1 ≥2.0
Cut-offs proved to have external validity Very good performance vs. existing criteria
The new tool, the RASSS, has better face and content validity than the mSASSS.
的自然对数
ASDAS
Four disease states
Inactive
Moderate
High disease activity
Very high disease activity
Improvement scores Minimally important improvement Major improvement
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12～15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
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、
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.
血沉的平方根
ASDAS3=0.121×腰背痛+0.058×晨僵持续时间
+0.110×患者总体评价+0.073×外周关节疼痛/肿胀
+0.579×(C反应蛋白+1)的自然对数
ASDAS4=0.152×腰背痛+0.069×晨僵持续时间
+0.078×疲倦+0.224×血沉的平方根+0.400×(C反应蛋白+1)
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）
The score range is 0 = none to 10 = very severe effect. The mean of the two scales gives the BASG (score range: 0–10).
“Maastricht Ankylosing Spondylitis Enthesitis Score” (MASES)
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 original 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.
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)
Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Ann Rheum Dis 2005
Radiographic Ankylosing Spondylitis Spinal Score (RASSS)
2009, American College of Rheumatology
RASSS
The inclusion of the lower part of the T-spine significantly increases the sensitivity to change when scoring radiographic damage in AS because more syndesmophytes are potentially scored.
• Identification of proposed cut-offs using NOR-DMARD registry, cross-validation performed in ASSERT
改良Stoke强直性脊柱炎脊柱评分 (mSASSS)
The mSASSS system contained a score for the lumbar spine and a score for the cervical spine.