我院242例类风湿性关节炎患者的临床资料回顾性分析

Retrospective analysis of clinical data of 242 patients with rheumatoid arthritis in our hospital

目的回顾性分析类风湿关节炎(RA)的发病特征、诊疗情况及用药情况。方法对本院收治的RA患者共242例的病例资料,如性别、年龄、病程、合并症、诊疗以及用药情况等进行统计分析。结果女性发病例数是男性约3倍;45~60岁居多;病程>1~10年占52.07%;老年患者的关节功能障碍和并发症例数居多;X线检查Ⅰ、Ⅱ、Ⅲ、Ⅳ期患者分别占23.97%、31.82%、24.79%、6.20%;关节症状最多为关节疼痛和屈伸不利;主要采用西药治疗;不良反应主要在消化系统。结论类风湿性关节炎疾病多发于中老年女性,病程长且并发疾病种类多。

Objective To retrospectively analyze the epidemiological characteristics, diagnosis and treatment, medication of rheumatoid arthritis（RA）. Methods A total of 242 cases of RA patients in our hospital were analyzed, including gender,age, course of disease, complications, diagnosis and treatment and medication status. Results The incidence of female patients was about three times of that of men. The age range of 45-60 years old was the most. The duration of disease ranged 1-10 years accounted for 52.07% of the total. There were more patients with joint dysfunction and complications in the old patients. The number of patients with stage Ⅰ, Ⅱ, Ⅲ and Ⅳ in the X-ray examination was accounting for23.97%, 31.82%, 24.79% and 6.20% respectively. The most common symptoms of joint were joint pain and unfavorable flexion and extension. The treatment was mainly given western medicine. The adverse reactions were mainly in digestive system. Conclusion The RA disease is more common in middle-aged and elderly women. It has a long course of disease and many kinds of complicated diseases.