475例类风湿关节炎患者中医临床证候分析

目的　分析类风湿关节炎（RA）患者中医临床证候分布特点。方法　对475例RA患者的中医证候分布情况与年龄、病程、主要实验室指标、X线分期进行回顾性分析。结果 各证型在病程、病情活动情况方面差异有显著性意义；在年龄、主要实验室指标、放射学改变方面亦存在差异，但无统计学意义（P〉0．05）。475例患者中，湿热痹阻型最多，占41．7％；其次为湿热痹阻合并瘀血阻络型，占10．9％。结论 湿热痹阻型病程短，病情重，且多见于疾病活动期，并易与瘀血相合致病，故临床RA活动期多见湿热痹阻合并瘀血阻络证。

Chinese Medical Pattern Analysis of 475 Rheumatoid Arthritis Patients

Objective To study Chinese medical pattern characteristic of rheumatoid arthritis(RA).Methods Retrospective analytical method was used to investigate pattern distribution,age,course,main laboratory index and X-ray stage of 475 RA patients.Results There were great differences in course and pathogenetic condition among different patterns.There was no statistical significance in age,main laboratory index and X-ray although differences existed.Most of the patterns was damp-heat impeding which accounted for 41.7%,then damp-heat impeding with static blood obstructing the network vessels which accounted for 10.9%.Conclusion When it comes to damp-heat impeding pattern,course is short and condition is serious.Pattern of damp-heat impeding with static blood obstructing the network vessels is common in active stage of RA,as damp-heat impeding is easily accompanied with static blood.