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时间:2018-11-30
《风湿性多肌痛53例临床特点及诊治分析》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、风湿性多肌痛53例临床特点及诊治分析[摘要]目的探�风湿性多肌痛的临床诊疗特点,提高对风湿性多肌痛的认识,减少误诊与漏诊。方法回顾分析2008年9月~2016年9月在内蒙古医科大学附属医院风湿免疫科住院及门诊确诊为风湿性多肌痛53例患者的临床表现和治疗反应。结果患者多为女性,男女比为1:2.8,平均发病年龄(66.96±9.51)岁,平均病程(11.80±6.23)个月。临床表现以累及颈后肌、肩胛带肌和骨盆带肌痛多见,其次为多关节疼痛肿胀,晨僵、发热以及体重下降。本资料中女性患者颈肩痛和骨盆带肌痛比例均高于男性患者(P<0.05)。血沉增快者占94.3%
2、,平均为(49.30±25.56)mm/h;C反应蛋白升高者为84.9%,平均为(33.95±24.89)mg/L。轻中度贫血15例(28.3%)。治疗及预后方面,单用泼尼松治疗者为15例(28.3%),泼尼松联合免疫抑制剂治疗者为38例(71.7%);41例(77.4%)患者病情持续缓解,12例(22.6%)患者病情复发。结论风湿性多肌痛患者多见于50岁以上老年女性,以肩胛带和骨盆带肌肉疼痛伴晨僵多见,小剂量激素治疗后有效。中国6/vie [关键词]风湿性多肌痛;临床表现;诊断标准;治疗方案 [中图分类号]R593[文献标识码]A[]1673-72
3、10(2017)03(a)-0049-04 Clinicalfeature,diagnosisandtreatmentofpolymyalgiarheumaticain53patients Dagula1YUANRong2LIHongbin1ongoliaMedicalUniversity,InnerMongoliaAutonomousRegion,Huhhot010000,China;2.DepartmentofRecordRoom,MongolianMedicineandTraditionalChineseMedicineHospitalofHu
4、hhot,InnerMongoliaAutonomousRegion,Huhhot010030,China [Abstract]ObjectiveToexploretheclinicalcharacteristicsofpolymyalgiarheumatic(PMR)anditsresponsetotreatmentforbetterunderstandingofthisdiseaseandreducethemisseddiagnosisandmisdiagnoses.MethodsTheclinicalfeaturesandthetreatment
5、responsein53patientsfromDepartmentofRheumatology,theAffiliatedHospitalofInnerMongoliaMedicalUniversityfromSeptember2008toSeptember2016oremoninfemales.Thesexratioofmaletofemaleeandurationof(11.80±6.23)monuths.Theshouldergirdlemusclesandhipgirdlemusclesoreaffected,folloorningstiffn
6、ess,feverandalepatientsishigherthanthatinmalepatients(P<0.05).Erythrocytesedimentationrate(ESR)ountof(49.30±25.56)mm/h.C-reactiveprotein(CRP)ountof(33.95±24.89)mg/L.Ofthetotalcases,mildtomoderateanemiaedicationofprednison,thirty-eightpatients(71.7%)binedprednisonandimmunosuppress
7、or.Forty-onepatients(77.4%)sustainedremission,toremoninelderlyfemalepatientsover50yearsold.Theincidencerateofshouldergirdlemusclesandhipgirdlemusclesorningstiffnessoreaffected.Smalldosageofhormonetherapyisprovedtobeeffective.
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