类风湿关节炎患者骨密度变化研究

    Study of bone density of patients with rheumatoid arthritis

    • 摘要: 目的:研究类风湿关节炎骨质疏松发生的原因及与病情活动度有无关联。方法:利用超声骨密度仪对类风湿关节炎患者跟骨进行骨密度检查。按有无骨质疏松分为骨质疏松组和无骨质疏松组。酶联吸附免疫法测定抗环瓜氨酸多肽抗体(CCP),了解类风湿关节炎患者骨密度与临床表现有无关联。结果:类风湿关节炎骨质疏松组病程长,抗CCP抗体阳性率高,类风湿因子滴度高,与无骨质疏松组差异均有统计学意义(P0.05)。2组患者年龄、性别、疼痛关节数、肿胀关节数、血沉、C反应蛋白、甲状旁腺素间差异均无统计学意义(P0.05)。结论:对类风湿关节炎患者应尽早进行骨密度检查,发现骨质疏松者应早期治疗,对预防骨折、保存劳动力、改善生存和生活质量有重要意义。

       

      Abstract: Objective:To investigate the pathogeny of osteoporosis of patients with rheumatoid arthritis(RA),and the relationship between osteoporosis with severity of sickness.Methods:The bone density was determined by ultrasound.All cases were divided into osteoporosis and no-osteoporosis group.The anti-cyclic cicrullinated peptide(CCP) antibody was detected by enzyme linked immunosorbent assay for understanding the the relationship between osteoporosis with severity of sickness.Results:For osteoporosis group,the disease course was longer,and positive incidence of CCP and standard of RF was significantly higher than these of no-osteoporosis group(P0.05).But there were no significant difference in the age,sex,number of hurt and swollen articulation,erythrocyte sedimentation rate(ESR),C-reative protein(CRP) and parathyroid hormone(PTH) in the two groups(P0.05).Conclusions:It is very important for preserving capacity of labour and improving the patient survival qualities by examining bone density and early therapying osteoporosis of RA patients.

       

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