{"id":9151,"date":"2018-05-02T08:41:00","date_gmt":"2018-05-02T00:41:00","guid":{"rendered":"https:\/\/www.finddoc.com\/health\/?post_type=hip&#038;p=9151"},"modified":"2019-06-21T00:02:58","modified_gmt":"2019-06-20T16:02:58","slug":"%e7%b1%bb%e9%a3%8e%e6%b9%bf%e5%85%b3%e8%8a%82%e7%82%8e","status":"publish","type":"hip","link":"https:\/\/www.finddoc.com\/health\/zh-cn\/guides\/%e7%b1%bb%e9%a3%8e%e6%b9%bf%e5%85%b3%e8%8a%82%e7%82%8e\/","title":{"rendered":"\u7c7b\u98ce\u6e7f\u5173\u8282\u708e"},"content":{"rendered":"\n\n<div class=\"wp-block-group hip__header\">\n\n    \n    <div class=\"wp-block-group container\">\n\n        \n        <h1 class=\"entry-title mb-4\">\n            \u7c7b\u98ce\u6e7f\u5173\u8282\u708e\n        <\/h1>\n    \n\n\n        \n        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           \n\n        <\/div>\n        <\/div>\n\n    <\/div>\n\n\n\n\n<div class=\"hip__section-border-lower\"><\/div>\n\n\n\n\n\n\n<div class=\"wp-block-group\">\n    \n    <div class=\"wp-block-group\">\n        \n        <div class=\"wp-block-columns has-2-columns hip__content-section container flex-column-reverse flex-lg-row\">\n\n            \n            <div class=\"wp-block-column\" style=\"flex-basis:65%\">\n\n                \n                \n                <h2 id=\"\u75c7\u72b6\">\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u75c7\u72b6<\/h2>\n                \n                \n\n                \n                <p><p>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u4e0e\u4e00\u822c\u5173\u8282\u75db\u75c7\u7684\u6700\u5927\u5206\u522b\u662f\uff0c\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u60a3\u8005\u7684\u5173\u8282\u5728\u65e9\u4e0a\u8d77\u5e8a\u65f6\u4f1a\u50f5\u786c\uff0c\u51fa\u73b0&#8221;\u6668\u50f5&#8221;\u73b0\u8c61\uff0c\u5e76\u6301\u7eed30\u5206\u949f\u4ee5\u4e0a\uff0c\u4f46\u6d3b\u52a8\u5173\u8282\u540e\u60c5\u51b5\u4f1a\u6709\u6240\u6539\u5584\u3002\u800c\u4e14\uff0c\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u60a3\u8005\u56db\u80a2\u7684\u5c0f\u5173\u8282\uff0c\u5982\u624b\u6307\u3001\u811a\u8dbe\u53ca\u624b\u8155\u7b49\u8fd1\u7aef\u5173\u8282\u53d1\u708e\uff0c\u901a\u5e38\u662f\u5bf9\u79f0\u6027\u7684\uff0c\u5373\u5de6\u53f3\u4e24\u8fb9\u540c\u4e00\u6392\u5173\u8282\u4f1a\u51fa\u73b0\u76f8\u540c\u5f81\u72b6\u3002\u5982\u75c5\u60c5\u6076\u5316\uff0c\u4fbf\u4f1a\u5ef6\u4f38\u81f3\u819d\u76d6\u3001\u80a9\u818a\u53ca\u9acb\u5173\u8282\u7b49\u5927\u5173\u8282\u3002<\/p>\n<p>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u7684\u5176\u4ed6\u75c7\u72b6\u5305\u62ec\uff1a<\/p>\n<ul>\n<li>\u5173\u8282\u80bf\u80c0\u3001\u75bc\u75db<\/li>\n<li>\u5173\u8282\u53d1\u7ea2\u3001\u53d1\u70ed<\/li>\n<li>\u4f4e\u70e7<\/li>\n<li>\u5bb9\u6613\u75b2\u5026<\/li>\n<li>\u80c3\u53e3\u6b20\u4f73<\/li>\n<li>\u773c\u775b\u548c\u5634\u5e72\u71e5 (\u5e72\u71e5\u7efc\u5408\u75c7)<\/li>\n<li>\u624b\u8098\u548c\u624b\u8155\u7684\u76ae\u80a4\u4e0b\u957f\u51fa\u7c7b\u98ce\u6e7f\u75c5\u7ed3\u8282\/\u80bf\u5757<\/li>\n<li>\u773c\u775b\u53d1\u708e<\/li>\n<li>\u547c\u5438\u65f6\u80f8\u53e3\u523a\u75db<\/li>\n<\/ul>\n<p>\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e\u7684\u75c7\u72b6\u56e0\u4eba\u800c\u5f02\u3002\u6709\u4e9b\u75c5\u4eba\u7684\u5f81\u72b6\u6301\u7eed\u6570\u4e2a\u6708\u3001\u4e00\u5e74\u6216\u4e24\u5e74\u5c31\u6d88\u5931\uff0c\u6ca1\u5bf9\u8eab\u4f53\u9020\u6210\u635f\u574f\u3002\u4f46\u6709\u4e9b\u75c5\u4eba\u7684\u75c5\u60c5\u53cd\u8986\uff0c\u65f6\u597d\u65f6\u574f\u3002\u4ea6\u6709\u90e8\u5206\u60a3\u8005\u7684\u75c5\u60c5\u4e25\u91cd\uff0c\u957f\u671f\u5904\u4e8e\u6d3b\u8dc3\u671f\u4e2d\uff0c\u5bfc\u81f4\u5173\u8282\u53ca\u5176\u4ed6\u90e8\u4f4d\u4e25\u91cd\u53d7\u635f\uff0c\u751a\u81f3\u4f24\u6b8b\u3002\u5982\u6709\u7591\u95ee\uff0c\u53ef\u5411<a href=\"\/zh-cn\/search\/\u98a8\u6fd5\u75c5\u79d1-49\" target=\"_blank\" rel=\"noopener noreferrer\">\u98ce\u6e7f\u75c5\u79d1\u533b\u751f<\/a>\u54a8\u8be2\u3002<\/p>\n<p>\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u98ce\u6e7f\u75c5\u79d1\u533b\u751f\"\n            >\n                \u7acb\u5373\u7f51\u4e0a\u9884\u7ea6 - \u98ce\u6e7f\u75c5\u79d1\u533b\u751f\n            <\/a>\n        <\/div>\n    \n\n<\/p><\/p>\n                \n\n            <\/div>\n            \n\n            \n            <div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:35%\">\n\t\t\t\t\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\/17170323\/image_symptoms_zh-cn_1526550820.jpg\" alt=\"\u7c7b\u98ce\u6e7f\u5173\u8282\u708e \u75c7\u72b6\" class=\"wp-image-9155\"\/><\/figure>\n                \n\n            <\/div>\n            \n\n        <\/div>\n        \n\n    <\/div>\n    \n<\/div>\n\n\n\n\n<div class=\"hip__section-border-upper\"><\/div>\n\n\n\n\n\n\n    <div class=\"wp-block-group has-background\" style=\"background-color:#f2f8ff\">\n    \n        <div class=\"wp-block-columns has-2-columns hip__content-section container flex-column flex-lg-row\">\n\n        \n        <div class=\"wp-block-column\" style=\"flex-basis:35%\">\n            \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\/17170324\/image_diagnosis_zh-cn_1526550820.jpg\" alt=\"\u7c7b\u98ce\u6e7f\u5173\u8282\u708e \u8bca\u65ad\" class=\"wp-image-9158\"\/><\/figure>\n            \n        <\/div>\n        \n\n        \n        <div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:65%\">\n\n            \n            \n            <h2 id=\"\u8bca\u65ad\">\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u68c0\u67e5<\/h2>\n            \n            \n\n            \n            <p><p>\u65e9\u671f\u7684\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u8f83\u96be\u8bca\u65ad\uff0c\u539f\u56e0\u5728\u4e8e(\u4e00) \u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u7684\u521d\u671f\u5f81\u72b6\u4e0e\u5176\u4ed6\u5f88\u591a\u5173\u8282\u75be\u75c5\u7684\u76f8\u4f3c\uff1b(\u4e8c) \u76ee\u524d\u5c1a\u672a\u6709\u4e00\u9879\u68c0\u67e5\u6216\u5316\u9a8c\u80fd\u72ec\u7acb\u786e\u8bca\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\uff1b(\u4e09) \u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u7684\u591a\u79cd\u4e0d\u540c\u5f81\u72b6\u6709\u65f6\u9700\u4e00\u6bb5\u65f6\u95f4\u624d\u5168\u9762\u5448\u73b0\u3002\u56e0\u6b64\uff0c\u533b\u751f\u9664\u4e86\u8be2\u95ee\u60a3\u8005\u7684\u75c5\u53f2\uff0c\u8fd8\u4f1a\u8fdb\u884c\u4e0d\u540c\u7684\u68c0\u67e5\uff0c\u4ee5\u786e\u8bca\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u6216\u6392\u9664\u5176\u4ed6\u75be\u75c5\u3002<\/p>\n<ol>\n<li><strong>\u8be2\u95ee\u75c5\u53f2<\/strong>\uff1a\u533b\u751f\u4f1a\u8be2\u95ee\u60a3\u8005\u7684\u5173\u8282\u4ec0\u4e48\u65f6\u5019\u5f00\u59cb\u75db\u3001\u54ea\u4e9b\u5173\u8282\u53d7\u5f71\u54cd\u3001\u75db\u695a\u548c\u6668\u50f5\u60c5\u51b5\u7b49\u3002<\/li>\n<li><strong>\u4f53\u683c\u68c0\u67e5<\/strong>\uff1a\u5305\u62ec\u5173\u8282\u3001\u808c\u8089\u529b\u91cf\u68c0\u67e5\u7b49\uff0c\u9664\u4e86\u68c0\u67e5\u5173\u8282\uff0c\u533b\u751f\u8fd8\u4f1a\u68c0\u67e5\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e\u662f\u5426\u5df2\u4fb5\u5bb3\u5176\u4ed6\u5668\u5b98\uff0c\u5982\u773c\u775b\u3001\u76ae\u80a4\u3001\u5fc3\u810f\u3001\u80ba\u90e8\u7b49\u3002<\/li>\n<li><strong>\u8840\u6db2\u6d4b\u8bd5<\/strong>\uff1a\n<ul>\n<li>\u7c7b\u98ce\u6e7f\u56e0\u5b50(RF)\u6d4b\u8bd5\uff1a70%\u7c7b\u98ce\u6e7f\u60a3\u8005\u7684\u7c7b\u98ce\u6e7f\u56e0\u5b50\u5448\u9633\u6027\uff0c\u4f46\u65e9\u671f\u60a3\u8005\u53ea\u670930%\u5448\u9633\u6027\u3002<\/li>\n<li>\u6297\u73af\u74dc\u6c28\u9178\u6297\u4f53(anti-CCP)\u6d4b\u8bd5\uff1a\u5982\u679canti-CCP\u6d4b\u8bd5\u5448\u9633\u6027\uff0c\u90a3\u4e48\u60a3\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u7684\u673a\u4f1a\u5f88\u9ad8\u3002\u4f46\u662f\u5373\u4f7f\u5448\u9634\u6027\uff0c\u4e5f\u4e0d\u4e00\u5b9a\u6ca1\u6709\u60a3\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u3002\u6b64\u5916\uff0canti-CCP\u6d4b\u8bd5\u5448\u9633\u6027\u53cd\u5e94\u7684\u60a3\u8005\uff0c\u5176\u75c5\u60c5\u4e00\u822c\u8f83\u4e25\u91cd\uff0c\u5173\u8282\u51fa\u73b0\u635f\u574f\u7684\u60c5\u51b5\u901a\u5e38\u8f83\u591a\uff0c\u6240\u4ee5\u8fd9\u4e5f\u6709\u52a9\u533b\u751f\u53ca\u65e9\u4f5c\u51fa\u8bca\u65ad\u3002<\/li>\n<li>C\u53cd\u5e94\u86cb\u767d(CRP)\u53ca\u7ea2\u8840\u7403\u6c89\u964d\u901f\u7387(ESR)\u6d4b\u8bd5\uff1a\u5982\u6570\u5b57\u4e0a\u5347\uff0c\u53cd\u6620\u4f53\u5185\u708e\u75c7\u6d3b\u8dc3\u3002<\/li>\n<li>\u9a8c\u7ea2\u8840\u7403\uff1a\u76ee\u7684\u662f\u786e\u5b9a\u6709\u5426\u8d2b\u8840\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u5f71\u50cf\u68c0\u67e5<\/strong>\uff1a\u5305\u62ecX\u5149\u68c0\u9a8c\u3001\u8d85\u58f0\u6ce2\u68c0\u67e5\u6216\u78c1\u529b\u5171\u632f\uff0c\u8fd9\u6709\u52a9\u89c2\u5bdf\u5173\u8282\u53d1\u708e\u7684\u60c5\u51b5\u53ca\u76d1\u6d4b\u75be\u75c5\u7684\u8fdb\u5c55\u3002\u4f20\u7edf\u4e0a\u662f\u7167X\u5149\uff0c\u4f46X\u5149\u8f83\u96be\u6e05\u695a\u5730\u8bca\u65ad\u65e9\u671f\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\uff0c\u56e0\u4e3a\u5173\u8282\u5728\u60a3\u75c5\u65e9\u671f\u53ef\u80fd\u672a\u88ab\u7834\u574f\u3002\u800c\u8f83\u65b0\u7684\u65b9\u6cd5\u662f\u78c1\u529b\u5171\u632f\u6216\u8d85\u58f0\u6ce2\u68c0\u67e5\uff0c\u8fd9\u6709\u52a9\u770b\u6e05\u5173\u8282\u53d1\u708e\u7684\u65e9\u671f\u75c5\u5f81\u3002<\/li>\n<li><strong>\u5173\u8282\u6db2\u5316\u9a8c<\/strong>\uff1a\u5982\u5173\u8282\u80bf\u80c0\u4e25\u91cd\uff0c\u533b\u751f\u6216\u4f1a\u4e3a\u60a3\u8005\u62bd\u53d6\u5173\u8282\u6ed1\u819c\u6db2\uff0c\u4ee5\u52a9\u51cf\u5c11\u80c0\u75db\u548c\u6392\u9664\u5173\u8282\u53d7\u7ec6\u83cc\u611f\u67d3\u7684\u53ef\u80fd\u6027\u3002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u8bca\u65ad\u65b0\u6807\u51c6<\/h3>\n<p>\u4e3a\u4e86\u9274\u522b\u65e9\u671f\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u60a3\u8005\uff0c\u7f8e\u56fd\u98ce\u6e7f\u75c5\u5