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甲氨蝶呤联合环磷酰胺治疗类风湿关节炎的疗效观察
引用本文:王妤,李军霞,郝慧玲,李小峰,王彩虹.甲氨蝶呤联合环磷酰胺治疗类风湿关节炎的疗效观察[J].中国医疗前沿,2011(10):29-30.
作者姓名:王妤  李军霞  郝慧玲  李小峰  王彩虹
作者单位:山西医科大学第二医院风湿免疫科;
摘    要:目的探讨甲氨蝶呤(MTX)联合环磷酰胺(CTX)治疗类风湿性关节炎(RA)的临床疗效和安全性。方法将50例活动期RA患者随机分为治疗组和对照组各25例。治疗组给予甲氨喋呤(MTX)+环磷酰胺(CTX);对照组给予甲氨喋呤(MTX)+来氟米特(LEF)。两组均治疗12周。观察两组治疗后的临床疗效和不良反应。结果治疗12周后,治疗组在关节肿胀、关节压痛、晨僵时间、ESR及CRP等临床和实验室指标的改善均优于对照组,差异均有统计学意义(P〈0.05);治疗组不良反应少于对照组,差异有统计学意义(P〈0.05)。结论 MTX联合CTX治疗RA临床疗效好,不良反应小,安全性高。

关 键 词:甲氨蝶呤  环磷酰胺  类风湿关节炎

Comparative Study on Clinical Efficacy of Methotrexate Combined with Cyclophosphamide in the treatment of Rheumatoid Arthritis
WANG Yu,LI Jun-xia,HAO Hui-ling,et al..Comparative Study on Clinical Efficacy of Methotrexate Combined with Cyclophosphamide in the treatment of Rheumatoid Arthritis[J].China Healthcare Innovation,2011(10):29-30.
Authors:WANG Yu  LI Jun-xia  HAO Hui-ling  
Institution:WANG Yu,LI Jun-xia,HAO Hui-ling,et al.The Second Hospital of Shanxi Medical University,Taiyuan 030001,China
Abstract:Objective To compare the efficary and adverse reaction of methotrexate(MTX) plus cyclophosphamide(CTX)(Group MTX+CTX) and methotrexate(MTX) plus leflunomide(LEF)(Group MTX+LEF) in the treatment of active rheumatoid arthritis(RA).Methods 50 cases were divided into secend groups.25 partients of the combination group administrated LEF and MTX;25 partients of the combination group recerived LEF and CTX.The indexes of the efficiency assessment included rest pain,moring stiffness,gripping strength,count of joint ...
Keywords:Methotrexate  Cyclophosphamide  Rheumatoid arthritis  
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