{"id":8953,"date":"2018-08-01T07:06:37","date_gmt":"2018-07-31T23:06:37","guid":{"rendered":"https:\/\/www.finddoc.com\/health\/?post_type=hip&#038;p=8953"},"modified":"2019-07-10T15:43:22","modified_gmt":"2019-07-10T07:43:22","slug":"%e5%bc%ba%e7%9b%b4%e6%80%a7%e8%84%8a%e6%a4%8e%e7%82%8e","status":"publish","type":"hip","link":"https:\/\/www.finddoc.com\/health\/zh-cn\/guides\/%e5%bc%ba%e7%9b%b4%e6%80%a7%e8%84%8a%e6%a4%8e%e7%82%8e\/","title":{"rendered":"\u5f3a\u76f4\u6027\u810a\u690e\u708e"},"content":{"rendered":"\n<div class=\"wp-block-group hip__header\">\n<div class=\"wp-block-group container\">\n        <h1 class=\"entry-title mb-4\">\n            \u5f3a\u76f4\u6027\u810a\u690e\u708e\n        <\/h1>\n    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style=\"text-align:center\">\u60a3\u5f3a\u76f4\u6027\u810a\u690e\u708e<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column\">\n<p style=\"text-align:center\"> \u5f3a\u76f4\u6027\u810a\u690e\u708e<\/p>\n\n\n\n<p style=\"text-align:center\">\u7537\u5973\u60a3\u8005\u6bd4\u4f8b<\/p>\n\n\n\n<h3 style=\"text-align:center\" class=\"text-macaroni-and-cheese\">4 : 1 <\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column\">\n<p style=\"text-align:center\">  \u5f3a\u76f4\u6027\u810a\u690e\u708e <\/p>\n\n\n\n<p style=\"text-align:center\">\u53d1\u75c5\u5e74\u9f84\u4e00\u822c\u5728<\/p>\n\n\n\n<h3 style=\"text-align:center\" class=\"text-primary\">16\u5c81\u81f340\u5c81 <\/h3>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n<\/div>\n<\/div>\n\n\n\n    <nav class=\"hip__nav\">\n        <div class=\"hip__navbar js-hip-nav\">\n            <button class=\"hip__navbar-arrow hip__navbar-arrow--left js-hip__navbar-arrow--left d-none\">\n                <img 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height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2019\/06\/17170027\/image_cause_zh-cn_1535702325.jpg\" alt=\"\u5f3a\u76f4\u6027\u810a\u690e\u708e \u6210\u56e0\" class=\"wp-image-8954\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:65%\">\n<h2>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u6210\u56e0<\/h2>\n\n\n\n<p><p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\uff0c\u53c8\u79f0\u50f5\u76f4\u6027\u810a\u690e\u708e (\u82f1\u6587\u4e3a Ankylosing Spondylitis\uff0c\u7b80\u79f0AS)\uff0c\u662f\u4e00\u79cd\u4e0e\u514d\u75ab\u7cfb\u7edf\u6709\u5173\u7684\u98ce\u6e7f\u75c5\u3002\u5f3a\u76f4\u6027\u810a\u690e\u708e\u662f\u4e00\u79cd\u6e10\u8fdb\u5f0f\u6162\u6027\u708e\u75c7\uff0c\u5176\u6210\u56e0\u76ee\u524d\u5c1a\u672a\u660e\u786e\uff0c\u4f46\u5df2\u77e5\u4e0e\u81ea\u8eab\u514d\u75ab\u7cfb\u7edf\u5931\u8c03\u6709\u5173\u3002\u56e0\u8eab\u4f53\u7684\u514d\u75ab\u7cfb\u7edf\u9519\u8bef\u653b\u51fb\u6b63\u5e38\u7ec4\u7ec7\uff0c\u4ee5\u81f4\u810a\u690e\u5173\u8282\u53ca\u9ab6\u9ac2\u5173\u8282\u7b49\u51fa\u73b0\u53d1\u708e\u3001\u75bc\u75db\u3001\u50f5\u786c\u3002<\/p>\n<p>\u4ee5\u4e0b\u56e0\u7d20\u53ef\u80fd\u4f1a\u589e\u52a0\u60a3\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u98ce\u9669\uff1a<\/p>\n<ul>\n<li><strong>\u57fa\u56e0\u9057\u4f20<\/strong>\uff1a\u6709\u7814\u7a76\u53d1\u73b0\uff0c\u5f3a\u76f4\u6027\u810a\u690e\u708e\u4e0eHLA-B27\u6297\u539f\u6709\u5173\uff0c90%\u4ee5\u4e0a\u7684\u60a3\u8005\u5e26\u6709\u6b64\u9057\u4f20\u57fa\u56e0\u3002\u4e0d\u8fc7\uff0c\u5373