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目的 探讨老年期发病的类风湿关节炎的临床特点。 方法 对 4 3例 6 0岁以后发病的老年患者的临床特点进行分析 ,并与 5 9例年青发病患者进行比较。 结果 老年组男性发病多 ,急性起病较多 ;肩和膝等大关节作为首发关节者在老年组 (37 2 % )高于青中年组 (11 8% ) ;老年组患者关节症状及关节功能障碍均重于青中年组患者 ,且并发心、肺疾患和骨关节炎者明显增多。 结论 老年组在发病形式、首发受累关节均与青中年患者不同 ,且关节症状严重程度与青中年组患者显著不同 ,老年人并发症多于青中年人。
Objective To investigate the clinical features of rheumatoid arthritis in senile patients. Methods The clinical features of 43 elderly patients with disease after 60 years of age were analyzed and compared with 59 cases of young patients. Results The number of male patients in the elderly group was higher than that in the middle-aged group (37.2%) (11.8%). In the elderly group, the joint symptoms and joints Dysfunction were heavier in young middle-aged patients, and complicated by heart and lung disease and osteoarthritis were significantly increased. Conclusions The elderly patients in the incidence of form, the first affected joints are different from those of young and middle-aged patients, and the severity of joint symptoms are significantly different from those of young middle-aged patients. The elderly patients have more complications than young middle-aged patients.