CAJ | 학술논문

目的：：探讨老年系统性红斑狼疮的临床特点。方法：选自2012年1月至2013年1月进入到我院进行治疗的老年系统性红斑狼疮患者47例,并且对同期确诊为红斑狼疮的47例青年患者进行临床对照,将其分别命名为老年组和青年组。对老年组的47例患者和青年组的47例患者的血常规,临床特点以及肾功能,蛋白尿等进行对比临床研究,进而分析老年系统性红斑狼疮的临床特点。结果：在老年组的红斑狼疮的47例老年患者,疾病的首发临床表现如下,皮疹发生比例占老年组总人数的25.5%,脱发发生比例占老年组总人数的23.4%,肾损伤发生比例占老年组总人数的27.7%,发热发生比例占老年组总人数的23.4%。在青年组的红斑狼疮的47例患者,疾病首发的临床表现如下,皮疹发生比例占青年组总人数的21.3%,脱发发生比例占青年组总人数的19.1%,肾损伤发生比例占青年组总人数的21.3%,发热发生比例占青年组总人数的38.3%。老年组的47例老年患者轻度活动比例占老年组总人数的42.6%。中度活动比例占老年组总人数的38.3%,重度活动比例占老年组总人数的19.1%。青年组的47例青年患者轻度活动比例占青年组总人数的25.5%。中度活动比例占青年组总人数的27.7%,重度活动比例占青年组总人数的25.5%,2组患者疾病首发临床表现的比例具有统计学意义,(P<0.05)。结论：老年患者和青年患者的临床特点有着很大的不同,老年患者起病比较的隐匿,因此在临床上比较容易误诊,因而需要进行更加细致的诊断。
목적：：탐토노년계통성홍반랑창적림상특점。방법：선자2012년1월지2013년1월진입도아원진행치료적노년계통성홍반랑창환자47례,병차대동기학진위홍반랑창적47례청년환자진행림상대조,장기분별명명위노년조화청년조。대노년조적47례환자화청년조적47례환자적혈상규,림상특점이급신공능,단백뇨등진행대비림상연구,진이분석노년계통성홍반랑창적림상특점。결과：재노년조적홍반랑창적47례노년환자,질병적수발림상표현여하,피진발생비례점노년조총인수적25.5%,탈발발생비례점노년조총인수적23.4%,신손상발생비례점노년조총인수적27.7%,발열발생비례점노년조총인수적23.4%。재청년조적홍반랑창적47례환자,질병수발적림상표현여하,피진발생비례점청년조총인수적21.3%,탈발발생비례점청년조총인수적19.1%,신손상발생비례점청년조총인수적21.3%,발열발생비례점청년조총인수적38.3%。노년조적47례노년환자경도활동비례점노년조총인수적42.6%。중도활동비례점노년조총인수적38.3%,중도활동비례점노년조총인수적19.1%。청년조적47례청년환자경도활동비례점청년조총인수적25.5%。중도활동비례점청년조총인수적27.7%,중도활동비례점청년조총인수적25.5%,2조환자질병수발림상표현적비례구유통계학의의,(P<0.05)。결론：노년환자화청년환자적림상특점유착흔대적불동,노년환자기병비교적은닉,인차재림상상비교용역오진,인이수요진행경가세치적진단。
Objective:To evaluate the clinical features of Systemic Lupus Erythematosus in the elderly.Methods:From January 2012 to January 2013 to the hospital for treatment of 47 cases of elderly patients with systemic lupus erythematosus,and over 47 young adults diagnosed with lupus erythematosus clinical patients,be named as the senior group and youth group.On 47 cases of elderly patients and the youth group of 47 patients routine blood, clinical features and renal function and proteinuria comparative clinical study and analysis of clinical features of systemic lupus erythematosus in the elderly.Results:In the group of 47 cases of elderly patients with systemic lupus erythematosus in the elderly, the first clinical manifestation of the disease is as follows, rash, 25.5%of the total proportion of elderly, baldness,23.4%of the total proportion of elderly,renal group induced accounted for 27.7%of the total, the heat 23.4%of the total proportion of elderly. In the youth group of 47 patients with systemic lupus erythematosus, and clinical manifestations of the disease starting as follows, the rash youth group accounted for 21.3%of the total, baldness, youth group accounted for 19.1%of the total, accounted for the youth group of the total number of kidney damage 21.3%, fever youth group accounted for 38.3%of the total.Older group of 47 cases of senile patients with mild activities accounted for older group of the total number of 42.6%.Moderate activity rate 38.3%per cent of total number of elderly, moderate to severe activity rate 19.1%per cent of total number of elderly.Youth group of 47 cases of young patients with mild activities accounted for the youth group of the total number of 25.5%.Youth group activities accounted for 27.7%of the total, severe youth group activities accounted for 25.5%of the total,2 patients were statistically significant proportion of initial clinical manifestation of disease, (P<0.05). Conclusion:The clinical characteristic of elderly patients and young patients had very different, older patients hide, so on the clinical misdiagnosis of relatively easy, thus the need for more detailed diagnostics.