\u4f7f\u5e26\u6709\u8fd9\u57fa\u56e0\uff0c\u4e5f\u4e0d\u4e00\u5b9a\u4ee3\u8868\u4f60\u4f1a\u60a3\u4e0a\u5f3a\u76f4\u6027\u810a\u690e\u708e\u3002\u6839\u636e\u4e00\u4e9b\u7edf\u8ba1\u6570\u5b57\uff0c\u5982\u5e26\u6709HLA-B27\u57fa\u56e0\u4f46\u5e76\u6ca1\u6709\u4eb2\u5c5e\u60a3\u5f3a\u76f4\u6027\u810a\u690e\u708e\uff0c\u53d1\u75c5\u7387\u4ec5\u4e3a2%\uff1b\u5982\u5e26\u6709HLA-B27\u57fa\u56e0\u4e14\u6709\u7236\u6bcd\u6216\u5144\u5f1f\u59ca\u59b9\u60a3\u5f3a\u76f4\u6027\u810a\u690e\u708e\uff0c\u53d1\u75c5\u7387\u5219\u5927\u7ea6\u4e3a20%\u3002<\/li>\n<li><strong>\u7ec6\u83cc\u611f\u67d3<\/strong><\/li>\n<li><strong>\u6027\u522b<\/strong>\uff1a\u5f3a\u76f4\u6027\u810a\u690e\u708e\u4e3b\u8981\u5f71\u54cd\u7537\u6027\uff0c\u7537\u5973\u60a3\u8005\u6bd4\u4f8b\u5927\u7ea6\u4e3a 4 : 1\u3002<\/li>\n<li><strong>\u5e74\u9f84<\/strong>\uff1a\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u53d1\u75c5\u5e74\u9f84\u4e00\u822c\u572816\u5c81\u81f340\u5c81\u4e4b\u95f4\uff0c\u6700\u5e38\u4e8e20\u81f330\u5c81\u5de6\u53f3\u53d1\u75c5\u3002<\/li>\n<\/ul><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"hip__section-border-lower\"><\/div>\n\n\n\n<div class=\"wp-block-group\">\n<div class=\"wp-block-group\" id=\"\u75c7\u72b6\">\n<div class=\"wp-block-columns has-2-columns hip__content-section container flex-column-reverse flex-lg-row\">\n<div class=\"wp-block-column\" style=\"flex-basis:65%\">\n<h2>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u75c5\u5f81\u53ca\u5002\u53d1\u75c7<\/h2>\n\n\n\n<p><p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u75c7\u72b6\u56e0\u4eba\u800c\u5f02\uff0c\u5176\u4e3b\u8981\u5f81\u72b6\u5305\u62ec\uff1a<\/p>\n<ul>\n<li>\u4e0b\u80cc\u75db\u53ca\u50f5\u786c\uff0c\u75db\u75c7\u6301\u7eed\u4e09\u4e2a\u6708\u6216\u4ee5\u4e0a\u3002\u5c24\u5176\u662f\u65e9\u4e0a\u521d\u9192\u65f6\u8170\u80cc\u90e8\u7279\u522b\u50f5\u786c\uff0c\u5373\u6240\u8c13\u7684\u300c\u6668\u50f5\u300d\uff1b<\/li>\n<li>\u5728\u6d3b\u52a8\u6216\u8fd0\u52a8\u540e\u75db\u695a\u4f1a\u51cf\u8f7b\uff0c\u4f46\u9759\u6b62\u4e0d\u6d3b\u52a8\u6216\u957f\u65f6\u95f4\u7ef4\u6301\u540c\u6837\u7684\u59ff\u52bf\u540e\uff0c\u4f1a\u611f\u5230\u75bc\u75db\u50f5\u786c\u3002\u8fd9\u4e0e\u673a\u68b0\u6027\u80cc\u75db\u4e0d\u540c\uff0c\u5f3a\u76f4\u6027\u810a\u690e\u708e\u662f\u6108\u4f11\u606f\u6108\u75db\u7684\uff0c\u800c\u56e0\u59ff\u52bf\u4e0d\u6b63\u786e\u6216\u52b3\u635f\u800c\u5f15\u81f4\u7684\u673a\u68b0\u5f0f\u80cc\u75db\u5219\u5728\u4f11\u606f\u540e\u75db\u695a\u4f1a\u51cf\u8f7b\uff1b<\/li>\n<li>\u8170\u80cc\u75db\u5728\u665a\u95f4\u5c24\u5176\u4e25\u91cd\uff0c\u60a3\u8005\u7ecf\u5e38\u56e0\u80cc\u75db\u800c\u75db\u9192\uff1b<\/li>\n<li>\u75db\u695a\u4e00\u822c\u6700\u5148\u5728\u76c6\u9aa8\u4e0e\u5c3e\u9f99\u9aa8\u4e4b\u95f4\u7684\u9ab6\u9ac2\u5173\u8282\u51fa\u73b0\uff0c\u5e76\u9010\u6e10\u7531\u4e0b\u800c\u4e0a\u4f38\u5ef6\u81f3\u81c0\u90e8\u3001\u4e0a\u80cc\u90e8\u3001\u524d\u80f8\u53ca\u9888\u90e8\u3002<\/li>\n<\/ul>\n<p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u5728\u53d1\u75c5\u521d\u671f\uff0c\u901a\u5e38\u662f\u9ab6\u9ac2\u5173\u8282\u56e0\u53d1\u708e\u800c\u53d7\u5230\u4fb5\u8680\u3002\u5f53\u708e\u75c7\u51cf\u9000\u65f6\uff0c\u539f\u9aa8\u9abc\u5916\u56f4\u4f1a\u51fa\u73b0\u65b0\u751f\u9aa8\u9abc\u3002\u5982\u708e\u75c7\u53cd\u590d\u53d1\u751f\uff0c\u65b0\u751f\u9aa8