b66\u4f1a\u53ca\u6b27\u6d32\u98ce\u6e7f\u75c5\u8054\u76df\u57282010\u5e74\u8054\u5408\u4e3a\u786e\u8bca\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u53d1\u51fa\u65b0\u7684\u8bca\u65ad\u6807\u51c6\u3002\u82e5\u75c5\u4eba\u5728\u4ee5\u4e0b\u8bc4\u5206\u4e2d\u53d6\u5f976\u5206\u53ca\u4ee5\u4e0a\uff0c\u5c31\u4f1a\u88ab\u786e\u8bca\u60a3\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e\uff1a<\/p>\n<p><strong>A. \u53d7\u5f71\u54cd\u5173\u8282<\/strong><\/p>\n<ul>\n<li>1\u4e2a\u4e2d\u7b49-\u5927\u5173\u8282 (0\u5206)<\/li>\n<li>2-10\u4e2a\u4e2d\u7b49-\u5927\u5173\u8282 (1\u5206)<\/li>\n<li>1-3\u4e2a\u5c0f\u5173\u8282 (2\u5206)<\/li>\n<li>4-10\u4e2a\u5c0f\u5173\u8282 (3\u5206)<\/li>\n<li>\u591a\u4e8e10\u4e2a\u5c0f\u5173\u8282 (5\u5206)<\/li>\n<\/ul>\n<p><strong>B. \u8840\u6e05\u5b66\u6d4b\u8bd5 (\u5fc5\u987b\u5177\u5176\u4e2d\u4e00\u9879\u68c0\u6d4b\u7ed3\u679c)<\/strong><\/p>\n<ul>\n<li>\u7c7b\u98ce\u6e7f\u56e0\u5b50(RF)\u6216anti-CCP\u6297\u4f53\u5747\u9634\u6027 (0\u5206)<\/li>\n<li>\u7c7b\u98ce\u6e7f\u56e0\u5b50(RF)\u6216anti-CCP\u6297\u4f53\u5176\u4e2d1\u9879\u5448\u5f31\u9633\u6027 (2\u5206)<\/li>\n<li>\u7c7b\u98ce\u6e7f\u56e0\u5b50(RF)\u6216anti-CCP\u6297\u4f53\u81f3\u5c111\u9879\u5f3a\u9633\u6027 (3\u5206)<\/li>\n<\/ul>\n<p><strong>C. \u6025\u6027\u671f\u53cd\u5e94\u7269 (\u5fc5\u987b\u5177\u5176\u4e2d\u4e00\u9879\u68c0\u6d4b\u7ed3\u679c)<\/strong><\/p>\n<ul>\n<li>C\u53cd\u5e94\u86cb\u767d(CRP)\u548c\u7ea2\u8840\u7403\u6c89\u964d\u901f\u7387(ESR)\u5747\u6b63\u5e38 (0\u5206)<\/li>\n<li>C\u53cd\u5e94\u86cb\u767d(CRP)\u6216\u7ea2\u8840\u7403\u6c89\u964d\u901f\u7387(ESR)\u5f02\u5e38 (1\u5206)<\/li>\n<\/ul>\n<p><strong>D. \u75c7\u72b6\u6301\u7eed\u65f6\u95f4<\/strong><\/p>\n<ul>\n<li>\u5c11\u4e8e6\u661f\u671f (0\u5206)<\/li>\n<li>6\u661f\u671f\u6216\u4ee5\u4e0a (1\u5206)<\/li>\n<\/ul><\/p>\n            \n\n        <\/div>\n        <\/div>\n\n    <\/div>\n\n\n\n\n<div class=\"hip__section-border-lower\"><\/div>\n\n\n\n\n\n\n<div class=\"wp-block-group\">\n    \n    <div class=\"wp-block-group\">\n        \n        <div class=\"wp-block-columns has-2-columns hip__content-section container flex-column-reverse flex-lg-row\">\n\n            \n            <div class=\"wp-block-column\" style=\"flex-basis:65%\">\n\n                \n                \n                <h2 id=\"\u6cbb\u7597\">\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u6cbb\u7597<\/h2>\n                \n                \n\n                \n                <p><p>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u7684\u6cbb\u7597\u65b9\u6cd5\u4e3b\u8981\u5206\u4e3a\u836f\u7269\u6cbb\u7597\u548c\u975e\u836f\u7269\u6cbb\u7597\u4e24\u5927\u7c7b\uff0c\u76ee\u7684\u662f\u5e2e\u52a9\u60a3\u8005\u6d88\u708e\u6b62\u75db\uff0c\u51cf\u5c11\u708e\u75c7\uff0c\u9632\u6b62\u6216\u51cf\u7f13\u5173\u8282\u7ee7\u7eed\u53d7\u635f\uff0c\u7ef4\u6301\u6d3b\u52a8\u80fd\u529b\uff0c\u4ece\u800c\u6539\u5584\u60a3\u8005\u751f\u6d3b\u3002<\/p>\n<h3>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u836f\u7269\u6cbb\u7597<\/h3>\n<p>\u4f20\u7edf\u7684\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u836f\u7269\u5305\u62ec\u975e\u7c7b\u56fa\u9187\u6297\u708e\u836f\u7269(NSAIDs)\u3001\u73af\u6c27\u9176-2\u6291\u5236\u5242(COX