类风湿性关节炎的诊治探讨

依照美国风湿病学会(ARA)1987年修订的类风湿性关节炎(RA)诊断标准,收集了住院RA 34例。其临床有晨僵及腕、掌指或指间关节肿痛,X线检查有关节受累征象,血沉增快,多数病例类风湿因子阳性。34例中大部分用非甾体抗炎药(NSAID)加激素治疗,仅2例短期加用了改变病情药(DMARD)。目前多认为早期根据病情并用NSAID及DMARD联合治疗,有助于控制滑膜炎症和减少骨关节的损害。

Diagnosis and treatment of rheumatoid arthritis.

According to the American Rheumatic Association (ARA) 1987 revised criteria for rheumatoid arthritis (RA) 34 admitted patients with RA were collected. They had morning stiffness and swelling joints. Most of them had rheumatoid factor. Radiopho-tography showed relevant changes and ery-throsedimentation rate (ESR) quikened. The majority of cases were treated with nonsteroidal anti-inflammatory drugs (NSAID) and cortex hormone, only 2 cases added disease modifying anti-rheumatic drugs (DMARD). Recently it considered that early combining NSAID and DMARD is beneficial to control synovitis and reduce damages of joints.