\u9abc\u4f1a\u878d\u5408\u5728\u4e00\u8d77\uff0c\u5bfc\u81f4\u9ab6\u9ac2\u5173\u8282\u4f4d\u7684\u6d3b\u52a8\u5e45\u5ea6\u4e0b\u964d\uff0c\u8170\u90e8\u4e0d\u80fd\u518d\u7075\u6d3b\u8f6c\u52a8\u3002\u968f\u7740\u75c5\u60c5\u6076\u5316\uff0c\u75c7\u72b6\u4f1a\u5ef6\u4f38\u81f3\u9888\u3001\u80f8\u690e\u53ca\u8170\u690e\u4e4b\u95f4\uff0c\u810a\u9aa8\u524d\u7aef\u97e7\u5e26\u53d8\u786c\uff0c\u4ee4\u690e\u95f4\u4e92\u76f8\u7d27\u8fde\uff0c\u6b64\u65f6\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u518d\u96be\u4ee5\u505a\u5f2f\u8eab\u6216\u8f6c\u8eab\u7684\u52a8\u4f5c\uff0c\u800c\u80f8\u90e8\u808b\u9aa8\u4e4b\u95f4\u7684\u5173\u8282\u4ea6\u53ef\u80fd\u53d7\u5230\u5f71\u54cd\uff0c\u800c\u4ee4\u60a3\u8005\u96be\u4ee5\u5982\u5e38\u8212\u5c55\u80f8\u819b\u3002\u5f53\u75c5\u60c5\u53d1\u5c55\u81f3\u540e\u671f\u65f6\uff0c\u8170\u690e\u81f3\u81c0\u90e8\u4e4b\u95f4\u3001\u80a9\u8180\u548c\u811a\u8ddf\u90fd\u4f1a\u53d7\u5230\u5f71\u54cd\uff0c\u810a\u67f1\u53d8\u5f97\u7578\u5f62\uff0c\u5f62\u6210\u810a\u690e\u5f2f\u66f2\u5f62\u6001\uff0c\u4ece\u800c\u4e25\u91cd\u5f71\u54cd\u6d3b\u52a8\u80fd\u529b\u53ca\u65e5\u5e38\u751f\u6d3b\u3002<\/p>\n<p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u9664\u4e86\u4f1a\u5f71\u54cd\u810a\u690e\u5173\u8282\u548c\u5468\u8fb9\u5173\u8282\uff0c\u4ea6\u4f1a\u5f71\u54cd\u5173\u8282\u4ee5\u5916\u7684\u591a\u4e2a\u5668\u5b98\u3002\u5982\u679c\u5f97\u4e0d\u5230\u9002\u5f53\u7684\u8bca\u65ad\u548c\u6cbb\u7597\uff0c\u5f3a\u76f4\u6027\u810a\u690e\u708e\u53ef\u80fd\u4f1a\u5f15\u81f4\u4ee5\u4e0b\u5002\u53d1\u75c7\uff1a<\/p>\n<ul>\n<li><strong>\u8679\u819c\u708e<\/strong> \/ <strong>\u8461\u8404\u819c\u708e<\/strong>\uff1a\u8fd9\u662f\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u5e38\u89c1\u5002\u53d1\u75c7\uff0c\u7ea640%\u60a3\u8005\u4f1a\u540c\u65f6\u51fa\u73b0<a href=\"\/zh-cn\/finddoctv\/info\/\u8679\u819c\u708e-286\" target=\"_blank\" rel=\"noopener noreferrer\">\u8679\u819c\u708e<\/a>\uff0c\u5bfc\u81f4\u773c\u775b\u7ea2\u80bf\u5145\u8840\u3001\u89c6\u529b\u6a21\u7cca\u3001\u6015\u5149\u548c\u6d41\u773c\u6c34\u7b49\u3002\u5982\u75c5\u60c5\u6076\u5316\uff0c\u6709\u673a\u4f1a\u5f15\u81f4\u9ec4\u6591\u6c34\u80bf\u3001<a href=\"\/zh-cn\/health\/info\/\u9752\u5149\u773c\" target=\"_blank\" rel=\"noopener noreferrer\">\u9752\u5149\u773c<\/a>\u3001<a href=\"\/zh-cn\/health\/info\/\u767d\u5167\u969c\" target=\"_blank\" rel=\"noopener noreferrer\">\u767d\u5185\u969c<\/a>\uff0c\u751a\u81f3\u5931\u660e\u3002<\/li>\n<li><strong>\u80ba\u90e8\u75c5\u53d8<\/strong>\uff1a\u5982\u5f71\u54cd\u80f8\u90e8\u808b\u9aa8\uff0c\u4f1a\u9650\u5236\u80ba\u90e8\u7684\u6269\u5f20\uff0c\u4ee4\u60a3\u8005\u51fa\u73b0\u54b3\u55fd\u751a\u81f3\u547c\u5438\u56f0\u96be\u7684\u60c5\u51b5\u3002\u53e6\u5916\uff0c\u5c11\u6570\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u53ef\u80fd\u4f1a\u51fa\u73b0\u808b\u819c\u708e\u3001\u80ba\u7ea4\u7ef4\u5316\u7b49\u3002<\/li>\n<li><strong>\u80a0\u9053\u708e<\/strong>\uff1a\u90e8\u5206\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u4f1a\u51fa\u73b0\u8179\u75db\u3001\u8179\u6cfb\u53ca\u5927\u4fbf\u6709\u9ecf\u6db2\u5e26\u8840\u7b49\u60c5\u51b5\u3002<\/li>\n<li><strong>\u5fc3\u8840\u7ba1\u75c5\u53d8<\/strong>\uff1a\u5f3a\u76f4\u6027\u810a\u690e\u708e\u53ef\u80fd\u4f1a\u5f15\u8d77\u5fc3\u74e3\u819c\u75c5\u53d8\uff0c\u5bfc\u81f4\u4