II)\u3001\u76ae\u8d28\u7c7b\u56fa\u9187(Corticosteroids)\u548c\u6539\u5584\u75c5\u60c5\u6297\u98ce\u6e7f\u836f(DMARDs)\u3002<\/p>\n<ul>\n<li><strong>\u975e\u7c7b\u56fa\u9187\u6297\u708e\u836f\u7269(NSAIDs)<\/strong>\uff1a\u5c5e\u533b\u6cbb\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u7684\u4e00\u7ebf\u836f\u7269\uff0c\u80fd\u8fc5\u901f\u6d88\u708e\u3001\u51cf\u5c11\u75db\u695a\u548c\u50f5\u786c\uff0c\u4f46\u4e0d\u80fd\u63a7\u5236\u5173\u8282\u53d8\u5f62\u7684\u60c5\u51b5\uff0c\u4e0d\u80fd\u963b\u6b62\u5173\u8282\u88ab\u4fb5\u8680\u3002\u5176\u526f\u4f5c\u7528\u5305\u62ec\u80a0\u80c3\u4e0d\u9002\u3001\u80c3\u6e83\u75a1\u3001\u80be\u8870\u7aed\u7b49\u3002<\/li>\n<li><strong>\u73af\u6c27\u9176-2\u6291\u5236\u5242(COX II)<\/strong>\uff1a\u4e0e\u975e\u7c7b\u56fa\u9187\u6297\u708e\u836f\u7269\u7684\u4f5c\u7528\u76f8\u540c\uff0c\u5c5e\u8f83\u65b0\u7684\u975e\u7c7b\u56fa\u9187\u6297\u708e\u836f\u7269\uff0c\u5bf9\u80a0\u9053\u7684\u526f\u4f5c\u7528\u8f83\u8f7b\uff0c\u4e00\u822c\u4e0d\u4f1a\u5f15\u81f4\u80c3\u6e83\u75a1\u3002<\/li>\n<li><strong>\u76ae\u8d28\u7c7b\u56fa\u9187(Corticosteroids)<\/strong>\uff1a\u4f4e\u4efd\u91cf\u7684\u7c7b\u56fa\u9187\u6709\u52a9\u51cf\u8f7b\u75db\u695a\u3001\u80bf\u80c0\u548c\u50f5\u786c\u3002\u5b83\u7684\u526f\u4f5c\u7528\u5305\u62ec\u51fa\u73b0\u9aa8\u8d28\u758f\u677e\u3001\u767d\u5185\u969c\u3001\u9ad8\u8840\u538b\u548c\u9ad8\u8840\u7cd6\u3002<\/li>\n<li><strong>\u6539\u5584\u75c5\u60c5\u6297\u98ce\u6e7f\u836f(DMARDs)<\/strong>\uff1a\u6b64\u4e3a\u53e3\u670d\u836f\u7269\uff0c\u80fd\u4e3a\u5927\u90e8\u5206\u60a3\u8005\u8212\u7f13\u75db\u695a\u548c\u5173\u8282\u80bf\u80c0\uff0c\u63a7\u5236\u5173\u8282\u7684\u53d1\u708e\u53ca\u53d8\u5f62\u3002\u5f53\u4e2d\u4e00\u7ebf\u836f\u7269\u662f\u7532\u6c28\u558b\u5464(Methotrexate, MTX)\u3002\u60a3\u8005\u53ef\u5355\u4e00\u4f7f\u7528\u6216\u540c\u65f6\u4f7f\u7528\u591a\u79cdDMARDs\u3002\u800c\u6bcf\u79cdDMARDs\u7684\u526f\u4f5c\u7528\u90fd\u6709\u4e0d\u540c\uff0c\u5982\u6076\u5fc3\u3001\u76ae\u80a4\u654f\u611f\u3001\u8131\u9aea\u7b49\uff0c\u60a3\u8005\u987b\u6309\u533b\u751f\u7684\u6307\u793a\u670d\u7528\u5e76\u5b9a\u671f\u63a5\u53d7\u8840\u6db2\u76d1\u5bdf\u3002<\/li>\n<\/ul>\n<p>\u5982\u75c5\u4eba\u5bf9\u4f20\u7edf\u836f\u7269\u7684\u53cd\u5e94\u6b20\u4f73\uff0c\u6216\u53d1\u73b0\u60a3\u75c5\u65f6\u75c5\u60c5\u5df2\u7ecf\u4e25\u91cd\uff0c\u5355\u9760\u4f20\u7edf\u836f\u7269\u4e0d\u80fd\u6709\u6548\u63a7\u5236\u5173\u8282\u53d1\u708e\uff0c\u533b\u751f\u4f1a\u5efa\u8bae\u75c5\u4eba\u4f7f\u7528\u8f83\u65b0\u5f0f\u7684<strong>\u751f\u7269\u5236\u5242<\/strong>\u6216<strong>\u53e3\u670d\u6807\u9776\u836f\u7269<\/strong>(\u5982JAK\u6291\u5236\u5242)\u3002<\/p>\n<h3>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u751f\u7269\u5236\u5242<\/h3>\n<p>\u751f\u7269\u5236\u5242\u662f\u900f\u8fc7\u6291\u5236\u7279\u5b9a\u7684\u7ec6\u80de\u56e0\u5b50\uff0c\u6765\u6709\u6548\u63a7\u5236\u5173\u8282\u53d1\u708e\uff0c\u51cf\u8f7b\u75c5\u60c5\uff0c\u963b\u6b62\u5173\u8282\u4fb5\u8680\u53ca\u7834\u574f\u3002\u9488\u5bf9\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e\u7684\u75c5\u60c5\uff0c\u53ef\u5355\u4e00\u4f7f\u7528\u751f\u7269\u5236\u5242\uff0c\u4f46\u4e00\u822c\u4e0e\u7532\u6c28\u558b\u5464(Methotrexate)\u5408\u5e76\u4f7f\u7528\u3002\u76ee\u524d\uff0c\u7528\u4e8e\u6cbb\u7597\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e\u7684\u751f\u7269\u5236\u5242\u6709\u56db\u5927\u7c7b\uff0c\u5f53\u4e2d\u5305\u62ec\uff1a<\/p>\n<ul>\n<li>\u6297\u80bf\u7624\u574f\u6b7b\u56e0\u5b50\u751f\u7269\u5236\u5242 (anti-TNF biologics)<\/li>\n<li>\u6297\u767d\u7ec6\u80de\u4ecb\u7d20-6\u751f\u7269\u5236\u5242 (anti-IL6 biologics)<\/li>\n<li>\u6297T\u7ec6\u80de\u534f\u540c\u523a\u6fc0\u751f\u7269\u5236\u5242 (anti-T cell co-stimulation biologics)<\/li>\n<li>\u6297B\u7ec6\u80de\u751f\u7269\u5236\u5242 (anti-B cell biologics)<\/li>\n<\/ul>\n<p>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u751f\u7269\u5236\u5242\u7684\u5e38\u89c1\u526f\u4f5c\u7528\u662f\u5bb9\u6613\u51fa\u73b0\u611f\u67d3\uff0c\u6545\u7528\u836f\u524d\u8981\u5148\u68c0\u67e5\u75c5\u4eba\u6709\u5426\u80ba\u7ed3\u6838\u3001\u4e59\u578b\u809d\u708e\u6216\u4e2d\u592e\u795e\u7ecf\u7cfb\u7edf\u6df7\u4e71\u7b49\uff0c\u5982\u6709\u9700\u8981\u533b\u751f\u4f1a\u5904\u65b9\u76f8\u5173\u7684\u9884\u9632\u836f\u7269\u3002<\/p>\n<p>\u81f3\u4e8e\u9009\u62e9\u4f55\u79cd\u836f\u7269\u6cbb\u7597\u53ca\u7528\u836f\u65f6\u95f4\uff0c\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u60a3\u8005\u5e94\u4e0e\u533b\u751f\u591a\u4f5c\u6c9f\u901a\uff0c\u6839\u636e\u75c5\u60c5\u800c\u5171\u540c\u5236\u5b9a\u9002\u5408\u7684\u6cbb\u7597\u65b9\u6848\u3002<\/p>\n<h3>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u624b\u672f\u6cbb\u7597\u53ca\u7269\u7406\u6cbb\u7597<\/h3>\n<p>\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e\u7684\u975e\u836f\u7269\u6cbb\u7597\u65b9\u6cd5\uff0c\u5305\u62ec\u624b\u672f\u6cbb\u7597\u548c\u7269\u7406\u6cbb\u7597\u6216\u804c\u4e1a\u6cbb\u7597\u3002<\/p>\n<ul>\n<li><strong>\u9aa8\u79d1\u624b\u672f<\/strong>\uff1a\u5bf9\u4e8e\u5173\u8282\u4e25\u91cd\u53d7\u635f\u6216\u53d8\u5f62\u7684\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u60a3\u8005\uff0c\u533b\u751f\u6216\u4f1a\u5efa\u8bae\u4ed6\u63a5\u53d7\u5916\u79d1\u624b\u672f\uff0c\u4ee5\u51cf\u8f7b\u75db\u695a\uff0c\u6539\u5584\u53d7\u5f71\u54cd\u5173\u8282\u7684\u529f\u80fd\uff0c\u5e0c\u671b\u60a3\u8005\u80fd\u8fdb\u884c\u65e5\u5e38\u6d3b\u52a8\u3002\u9aa8\u79d1\u624b\u672f\u5305\u62ec\u66ff\u6362\u4eba\u5de5\u5173\u8282\u6216\u5207\u9664\u5173\u8282\u6ed1\u819c\u7b49\u3002<\/li>\n<li><strong>\u7269\u7406\u6cbb\u7597 \/ \u804c\u4e1a\u6cbb\u7597<\/strong>\uff1a\u7269\u7406\u6cbb\u7597\u5982\u70ed\u7597\u3001\u51b7\u7597\u3001\u8fd0\u52a8\u6cbb\u7597\u3001\u7535\u7597\u7b49\uff0c\u6709\u52a9\u677e\u5f1b\u4e0e\u953b\u70bc\u808c\u8089\uff0c\u51cf\u8f7b\u5173\u8282\u80bf\u75db\u53ca\u53d8\u5f62\u7684\u5f81\u72b6\u3002\u800c\u804c\u4e1a\u6cbb\u7597\u5305\u62ec\u4f7f\u7528\u590d\u5eb7\u652f\u67b6\u6216\u8f85\u52a9\u5de5\u5177\u6765\u7ea0\u6b63\u6d3b\u52a8\u59ff\u52bf\u3002<\/li>\n<\/ul>\n<p>\u6cbb\u7597\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u7684\u91cd\u8981\u539f\u5219\u662f&ldquo;\u65e9\u8bca\u65e9\u6cbb&rdquo;\u3002\u4e00\u822c\u6765\u8bf4\uff0c\u9ec4\u91d1\u6cbb\u7597\u671f\u662f\u75c5\u5f81\u51fa\u73b0\u540e\u7684\u9996\u4e24\u5e74\u3002<\/p>\n<p>\u5728\u5934\u4e24\u5e74\u5f97\u5230\u9002\u5f53\u7684\u8bca\u65ad\u53ca\u6cbb\u7597\u76f8\u5f53\u91cd\u8981\u3002\u5f53\u8fc7\u4e86\u9ec4\u91d1\u671f\uff0c\u5173\u8282\u4f1a\u51fa\u73b0\u4fb5\u8680\u548c\u53d8\u5f62\uff0c\u751a\u81f3\u5f15\u81f4\u6b8b\u969c\u3002\u6108\u65e9\u8bca\u65ad\u53ca\u6cbb\u7597\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\uff0c\u53ef\u51cf\u4f4e\u65e5\u540e\u5173\u8282\u53d8\u5f62\u7684\u673a\u4f1a\u4ee5\u53ca\u63d0\u9ad8\u65e5\u540e\u51cf\u836f\u6216\u505c\u836f\u7684\u673a\u4f1a\u3002<\/p>\n<p>\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u98ce\u6e7f\u75c5\u79d1\u533b\u751f\"\n            >\n                \u7acb\u5373\u7f51\u4e0a\u9884\u7ea6 - \u98ce\u6e7f\u75c5\u79d1\u533b\u751f\n            <\/a>\n        <\/div>\n    \n\n<\/p><\/p>\n                \n\n            <\/div>\n            \n\n            \n            <div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:35%\">\n\t\t\t\t\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\/17170326\/image_treatments_zh-cn_1526550820.jpg\" alt=\"\u7c7b\u98ce\u6e7f\u5173\u8282\u708e \u6cbb\u7597\" class=\"wp-image-9161\"\/><\/figure>\n                \n\n            <\/div>\n            \n\n        <\/div>\n        \n\n    <\/div>\n    \n<\/div>\n\n\n\n\n<div class=\"hip__section-border-upper\"><\/div>\n\n\n\n\n\n\n    <div class=\"wp-block-group has-background\" style=\"background-color:#f2f8ff\">\n    \n        <div class=\"wp-block-columns has-2-columns hip__content-section container flex-column flex-lg-row\">\n\n        \n        <div class=\"wp-block-column\" style=\"flex-basis:35%\">\n            \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\/17170328\/image_others_zh-cn_1526550821.jpg\" alt=\"\u7c7b\u98ce\u6e7f\u5173\u8282\u708e \u62a4\u7406\" class=\"wp-image-9164\"\/><\/figure>\n            \n        <\/div>\n        \n\n        \n        <div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:65%\">\n\n            \n            \n            <h2 id=\"\u62a4\u7406\">\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u65e5\u5e38\u62a4\u7406<\/h2>\n            \n            \n\n            \n            <p><p>\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u60a3\u8005\u5728\u65e5\u5e38\u62a4\u7406\u65b9\u9762\u4e0d\u59a8\u53c2\u8003\u4ee5\u4e0b4\u9879\u8d34\u58eb\uff0c\u8fd9\u6709\u52a9\u8212\u7f13\u75c5\u5f81\uff1a<\/p>\n<ol>\n<li>\n<div><strong>\u5747\u8861\u996e\u98df<\/strong><\/div>\n<ul>\n<li>\u5065\u5eb7\u996e\u98df\u53ca\u7ef4\u6301\u7406\u60f3\u7684\u4f53\u91cd\uff0c\u53ef\u51cf\u4f4e\u5bf9\u5173\u8282\u7684\u8d1f\u8377\uff1b<\/li>\n<li>\u6212\u70df\uff0c\u56e0\u957f\u671f\u5438\u5165\u9999\u70df\u5185\u7684\u5316\u5b66\u7269\u8d28\uff0c\u6709\u673a\u4f1a\u4ee4\u514d\u75ab\u7cfb\u7edf\u5931\u8c03\u800c\u8bf1\u53d1\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e\uff1b<\/li>\n<li>\u6212\u9152\uff0c\u56e0\u996e\u9152\u4f1a\u6270\u4e71\u836f\u7269\u6548\u529b\uff0c\u4e14\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u67d0\u4e9b\u836f\u7269\u7684\u526f\u4f5c\u7528\u662f\u635f\u5bb3\u809d\u810f\uff0c\u996e\u9152\u5219\u4f1a\u52a0\u91cd\u809d\u810f\u8d1f\u62c5\uff1b<\/li>\n<li>\u5949\u884c\u5c11\u6cb9\u3001\u5c11\u76d0\u3001\u5c11\u7cd6\u7684\u996e\u98df\u539f\u5219\uff0c\u591a\u5403\u852c\u83dc\u548c\u6c34\u679c\uff1b<\/li>\n<li>\u6444\u53d6\u8db3\u591f\u7684\u86cb\u767d\u8d28\u3001\u7ef4\u4ed6\u547d\u548c\u9499\u8d28\uff0c\u6709\u52a9\u589e\u5f3a\u514d\u75ab\u7cfb\u7edf\uff0c\u5f3a\u5316