幼年型类风湿关节(Juvenile rheumatoid arthritis,JRA)是幼年时期发生的以慢性关节滑膜炎为主要特征的全身性自身免疫性疾病,多发生于16岁以下的儿童,以原因不明的慢性滑膜炎为主要特征[1-3]。JRA的临床表现主要以关节炎症及关节功能受损为主,伴发发热、皮疹、肝脾肿大、等症状,常急性发作与缓解交替出现、病程迁延数年[4-5]。遵医行为是指患者及家属在求医后其服药、饮食控制或改变生活方 Juvenile rheumatoid arthritis (JRA) is a systemic autoimmune disease characterized by chronic synovitis in childhood. It mostly occurs in children under 16 years of age with chronic synovial membrane of unknown origin Inflammation as the main feature [1-3]. The main clinical manifestations of JRA are joint inflammation and impaired joint function, accompanied by fever, rash, hepatosplenomegaly, and other symptoms, often alternating with acute seizures and remissions, the course of the disease persists for several years [4-5]. Compliance is defined as patients taking medication and their families taking their medication, diet control or change of life