e3b\u52a8\u8109\u74e3\u95ed\u9501\u4e0d\u5168\u6216\u5fc3\u623f\u7ea4\u98a4\u7b49\u3002<\/li>\n<li><strong>\u80be\u708e<\/strong>\uff1a\u6709\u5c11\u6570\u5f3a\u76f4\u6027\u810a\u690e\u708e\u75c5\u4eba\u51fa\u73b0A\u578b\u514d\u75ab\u7403\u86cb\u767d\u80be\u708e\uff0c\u6709\u8f7b\u5fae\u8840\u5c3f\u3002<\/li>\n<li><strong>\u9aa8\u8d28\u758f\u677e<\/strong>\uff1a\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u56e0\u690e\u9aa8\u50f5\u786c\u800c\u4ee4\u8eab\u4f53\u6d3b\u52a8\u91cf\u51cf\u5c11\uff0c\u9aa8\u8d28\u5bc6\u5ea6\u4e0b\u964d\u800c\u5bb9\u6613\u9020\u6210\u9aa8\u6298\u3002<\/li>\n<\/ul><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:35%\">\n<figure class=\"wp-block-image text-center text-lg-right\"><img width=\"313\" height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2019\/06\/17170030\/image_symptoms_zh-cn_1535702328.jpg\" alt=\"\u5f3a\u76f4\u6027\u810a\u690e\u708e \u75c7\u72b6\" class=\"wp-image-8957\"\/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"hip__section-border-upper\"><\/div>\n\n\n\n<div class=\"wp-block-group has-background\" style=\"background-color:#f2f8ff\" id=\"\u8bca\u65ad\">\n<div class=\"wp-block-columns has-2-columns hip__content-section container flex-column flex-lg-row\">\n<div class=\"wp-block-column\" style=\"flex-basis:35%\">\n<figure class=\"wp-block-image text-center text-lg-left\"><img width=\"313\" height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2019\/06\/17170031\/image_diagnosis_zh-cn_1535702329.jpg\" alt=\"\u5f3a\u76f4\u6027\u810a\u690e\u708e \u8bca\u65ad\" class=\"wp-image-8960\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:65%\">\n<h2>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u68c0\u67e5<\/h2>\n\n\n\n<p>\u90e8\u5206\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u4ee5\u4e3a\u5176\u8170\u80cc\u75db\u53ea\u662f\u4e00\u822c\u7684\u808c\u8089\u9178\u75db\uff0c\u4ece\u800c\u5ef6\u8bef\u8bca\u65ad\u548c\u6cbb\u7597\u3002\u5982\u679c\u4f60\u6709\u8170\u80cc\u75db\u7684\u56f0\u6270\uff0c\u4e0d\u59a8\u505a\u4e00\u4e2a\u7b80\u5355\u7684\u5c0f\u6d4b\u8bd5\uff0c\u56de\u7b545\u6761\u662f\u975e\u9898\uff0c\u770b\u770b\u4f60\u7684\u80cc\u75db\u662f\u5426\u53d1\u708e\u6027\u80cc\u75db\uff0c\u5982\u7531\u5f3a\u76f4\u6027\u810a\u690e\u708e\u5f15\u8d77\u3002<\/p>\n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"\/zh-cn\/tools\/AS-\u5f3a\u76f4\u6027\u810a\u690e\u708e?utm_source=AS-health-info-page&amp;utm_medium=evaluation-btn&amp;utm_campaign=AS-campaign\"\n            >\n                \u6309\u6b64\u8fdb\u884c\u81ea\u6211\u8bc4\u4f30\n            <\/a>\n        <\/div>\n    \n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u8fc7\u5f80\uff0c\u533b\u5b66\u754c\u4e3b\u8981\u91c7\u75281984\u5e74\u4fee\u8ba2\u7684\u300c\u7ebd\u7ea6\u6807\u51c6\u300d\uff0c\u4f5c\u4e3a\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u8bca\u65ad\u6807\u51c6\u3002\u4f46\u662f\uff0c\u6709\u5173\u6807\u51c6\u7684\u95e8\u69db\u751a\u9ad8\uff0c\u672a\u80fd\u6709\u6548\u8bca\u65ad\u51fa\u65e9\u671f\u5f3a\u76f4\u6027\u810a\u690e\u708e\u4e2a\u6848\u3002\u73b0\u65f6\uff0c\u533b\u5b66\u754c\u666e\u904d\u91c7\u7528\u65b0\u7684\u786e\u8bca\u51c6\u5219\uff0c\u7efc\u5408\u4e86\u4e34\u5e8a\u8bca\u65ad\u3001\u8840\u6db2\u68c0\u6d4b\u3001\u5f71\u50cf\u5b66\u68c0\u67e5\u3001\u57fa\u56e0\u6d4b\u8bd5\u53ca\u75c5\