\u9aa8\u9abc\u3002<\/li>\n<\/ul>\n<\/li>\n<li>\n<div><strong>\u4f5c\u606f\u5b9a\u65f6<\/strong><\/div>\n\u5145\u8db3\u7684\u4f11\u606f\u53ef\u5e2e\u52a9\u51cf\u8f7b\u708e\u75c7\u7684\u6d3b\u8dc3\u7a0b\u5ea6\u548c\u75b2\u52b3\uff0c\u5c24\u5176\u662f\u75c5\u60c5\u6d3b\u8dc3\u65f6\uff0c\u66f4\u5e94\u591a\u4f11\u606f\uff0c\u907f\u514d\u592a\u64cd\u52b3\u3002\n<p>&nbsp;<\/p>\n<\/li>\n<li>\n<div><strong>\u9002\u5f53\u8fd0\u52a8<\/strong><\/div>\n\u5373\u4f7f\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u60a3\u8005\u6709\u5173\u8282\u75bc\u75db\u7684\u60c5\u51b5\uff0c\u4e5f\u8981\u8fdb\u884c\u9002\u5f53\u53ca\u9002\u91cf\u7684\u8fd0\u52a8\u3002\u9002\u5f53\u7684\u8fd0\u52a8\u53ef\u5e2e\u52a9\u5f3a\u5316\u808c\u8089\uff0c\u8212\u7f13\u5173\u8282\u538b\u529b\u3002\u60a3\u8005\u666e\u904d\u9002\u5408\u505a\u592a\u6781\u3001\u6c34\u4e2d\u8fd0\u52a8\u7b49\u3002\u4f46\u8981\u907f\u514d\u8fc7\u591a\u7684\u8dd1\u8df3\u6216\u8d1f\u91cd\u8fd0\u52a8\uff0c\u5982\u6253\u7bee\u7403\u3001\u8e22\u8db3\u7403\uff0c\u4ee5\u514d\u52a0\u901f\u5173\u8282\u7834\u574f\u3002\n<p>&nbsp;<\/p>\n<\/li>\n<li>\n<div><strong>\u79ef\u6781\u9762\u5bf9\u75c5\u60c5<\/strong><\/div>\n\u60c5\u7eea\u5bf9\u75c5\u60c5\u6709\u4e00\u5b9a\u7684\u5f71\u54cd\u3002\u53ef\u900f\u8fc7\u53c2\u4e0e\u793e\u4ea4\u6d3b\u52a8\u6216\u52a0\u5165\u4e92\u52a9\u7ec4\u7ec7\uff0c\u53ca\u4e0e\u4f60\u7684\u533b\u62a4\u56e2\u961f\u4fdd\u6301\u8054\u7edc\uff0c\u6765\u589e\u52a0\u5fc3\u7406\u4e0a\u7684\u652f\u63f4\uff0c\u51cf\u8f7b\u538b\u529b\u3002<\/li>\n<\/ol><\/p>\n            \n\n        <\/div>\n        <\/div>\n\n    <\/div>\n\n\n\n\n\n        ","protected":false},"author":7,"featured_media":9145,"template":"","categories":[2051],"tags":[1326,1394,1324,1323,1765],"acf":{"references":"<ul>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20872595\">2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology\/European League Against Rheumatism collaborative initiative.<\/a><\/li>\n<li><a href=\"https:\/\/www.webmd.com\/rheumatoid-arthritis\/the-causes-of-rheumatoid-arthritis\">Rheumatoid Arthritis (RA) Causes and Risk Factors<\/a><\/li>\n<li><a href=\"https:\/\/www.webmd.com\/rheumatoid-arthritis\/rheumatoid-arthritis-symptoms#1\">Rheumatoid Arthritis (RA) Symptoms and Complications<\/a><\/li>\n<li><a href=\"https:\/\/www.webmd.com\/rheumatoid-arthritis\/diagnosing-ra#1\">Rheumatoid Arthritis (RA) Diagnosis<\/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=\"https:\/\/www.niams.nih.gov\/health-topics\/rheumatoid-arthritis\">Rheumatoid Arthritis<\/a><\/li>\n<li><a href=\"https:\/\/www21.ha.org.hk\/smartpatient\/SPW\/zh-HK\/Disease-Information\/Chronic-Diseases-Zone\/Details\/?guid=0d0f6c89-48e9-42ff-af8f-8f37d634adc4\">\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e<\/a><\/li>\n<li><a href=\"http:\/\/www.hkarf.org\/Doc\/RA_chi(1).pdf\">\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e<\/a><\/li>\n<li><a href=\"http:\/\/depart.femh.org.tw\/rheumatology\/anticcp.htm\">\u4ec0\u4e48\u662f\u6297CCP\u6297\u4f53\uff08\u6297\u73af\u74dc\u6c28\u9178\u6297\u4f53\uff09\uff1f<\/a><\/li>\n<\/ul>\n","related_finddoctv_posts":[{"ID":7732,"post_author":"7","post_date":"2014-05-22 09:45:34","post_date_gmt":"2014-05-22 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