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目的:探讨并分析老年类风湿性关节炎的临床诊治效果。方法:选取我院2008年1月至2013年12月诊治的老年类风湿性关节炎患者78例,与选取的非老年类风湿性关节患者进行观察和对比。结果:伴有心脑血管疾病、糖尿病或消化系统疾病的老年组比非老年组的患病率高;且发生关节畸形、疲惫、营养不良的老年组明显高于非老年组;在小关节受损及四肢小关节受损和皮下结节中,老年组明显低于非老年组;并且非老年组的风湿因子(RF)检出率明显高于老年组,所以两组对比差异明显具有统计学意义(P<0.01)。结论:老年类风湿性关节炎患者易发生心脑血管疾病、糖尿病或消化系统疾病,且易出现关节畸形的症状,但其风湿因子的检出率不明显。
Objective: To investigate and analyze the clinical diagnosis and treatment of senile rheumatoid arthritis. Methods: Seventy-eight elderly rheumatoid arthritis patients diagnosed and treated in our hospital from January 2008 to December 2013 were selected and compared with those of non-elderly rheumatoid arthritis patients. Results: The prevalence rate of elderly patients with cardiovascular and cerebrovascular diseases, diabetes mellitus or digestive diseases was higher than that of non-elderly patients. The incidence of joint deformities, fatigue and malnutrition in elderly patients was significantly higher than that in non-elderly patients. In the elderly group, the damage to the facet joint and the subcutaneous nodules were significantly lower than those in the non-elderly group; and the detection rate of rheumatoid factor (RF) in the non-elderly group was significantly higher than that in the elderly group, so the difference between the two groups was statistically significant Significance (P <0.01). Conclusion: Patients with senile rheumatoid arthritis are prone to have cardiovascular and cerebrovascular diseases, diabetes or digestive diseases, and prone to the symptoms of joint deformity, but the detection rate of rheumatoid factor is not obvious.