u4eba\u95ee\u5377\u7b49\u591a\u4e2a\u8303\u7574\u7684\u8d44\u6599\u4f5c\u53c2\u8003\uff0c\u4e0d\u4f46\u53ef\u63d0\u9ad8\u8bca\u65ad\u7684\u51c6\u786e\u5ea6\uff0c\u4e5f\u6709\u52a9\u53ca\u65e9\u53d1\u73b0\u65e9\u671f\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u3002<\/p>\n\n\n\n<ol><li><strong>\u4e34\u5e8a\u8bca\u65ad<\/strong>\uff1a\u533b\u751f\u4f1a\u8be2\u95ee\u75c5\u4eba\u7684\u75c5\u5f81\u548c\u5bb6\u65cf\u75c5\u53f2\u7b49\uff0c\u4ea6\u4f1a\u8fdb\u884c\u4e34\u5e8a\u68c0\u67e5\uff0c\u5982\u68c0\u9a8c\u80cc\u90e8\u3001\u9ab6\u9ac2\u5173\u8282\u3001\u9aa8\u76c6\u3001\u80f8\u90e8\u53ca\u811a\u8ddf\u7b49\u7684\u53d1\u708e\u75bc\u75db\u60c5\u51b5\uff0c\u786e\u5b9a\u810a\u9aa8\u7684\u6d3b\u52a8\u60c5\u51b5\u548c\u80f8\u8154\u7684\u6269\u5f20\u673a\u80fd\u7b49\u3002<\/li><li><strong>X\u5149\u68c0\u67e5<\/strong>\uff1aX\u5149\u68c0\u67e5\u6709\u52a9\u786e\u5b9a\u5173\u8282\u7684\u53d1\u708e\u60c5\u51b5\u548c\u53d7\u7834\u574f\u7a0b\u5ea6\uff0c\u4ee5\u53ca\u76d1\u6d4b\u75be\u75c5\u7684\u8fdb\u5c55\u3002\u4e0d\u8fc7\uff0c\u5728\u5f3a\u76f4\u6027\u810a\u690e\u708e\u53d1\u75c5\u65e9\u671f\uff0c\u5173\u8282\u53ef\u80fd\u672a\u53d7\u5230\u7834\u574f\uff0c\u6240\u4ee5X\u5149\u4e0d\u4e00\u5b9a\u80fd\u5e2e\u52a9\u8bca\u65ad\uff0c\u9700\u8981\u5229\u7528\u5176\u4ed6\u68c0\u67e5\u53bb\u786e\u8bca\u3002<\/li><li><strong>\u7535\u8111\u65ad\u5c42\u626b\u63cf(CT Scan)\u6216\u78c1\u529b\u5171\u632f\u626b\u63cf(MRI)<\/strong>\uff1a\u7535\u8111\u65ad\u5c42\u626b\u63cf\u6216\u78c1\u529b\u5171\u632f\u626b\u63cf\u53ef\u5e2e\u52a9\u68c0\u67e5\u5173\u8282\u7684\u53d1\u708e\u3001\u53d8\u5f62\u60c5\u51b5\uff0c\u6709\u52a9\u53d1\u73b0\u65e9\u671f\u7684\u5f3a\u76f4\u6027\u810a\u690e\u708e\u3002<\/li><li><strong>\u8840\u6db2\u68c0\u6d4b<\/strong>\uff1a\u8840\u6db2\u62bd\u68c0\u53ef\u4e86\u89e3\u75c5\u4eba\u7684\u7ea2\u8840\u7403\u6c89\u964d\u901f\u7387(ESR)\u53caC\u53cd\u5e94\u86cb\u767d(CRP)\uff0c\u68c0\u67e5\u75c5\u4eba\u7684\u5173\u8282\u53d1\u708e\u7a0b\u5ea6\u3002\u5982\u4e24\u8005\u7684\u6570\u5b57\u4e0a\u5347\uff0c\u5219\u663e\u793a\u4f53\u5185\u708e\u75c7\u6d3b\u8dc3\u3002\u53e6\u5916\uff0c\u5f3a\u76f4\u6027\u810a\u690e\u708e\u6709\u673a\u4f1a\u5f15\u81f4\u8d2b\u8840\uff0c\u8fdb\u884c\u5168\u8840\u56fe\u68c0\u9a8c(CBC)\u6709\u52a9\u786e\u5b9a\u75c5\u4eba\u6709\u5426\u8d2b\u8840\u3002<\/li><li><strong>\u57fa\u56e0\u6d4b\u8bd5<\/strong>\uff1a\u900f\u8fc7\u62bd\u8840\u68c0\u67e5\u53ef\u4e86\u89e3\u60a3\u8005\u662f\u5426\u643a\u5e26HLA-B27\u57fa\u56e0\u3002\u5982\u6709\u6b64\u57fa\u56e0\uff0c\u4e5f\u4e0d\u4e00\u5b9a\u4ee3\u8868\u60a3\u4e0a\u5f3a\u76f4\u6027\u810a\u690e\u708e\u3002\u6240\u4ee5\uff0c\u9700\u914d\u5408\u5176\u4ed6\u68c0\u9a8c\u7ed3\u679c\u53ca\u4e34\u5e8a\u89c2\u5bdf\u624d\u53ef\u786e\u8bca\u3002<\/li><\/ol>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"hip__section-border-lower\"><\/div>\n\n\n\n<div class=\"wp-block-group\">\n<div class=\"wp-block-group\" id=\"\u6cbb\u7597\">\n<div class=\"wp-block-columns has-2-columns hip__content-section container flex-column-reverse flex-lg-row\">\n<div