风湿病与关节炎
風濕病與關節炎
풍습병여관절염
Rheumatism and Arthritis
2014年
11期
20-22
,共3页
姚血明%马武开%黄颖%唐芳%安阳%钟琴
姚血明%馬武開%黃穎%唐芳%安暘%鐘琴
요혈명%마무개%황영%당방%안양%종금
关节炎,类风湿%贫血%生存质量%疾病活动度
關節炎,類風濕%貧血%生存質量%疾病活動度
관절염,류풍습%빈혈%생존질량%질병활동도
arthritis,rheumatoid%anemia%survival quality%disease activity
目的:了解类风湿关节炎患者贫血情况,探讨贫血对患者生存质量、疾病活动度的影响,以提高对类风湿关节炎患者贫血的重视。方法:选取类风湿关节炎患者258例,分析患者的贫血情况,并研究贫血对患者疾病活动度、生存质量的影响。结果:258例患者中存在贫血146例(56.59%),其中中度贫血患者42例(16.28%),轻度贫血患者104例(40.31%),伴贫血的类风湿关节炎患者倾向得到更高的生存质量总积分及DAS28评分(P<0.01),不同贫血程度之间差异无统计学意义(P>0.05)。贫血程度与生存质量中生理功能(r=0.195,P=0.000)、社会功能(r=0.260,P=0.000)有一定的相关性,与社会功能相关性更高;与生存质量中心理功能、健康自我认识无明显相关性。贫血程度与DAS28评分明显相关(r=0.357,P=0.000)。结论:类风湿关节炎患者发生贫血比例高,多数为轻度贫血,伴贫血的类风湿关节炎患者疾病活动度更高,生存质量更差。
目的:瞭解類風濕關節炎患者貧血情況,探討貧血對患者生存質量、疾病活動度的影響,以提高對類風濕關節炎患者貧血的重視。方法:選取類風濕關節炎患者258例,分析患者的貧血情況,併研究貧血對患者疾病活動度、生存質量的影響。結果:258例患者中存在貧血146例(56.59%),其中中度貧血患者42例(16.28%),輕度貧血患者104例(40.31%),伴貧血的類風濕關節炎患者傾嚮得到更高的生存質量總積分及DAS28評分(P<0.01),不同貧血程度之間差異無統計學意義(P>0.05)。貧血程度與生存質量中生理功能(r=0.195,P=0.000)、社會功能(r=0.260,P=0.000)有一定的相關性,與社會功能相關性更高;與生存質量中心理功能、健康自我認識無明顯相關性。貧血程度與DAS28評分明顯相關(r=0.357,P=0.000)。結論:類風濕關節炎患者髮生貧血比例高,多數為輕度貧血,伴貧血的類風濕關節炎患者疾病活動度更高,生存質量更差。
목적:료해류풍습관절염환자빈혈정황,탐토빈혈대환자생존질량、질병활동도적영향,이제고대류풍습관절염환자빈혈적중시。방법:선취류풍습관절염환자258례,분석환자적빈혈정황,병연구빈혈대환자질병활동도、생존질량적영향。결과:258례환자중존재빈혈146례(56.59%),기중중도빈혈환자42례(16.28%),경도빈혈환자104례(40.31%),반빈혈적류풍습관절염환자경향득도경고적생존질량총적분급DAS28평분(P<0.01),불동빈혈정도지간차이무통계학의의(P>0.05)。빈혈정도여생존질량중생리공능(r=0.195,P=0.000)、사회공능(r=0.260,P=0.000)유일정적상관성,여사회공능상관성경고;여생존질량중심리공능、건강자아인식무명현상관성。빈혈정도여DAS28평분명현상관(r=0.357,P=0.000)。결론:류풍습관절염환자발생빈혈비례고,다수위경도빈혈,반빈혈적류풍습관절염환자질병활동도경고,생존질량경차。
Objective:To study the condition of anemia in patients with rheumatoid arthritis and its effects on their survival quality and disease activity.Methods:Took out-patients and hospitalized 258 patients with rheumatoid arthritis in our hospital as the research objects to analyze the condition of anemia in patients with rheumatoid arthritis and its effects on their survival quality and disease activity.Results:Among 258 patients, 146 cases had anemia(56.59%),among which 42 cases had moderate anemia(16.28%)and 104 cases had mild anemia(40.31%).Patients with rheumatoid arthritis had the tendency of having a higher score for the total survival quality and DAS28 score(P<0.01),but there were no signiifcant differences between anemias of different levels(P>0.05).There was certain correlation between the degree of anemia and physiological function(r=0.195,P=0.000) and social function(r=0.260,P=0.000),especially the social function.It had no obvious correlation with psychological function and self-known health.There was obvious relationship between the degree of anemia and DAS28 score(r=0.357,P=0.000).Conclusion:The incidence of anemia in patients with rheumatoid arthritis was higher,mostly mild anemia.Since the patients with rheumatoid arthritis had higher disease activity,their survival quality was even worse.