03 类风湿关小节炎的诊治进展2015继教班(胡建东).pptxVIP

类风湿关节炎的诊治进展上海中医药大学附属岳阳中西医结合医院风湿科 胡建东2015.9.17RA临床特点放射学破坏(c) 1972-2004 American College of Rheumatology Clinical Slide Collection. Used with permission. 病理机制诊断分类标准1987年ACR的RA分类标准注：以上7条满足4条或4条以上并排除其他关节炎可诊断RA，条件1～4必须持续至少6周(引自Arthritis Rheum，1988，31：315-324)病情评估Instruments Used to Measure Rheumatoid Arthritis Disease ActivityClinical Measurement Tools to Guide Treatment DecisionsRemissionLow Disease ActivityModerate Disease ActivityHigh Disease Activity SDAI 22 3.6DAS ≤ 2.4N/A 5.5 2.9-10CDAI ≤ 2.811-22 22 3.4-11SDAI ≤ 3.312-26 26Aletaha D, et al. Clin Exp Rheumatol. 2005;23(suppl 39):S100-