class=\"wp-block-column\" style=\"flex-basis:65%\">\n<h2>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u6cbb\u7597<\/h2>\n\n\n\n<p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u6cbb\u7597\u65b9\u6cd5\u5305\u62ec\u836f\u7269\u6cbb\u7597\u3001\u624b\u672f\u6cbb\u7597\u548c\u8fd0\u52a8\u6cbb\u7597\uff0c\u76ee\u7684\u662f\u5e2e\u52a9\u60a3\u8005\u51cf\u8f7b\u75db\u695a\u548c\u50f5\u786c\uff0c\u4ee5\u53ca\u9632\u6b62\u5173\u8282\u53d8\u5f62\uff0c\u7ef4\u6301\u810a\u690e\u7684\u6d3b\u52a8\u80fd\u529b\u3002<\/p>\n\n\n\n<h3>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u836f\u7269\u6cbb\u7597<\/h3>\n\n\n\n<p>\u7528\u4e8e\u6cbb\u7597\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u836f\u7269\u7c7b\u522b\uff0c\u5305\u62ec\u975e\u7c7b\u56fa\u9187\u6d88\u708e\u6b62\u75db\u836f(NSAIDs)\u3001COX-2\u6291\u5236\u5242\u3001\u6539\u5584\u75c5\u60c5\u6297\u98ce\u6e7f\u836f(DMARDs)\u548c\u751f\u7269\u5236\u5242(Anti-TNF)\u3002<\/p>\n\n\n\n<h4><strong>\u975e\u7c7b\u56fa\u9187\u6d88\u708e\u6b62\u75db\u836f(NSAIDs)\u548cCOX-2\u6291\u5236\u5242<\/strong><\/h4>\n\n\n\n<ul><li>\u6cbb\u7597\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u4e00\u7ebf\u836f\u7269\uff0c\u53ef\u6d88\u708e\u3001\u51cf\u8f7b\u75db\u695a\u548c\u5173\u8282\u50f5\u786c\uff0c\u4f46\u4e0d\u80fd\u6539\u53d8\u75c5\u60c5\u53ca\u6062\u590d\u6d3b\u52a8\u80fd\u529b\u3002 <\/li><li>\u5e38\u89c1\u7684\u526f\u4f5c\u7528\u5305\u62ec\u80a0\u80c3\u4e0d\u9002\u3001\u80c3\u6e83\u75a1\u3002<\/li><li>\u836f\u7269\u5305\u62ec\u5e03\u6d1b\u82ac\u3001\u5948\u666e\u751f\u3001\u5432\u54da\u7f8e\u8f9b\u3001\u585e\u6765\u6614\u5e03\u7b49\u3002<\/li><\/ul>\n\n\n\n<h4><strong>\u6539\u5584\u75c5\u60c5\u6297\u98ce\u6e7f\u836f(DMARDs)<\/strong><\/h4>\n\n\n\n<ul><li>\u5177\u6709\u8c03\u8282\u514d\u75ab\u7cfb\u7edf\u7684\u529f\u6548\uff0c\u4e3b\u8981\u7528\u4e8e\u6539\u5584\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u5468\u8fb9\u5173\u8282\u7684\u53d1\u708e\u60c5\u51b5\uff0c\u6709\u52a9\u63a7\u5236\u5173\u8282\u75c7\u72b6\u548c\u5ef6\u7f13\u5173\u8282\u53d7\u635f\u3002<\/li><li>\u5c11\u6570\u60a3\u8005\u5728\u670d\u7528\u540e\u4f1a\u51fa\u73b0\u76ae\u80a4\u8fc7\u654f\u3001\u80a0\u80c3\u4e0d\u9002\u3001\u809d\u529f\u80fd\u53d7\u635f\u3001\u767d\u8840\u7403\u504f\u4f4e\u7b49\u526f\u4f5c\u7528\u3002 <\/li><li>\u5e38\u7528\u7684\u836f\u7269\u5305\u62ec\u7532\u6c28\u558b\u5464(MTX)\u3001\u67f3\u6c2e\u78fa\u80fa\u5627\u5576\u3002<\/li><\/ul>\n\n\n\n<h3><strong>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u751f\u7269\u5236\u5242(Anti-TNF)<\/strong><\/h3>\n\n\n\n<p>\u5982\u679c\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u7684\u75c5\u60c5\u6301\u7eed\u6d3b\u8dc3\uff0c\u53ef\u8003\u8651\u4f7f\u7528\u751f\u7269\u5236\u5242\u3002\u5f3a\u76f4\u6027\u810a\u690e\u708e\u751f\u7269\u5236\u5242\u9488\u5bf9\u5bfc\u81f4\u635f\u4f24\u6027\u708e\u75c7\u53cd\u5e94\u7684\u6297\u80bf\u7624\u574f\u6b7b\u56e0\u5b50(Tumor Necrosis Factor\uff0c\u7b80\u79f0TNF)\uff0c\u6709\u52a9\u7ebe\u7f13\u75db\u695a\uff0c\u51cf\u8f7b\u50f5\u786c\u7a0b\u5ea6\uff0c\u6539\u5584\u810a\u690e\u7684\u6d3b\u52a8\u80fd\u529b\u4ee5\u53ca\u7b4b\u8171\u8fde\u9aa8\u9abc\u7684\u53d1\u708e\u7a0b\u5ea6\uff0c\u9632\u6b62\u5173\u8282\u7ee7\u7eed\u88ab\u4fb5\u8680\u548c\u53d8\u5f62\u3002<\/p>\n\n\n\n<p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u751f\u7269\u5236\u5242\u900f\u8fc7\u76ae\u4e0b\u6ce8\u5c04\u6216\u9759\u8109\u6ce8\u5c04\u4f7f\u7528\uff0c\u526f\u4f5c\u7528\u5305\u62ec\u589e\u52a0\u53d7\u611f\u67d3\u7684\u673a\u4f1a\u3001\u5145\u8840\u6027\u5fc3\u810f\u8870\u7aed\u3002\u533b\u751f\u4f1a\u6839\u636e\u60a3\u8005\u7684\u75c5\u60c5\u548c\u9700\u8981\uff0c\u800c\u4e3a\u60a3\u8005\u5904\u65b9\u9002\u5408\u7684\u836f\u7269\u3002\u5982\u6709\u7591\u95ee\uff0c\u53ef\u5411\u4f60\u7684<a