1
椋庢箍鍏嶇柅鐤剧梾锛堢被椋庢箍鍏宠妭鐐庯級瓒呰嵂鍝佽鏄庝功鐢ㄨ嵂涓撳鍏辫瘑
锛堝箍涓滅渷鑽浼?/p>
2014
骞?/p>
8
鏈?/p>
18
鏃ュ嵃鍙戯級
绫婚婀垮叧鑺傜値锛?/p>
rheumatoid
arthritis,
RA
锛夋槸涓�绉嶅父瑙佺殑浠ヨ繘琛屾�у叧鑺傜牬鍧忎负鐗瑰緛
鐨勬參鎬х値鐥囨�ц嚜韬厤鐤�х柧鐥咃紝澶氳浜庝腑骞村コ鎬э紝鎴戝浗鎮ｇ梾鐜囦负
0.32%
锝?/p>
0.36%
銆備复搴?/p>
涓昏琛ㄧ幇涓哄绉版�с�佹參鎬с�佽繘琛屾�у鍏宠妭鐐庯紝鍙�犳垚鍏宠妭杞銆侀鍙婂叧鑺傚泭鐨勭牬鍧忥紝鏈�
缁堝鑷村叧鑺傜暩褰㈠拰鍔熻兘涓уけ锛屾槸閫犳垚浜虹兢鍔冲姩鍔涗抚澶卞拰鑷存畫鐨勪富瑕佺柧鐥呬箣涓�锛岀梾鎯呬弗閲?/p>
鑰呭鍛界缉鐭揪
10
锝?/p>
15
骞淬�?/p>
鐩墠鐮旂┒宸茶瘉瀹?/p>
RA
鏄敱浜庡厤鐤郴缁熸椿鍖栧鍏宠妭鐨勬敾鍑绘墍鑷达紝鏃╂湡銆佺Н鏋併�佹瑙勭殑
娌荤枟鍙娇澶ч儴鍒嗘偅鑰呯梾鎯呮帶鍒惰壇濂姐�傜敱浜庝复搴婁笂
RA
鎮ｈ�呯殑琛ㄧ幇銆佺梾鎯呰交閲嶄笉涓�锛屾不鐤?/p>
涓婂簲寮鸿皟涓綋鍖栨不鐤椼�備复搴婁笂娌荤枟
RA
鐨勫父鐢ㄨ嵂鐗╂湁浜斿ぇ绫伙紝鍖呮嫭闈炵斁浣撶被鎶楃値鑽?/p>
锛?/p>
NSAIDs
锛夈�佹敼鍠勭梾鎯呮姉椋庢箍鑽紙
DMARDs
锛夈�佺敓鐗╁埗鍓傘�佺硸鐨川婵�绱狅紙绠�绉版縺绱狅級
鍜屾鐗╄嵂锛屾澶栵紝鍥藉唴鏍哥礌鑽墿閿?/p>
[
99
Tc]
浜氱敳鍩轰簩鑶﹂吀鐩愭敞灏勬恫涔熸湁娌荤枟
RA
鐨勯�傚簲璇併�?/p>
NSAIDs
鍏锋湁鎶楃値闀囩棝浣滅敤锛屽彲鎺у埗鍏宠妭鑲跨棝鐥囩姸锛屼絾涓嶈兘鎺у埗鍏宠妭鐮村潖鐨勮繘灞曘�?/p>
DMARDs
鍏锋湁鏀瑰杽鍜屽欢缂?/p>
RA
鐥呮儏杩涘睍浣滅敤锛屼絾璧锋晥鎱€�?/p>
RA
涓�缁忕‘璇婏紝閮藉簲鏃╂湡浣跨敤
DMARDs
娌荤枟銆?/p>
2013
骞存娲叉姉椋庢箍鐥呰仈鐩?/p>
锛?/p>
EULAR
锛?/p>
鏇存柊鐨?/p>
RA
娌荤枟鎺ㄨ崘
[1]
灏?/p>
DMARDs
鍒嗕负鍚堟垚绫诲寲鍚堢墿
锛?/p>
synthetic chemical compounds, sDMARDs
锛?/p>
鍜岀敓鐗╁埗鍓?/p>
锛?/p>
biological
agents,
bDMARDs
锛夛紝鍏朵腑
sDMARDs
鍙堝垎涓轰紶缁熷悎鎴愮被锛?/p>
conventional
sDMARDs,
csDMARDs
锛夛紝濡傜敳姘ㄨ澏鍛わ紙
MTX
锛夈�佹潵姘熺背鐗广�佹煶姘：鍚″暥銆佺緹姘柟绛夛紝鍜岄澏鍚戝悎鎴?