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类风湿关节炎诊断和缓解标准及其进展 被引量：19

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摘要 类风湿关节炎（RA）是一种以慢性进行性关节病变为主要改变的自身免疫病，患者可出现严重的关节畸形及功能丧失，不仅严重影响患者的健康和生活质量，还给社会带来了巨大的经济负担，早期诊断、及时规范化治疗是改善RA预后的关键。现主要介绍RA的分类（诊断）标准和缓解标准，希望对风湿科医师有所裨益。
作者 刘栩 路晓燕 赵岩 栗占国
机构地区 北京大学人民医院风湿免疫科 中国医学科学院北京协和医学院北京协和医院风湿免疫科
出处 《中华内科杂志》 CAS CSCD 北大核心 2010年第4期354-356,共3页 Chinese Journal of Internal Medicine
关键词 类风湿关节炎 早期诊断 标准 缓解 自身免疫病 规范化治疗 关节病变 功能丧失
分类号 R593.22 [医药卫生—内科学]
作者简介 通信作者：栗占国，Email：zgli98@yahoo．com
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参考文献19

  • 1Amett FC, Edworthy SM, Bloeh DA, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum, 1988,31:315-324.
  • 2Saraux A, Berthelot JM, Chalks G, et al. Ability of the American College of Rheumatology 1987 criteria to predict rheumatoid arthritis in patients with early arthritis and classification of these patients two years later. Arthritis Rheum,2001,44:2485-2491.
  • 3Liao KP, Batra KL, Chibnik L, et al. Anti-cyclic citrullinated peptide revised criteria for the classification of rheumatoid arthritis. Ann Rheum Dis ,2008,67 : 1557-1561.
  • 4赵金霞,王志敏,栗占国.以抗环瓜氨酸肽抗体改进对1987年美国风湿病学会关于类风湿关节炎分类标准的探讨[J].中华风湿病学杂志,2009,13(4):236-239. 被引量：33
  • 5Pinals RS, Masi AT, Larsen RA. Preliminary criteria for clinical remission in rheumatoid arthritis. Arthritis Rheum, 1981,24: 1308-1315.
  • 6Felson DT, Anderson JJ, Boers M, et al. The American College of Rlaeumatology preliminary core set of disease activity measures for rheumatoid arthritis clinical trials. The Committee on Outcome Measures in Rheumatoid Arthritis Clinical Trials. Arthritis Rheum, 1993,36 : 729 -740.
  • 7van der Heijde DM, van't Hof M, van Riel PL, et al. Development of a disease activity score based on judgment in clinical practice by rheumatologists. J Rheumatol, 1993,20 : 579- 581,.
  • 8Breedveld FC, Weisman MH, Kavanaugh AF, et al. The PREMIER study: A muhicenter, randomized, double-blind clinical trial of combination therapy with adalimumab plus methotrexate versus methotrexate alone or adalimumab alone in patients with early, aggressive rheumatoid arthritis who had not had previous methotrexate treatment. Arthritis Rheum, 2006,54 : 26-37.
  • 9Keystone EC, Kavanaugh AF, Sharp JT, et al. Radiographic, clinical, and functional outcomes of treatment with adalimumab ( a human anti-tumor necrosis factor monoclonal antibody) in patients with active rheumatoid arthritis receiving concomitant methotrexate therapy: a randomized, placebo-controlled, 52-week trial. Arthritis Rheum,2004,50 : 1400-1411.
  • 10Burmester GR, Mariette X, Montecucco C, et al. Adalimumab alone and in combination with disease-modifying antirheumatic drugs for the treatment of rheumatoid arthritis in clinical practice : the Research in Active Rheumatoid Arthritis (ReAct) trial. Ann Rheum Dis ,2007,66:732-739.

二级参考文献21

  • 1Arnett FC, Edworthy SM, Bloch DA, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum, 1958, 31:315-324.
  • 2Saraux A, Berthelot JM, Chales G, et al. Ability of the American College of Rheumatology 1987 criteria to predict rheumatoid arthritis in patients with early arthritis and classification of these patients two years later. Arthritis Rheum, 2001, 44: 2485-2491.
  • 3Zendman A J, Vossenaar ER, van Venrooij WJ. Autoantibodies to citrullinated (poly) peptides: a key diagnostic and prognostic marker for rheumatoid arthritis. Autoimmunity, 2004, 37: 295-299.
  • 4Liao KP, Batra KL, Chibnik L, et al. Anti-CCP revised criteria for the classification of rheumatoid arthritis. Ann Rheum Dis, 2008, 67: 1557-1561.
  • 5Guidelines for the management of rheumatoid arthritis. American College of Rheumatology Ad Hoc Committee on Clinical Guidelines. Arthritis Rheum, 1996, 39: 713-722.
  • 6Guidelines for the management of rheumatoid arthritis: 2002 Update. Arthritis Rheum, 2002, 46: 328-346.
  • 7Saag KG, Teng GG, Patkar NM, et al. American College of Rheumatology 2008 recommendations for the use of nonbiologic and biologic disease -modifying antirheumatic drugs in rheumatoid arthritis. Arthritis Rheum, 2008, 59: 762-784.
  • 8Kaarela K, Kauppi MJ, Lehtinen KE. The value of the ACR 1987 criteria in very early rheumatoid arthritis. Stand J Rheumatol, 1995, 24: 279-281.
  • 9Aletaha D, Breedveld FC, Smolen JS. The need for new classification criteria for rheumatoid arthritis. Arthritis Rheum, 2005, 52:3333-3336.
  • 10Visser H, le Cessie S, Vos K, et al. How to diagnose rheumatoid arthritis early: a prediction model for persistent (erosive) arthritis. Arthritis Rheum, 2002, 46: 357-365.

共引文献32

同被引文献154

引证文献19

二级引证文献187

中华内科杂志
2010年 第4期

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