href=\"\/zh-cn\/search\/\u98a8\u6fd5\u75c5\u79d1-49\">\u98ce\u6e7f\u75c5\u79d1\u533b\u751f<\/a>\u54a8\u8be2\u3002<\/p>\n\n\n\n<h3><strong>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u8fd0\u52a8\u6cbb\u7597<\/strong><\/h3>\n\n\n\n<p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u5e94\u505a\u9002\u5f53\u53ca\u9002\u91cf\u7684\u8fd0\u52a8\uff0c\u4ee5\u5f3a\u5316\u76f8\u5173\u7684\u808c\u8089\uff0c\u5e2e\u52a9\u7ef4\u6301\u6216\u6539\u5584\u5173\u8282\u7684\u6d3b\u52a8\u5e45\u5ea6\u3002\u9002\u5408\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u7684\u8fd0\u52a8\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul><li>\u7531\u7269\u7406\u6cbb\u7597\u5e08\u6216\u804c\u4e1a\u6cbb\u7597\u5e08\u6307\u5bfc\u7684\u4ef0\u5367\u3001\u4fef\u5367\u3001\u8bad\u7ec3\u7ad9\u59ff\u548c\u5750\u59ff\u7684\u8fd0\u52a8\u7b49 <\/li><li>\u6c34\u7597 <\/li><li>\u745c\u4f3d\u3001\u592a\u6781\u3001\u6e38\u6cf3\u3001\u7f13\u6b65\u8dd1\u7b49\u5e26\u6c27\u8fd0\u52a8<\/li><\/ul>\n\n\n\n<p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u53ef\u5728\u65e9\u4e0a\u8d77\u5e8a\u540e\u6216\u665a\u4e0a\u7761\u89c9\u524d\u8fdb\u884c\u8fd0\u52a8\uff0c\u56e0\u4e3a\u7ecf\u8fc7\u4e00\u591c\u7684\u4f11\u606f\u6216\u4e00\u5929\u7684\u5de5\u4f5c\u540e\uff0c\u808c\u8089\u548c\u5173\u8282\u5904\u4e8e\u75b2\u52b3\u6216\u50f5\u786c\u7684\u72b6\u6001\uff0c\u800c\u8fd0\u52a8\u6709\u52a9\u8212\u7f13\u75b2\u52b3\uff0c\u6062\u590d\u5173\u8282\u548c\u808c\u8089\u7684\u7075\u6d3b\u6027\u3002<\/p>\n\n\n\n<h3><strong>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u624b\u672f\u6cbb\u7597<\/strong><\/h3>\n\n\n\n<p>\u5982\u679c\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u7684\u9acb\u5173\u8282\u5df2\u50f5\u786c\u53ca\u53d8\u5f62\uff0c\u4fbf\u9700\u8003\u8651\u63a5\u53d7\u9acb\u5173\u8282\u7f6e\u6362\u624b\u672f\uff0c\u628a\u5df2\u75c5\u53d8\u3001\u50f5\u786c\u7684\u9acb\u5173\u8282\u5207\u9664\uff0c\u5e76\u88c5\u7f6e\u4eba\u9020\u5173\u8282\u3002\u5728\u624b\u672f\u540e\uff0c\u60a3\u8005\u5173\u8282\u53ef\u6062\u590d\u5927\u90e8\u5206\u7684\u6d3b\u52a8\u8303\u56f4\uff0c\u4e14\u4e0d\u518d\u611f\u5230\u75db\u695a\u3002<\/p>\n\n\n\n<p>\u5bf9\u4e8e\u51fa\u73b0\u4e25\u91cd\u9a7c\u80cc\u7684\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\uff0c\u5219\u53ef\u8003\u8651\u63a5\u53d7\u810a\u690e\u4f53\u622a\u9aa8\u672f\u3002\u624b\u672f\u5728\u810a\u690e\u8fdb\u884c\u622a\u9aa8\uff0c\u4ece\u690e\u4f53\u540e\u65b9\u62ff\u53d6\u4e00\u6954\u5f62\u9aa8\u5757\uff0c\u7136\u540e\u7528\u94a2\u677f\u87ba\u9489\u7b49\u5185\u56fa\u5b9a\u690d\u5165\u7269\u628a\u200b\u200b\u810a\u690e\u56fa\u5b9a\u4e8e\u8f83\u76f4\u59ff\u52bf\u3002\u5982\u6709\u7591\u95ee\uff0c\u53ef\u5411\u4f60\u7684<a 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class=\"wp-block-image text-center text-lg-right\"><img width=\"313\" height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2019\/06\/17170033\/image_treatments_zh-cn_1535702330.jpg\" alt=\"\u5f3a\u76f4\u6027\u810a\u690e\u708e \u6cbb\u7597\" class=\"wp-image-8963\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"hip__section-border-upper\"><\/div>\n\n\n\n<div class=\"wp-block-group