引用本文:莫 轶,赵 铖.类风湿关节炎肺间质病变相关因素的临床分析[J].中国临床新医学,2012,5(8):728-730.
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类风湿关节炎肺间质病变相关因素的临床分析
莫 轶,赵 铖
530021 南宁,广西医科大学2006级硕士研究生(莫 轶);广西医科大学第一附属医院风湿免疫科(赵 铖)
摘要:
[摘要] 目的 探讨类风湿关节炎(RA)肺间质病变(RA-ILD)的发生率及相关因素。方法 对资料完整的352例住院RA患者进行回顾性分析,根据诊断分为有ILD组和无ILD组,比较分析RA-ILD发生的相关因素。结果 2005-12~2007-10住院RA患者ILD的发生率为5.1%。单因素分析相关因素为年龄、血免疫球蛋白G异常及双手X线Ⅲ/Ⅳ级改变。多因素多元逐步Logistich回归分析,相关因素为年龄和血免疫球蛋白G异常。结论 类风湿关节炎肺间质病变发生率高,是多种因素共同作用的结果。
关键词:  类风湿关节炎  肺间质病变  相关因素
DOI:10.3969/j.issn.1674-3806.2012.08.11
分类号:R 593.22
基金项目:
Clinical analysis on correlative factors of the rheumatoid arthritis associated interstitial lung disease
MO Yi,ZHAO Cheng
Department of Rheumatology and Immunology,the First Afflicated Hospital of Guangxi Medical University,Nanning 530021,China
Abstract:
[Abstract] Objective To investigate the incidence and correlative factors of rheumatoid arthritis associated interstitial lung disease (RA-ILD).Methods The complete medical records of 352 in-patient with rheumatoid arthritis (RA) were retrospectively analyzed. These in-patients were divided two groups: the first group was patients with RA-ILD(RA-ILD group) and the second without RA-ILD(no ILD group). Correlative clinic factors were analyzed by the comparative method.Results The total incidence rate of RA-ILD was 5.1% in these in-patients with RA from December 2005 to October 2007. Monofactorical analysis showed that the correlative factors included age,the abnormal level of immunoglobulin G in serum and the level Ⅲ/Ⅳ damage on hand in X-ray;Multifactoical analysis indicated that the correlative factors were age and the abnormal level of immunoglobulin G in serum.Conclusion The incidence rate of RA-ILD is higher,and it is the results of multiple factors.
Key words:  Rheumatoid arthritis(RA)  Interstitial lung disease(ILD)  Correlative factors