糖尿病合并类风湿关节炎12例回顾性分析

Analysing about the retrospect nature of 12 cases with diabetes plus rheumatoid arthritis

目的:探讨分析糖尿病合并类风湿关节炎的发病机制,为临床治疗提供新的思路。方法:回顾性分析12例类风湿关节炎合并糖尿病患者的临床资料,包括临床特点、功能检查、实验室检查结果以及临床治疗方法等。结果:经治疗后,9例患者临床症状得以缓解,1例患者病情有所加重,2例患者病情反复发作,治疗有效率为75%。11例(91.7%)患者血糖控制在正常范围,另有1例(8.3%)患者血糖值超出正常范围,且波动较大。结论:糖尿病和类风湿关节炎发病机制存在着共性,两者之间具有一定的内在联系。针对患者进行糖尿病和类风湿性关节综合治疗,能够有效缓解临床症状,提高临床疗效,降低致残率。

Objective： To observe the pathogenesis of diabetic patients with rheumatoid arthritis and to provide new ideas for clinical treatment. Methods： 12 patients with plus rheumatoid arthritis was retrospectively analysed, including clinical features, functional audit, laboratory and clinical and clinical treatment methods. Results： After treatment, 9 patients’ clinical symptoms were relieved, 1 patient’s clinical symptoms were aggravated, 2 patients’ clinical symptoms were recurrent. The total efective rate was 75%. Blood glucose in 11 cases （0.91%） was controlled within normal range, 1 case （0.08%） was controlled beyond normal range. Conclusion： There were similarities between the pathogenesis of diabetes and rheumatoid arthritis. Comprehensive treatment of diabetes plus rheumatoid arthritis can efectivily relief of symptoms, improve the clinical curative efect, decrease the deformity rate.