has-background\" style=\"background-color:#f2f8ff\" id=\"\u62a4\u7406\">\n<div class=\"wp-block-columns has-2-columns hip__content-section container flex-column flex-lg-row\">\n<div class=\"wp-block-column\" style=\"flex-basis:35%\">\n<figure class=\"wp-block-image text-center text-lg-left\"><img width=\"313\" height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2019\/06\/17170034\/image_others_zh-cn_1535702332.jpg\" alt=\"\u5f3a\u76f4\u6027\u810a\u690e\u708e \u62a4\u7406\" class=\"wp-image-8966\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:65%\">\n<h2>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u62a4\u7406<\/h2>\n\n\n\n<p><p>\u76ee\u524d\uff0c\u6682\u672a\u6709\u65b9\u6cd5\u53ef\u6839\u6cbb\u5f3a\u76f4\u6027\u810a\u690e\u708e\u3002\u5f3a\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u5728\u9075\u7167\u533b\u751f\u7684\u6307\u793a\u670d\u7528\u836f\u7269\u548c\u8fdb\u884c\u68c0\u67e5\u7684\u540c\u65f6\uff0c\u4e0d\u59a8\u53c2\u8003\u4ee5\u4e0b6\u4e2a\u62a4\u7406\u8981\u8bc0\uff0c\u5e2e\u52a9\u63a7\u5236\u548c\u6539\u5584\u75c5\u60c5\uff1a<\/p>\n<ol>\n<li>\u57f9\u517b\u6052\u5e38\u7684\u8fd0\u52a8\u4e60\u60ef\uff1b<\/li>\n<li>\u4fdd\u6301\u826f\u597d\u7684\u5750\u59ff\u3001\u7ad9\u59ff\u3001\u7761\u59ff\uff0c\u5e94\u9009\u62e9\u6709\u633a\u76f4\u6905\u80cc\u53ca\u5750\u4e0b\u65f6\u80cc\u90e8\u53ef\u78b0\u5230\u6905\u80cc\u7684\u6905\u5b50\uff0c\u4ee5\u53ca\u9009\u7528\u6709\u627f\u6258\u529b\u7684\u5e8a\u57ab\uff1b<\/li>\n<li>\u6212\u70df\uff1b<\/li>\n<li>\u6ce8\u610f\u8425\u517b\u6444\u53d6\uff0c\u5c0f\u5fc3\u996e\u98df\u536b\u751f\uff1b<\/li>\n<li>\u7559\u610f\u8eab\u4f53\u7684\u53d8\u5316\uff0c\u5982\u80cc\u75db\u3001\u5173\u8282\u50f5\u786c\u7684\u75c5\u60c5\u6709\u53d8\uff0c\u5e94\u591a\u4e0e\u533b\u751f\u6c9f\u901a\uff1b<\/li>\n<li>\u4fdd\u6301\u5fc3\u5883\u5f00\u6717\uff0c\u53ef\u53c2\u52a0\u75c5\u4eba\u4e92\u52a9\u7ec4\u7ec7\u7684\u6d3b\u52a8\uff0c\u5728\u589e\u52a0\u6cbb\u7597\u548c\u62a4\u7406\u65b9\u9762\u7684\u77e5\u8bc6\u4e4b\u4f59\uff0c\u4ea6\u53ef\u4e0e\u75c5\u53cb\u4ea4\u6d41\u5206\u4eab\uff0c\u5f97\u5230\u60c5\u7eea\u4e0a\u7684\u652f\u63f4\u3002<\/li>\n<\/ol><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"author":7,"featured_media":8947,"template":"","categories":[73,2051],"tags":[1968,1416,1765,1323],"acf":{"references":"<ul>\n<li><a href=\"https:\/\/www.asas-group.org\/education\/asas-handbook\/\">The Assessment of SpondyloArthritis international Society (ASAS) handbook: a guide to assess spondyloarthritis<\/a><\/li>\n<li><a href=\"https:\/\/medlineplus.gov\/ankylosingspondylitis.html\">Ankylosing Spondylitis<\/a><\/li>\n<li><a href=\"https:\/\/www.webmd.com\/rheumatoid-arthritis\/understanding-rheumatoid-arthritis-treatment#1\">Understanding Rheumatoid Arthritis &#8212; Treatment<\/a><\/li>\n<li><a href=\"http:\/\/www.hkarf.org\/Doc\/AS_0916.pdf\">\u5f3a\u76f4\u6027\u810a\u690e\u708e<\/a><\/li>\n<li><a href=\"http:\/\/www.hkasa.hk\/handbook.pdf\">\u5f3a\u76f4\u6027\u810a\u690e\u708e\u75c5\u60a3\u8005\u624b\u518c<\/a><\/li>\n<li><a href=\"http:\/\/www.b27association.org\/%E5%AE%9A%E7%BE%A9\/\">\u5f3a\u76f4\u6027\u810a\u690e\u708e (AS)<\/a><\/li>\n<\/ul>\n","related_finddoctv_posts":[{"ID":3298,"post_author":"7","post_date":"2018-08-02 11:06:07","post_date_gmt":"2018-08-02 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