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目的:探讨66例老年类风湿性关节炎的临床诊治效果及应用价值。方法:回顾性分析66例老年类风湿性关节炎临床特点(发病年龄60～80岁),并与70例非老年发病的类风湿性关节炎进行对比观察(发病年龄20～56岁)。结果:伴发心脑血管疾病、糖尿病、消化系统疾病老年组高于非老年组;四肢关节畸形表现老年组高于非老年组(P<0.01);四肢小关节受损、皮下结节发生、对称性关节受损明显低于非老年组(P<0.01);非老年组的风湿因子(RF)检出率高于老年组(P<0.01)。结论:老年类风湿性关节炎的患者易伴发心脑血管疾病、糖尿病、消化系统疾病,出现四肢关节畸形,但RF出现不明显。
Objective: To investigate the clinical diagnosis and treatment of 66 senile rheumatoid arthritis and its clinical value. Methods: A retrospective analysis of 66 elderly rheumatoid arthritis clinical features (age 60 to 80 years old), and 70 cases of non-elderly rheumatoid arthritis were observed (age 20 to 56 years old). Results: The elderly patients with cardiovascular and cerebrovascular diseases, diabetes mellitus and digestive diseases were higher than those in non-elderly patients. The incidence of joint deformities in elderly patients was higher than that in non-elderly patients (P <0.01) Symmetry joint damage was significantly lower than non-elderly group (P <0.01); non-elderly group rheumatoid factor (RF) detection rate was higher than the elderly group (P <0.01). Conclusion: Patients with senile rheumatoid arthritis are prone to cardiovascular and cerebrovascular diseases, diabetes mellitus and digestive system diseases, and limb deformities occur, but the appearance of RF is not obvious.