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目的:探讨类风湿关节炎合并糖尿病临床诊治思路构建。方法:选取32例类风湿关节炎合并糖尿病的患者,为该院2014年5月至2015年5月收治,回顾诊治资料。结果:据美国风湿病协会标准,缓解15例,病情加重5例,关节畸形8例,病情反复发作4例,有效率为46.9%。血糖控制在正常范围24例(75%);血糖值越出正常范围8例,其中餐前血糖>7.0 mmol/L 6例,餐前血糖>10.0 mmol/L2例。相较疗前,疗后12 w餐后2 h血糖、空腹血糖均得到有效控制,对比有统计学差异(P<0.05)。结论:在发病机制上,糖尿病与类风湿关节炎有一定共性,并具内在联系,综合治疗糖尿病和类风湿关节炎,可促临床症状明显缓解,增强临床疗效,促致残率降低,对保障患者预后意义显著。
Objective: To explore the clinical diagnosis and treatment of rheumatoid arthritis with diabetes mellitus. Methods: Thirty-two patients with rheumatoid arthritis and diabetes mellitus were selected and admitted to our hospital from May 2014 to May 2015. The diagnosis and treatment data were reviewed. Results: According to American Rheumatism Association standard, 15 cases were relieved, 5 cases were aggravated, 8 cases were joint deformity, and 4 cases were recurrent. The effective rate was 46.9%. Blood glucose was controlled in 24 cases (75%) in the normal range and blood glucose levels were out of normal range in 8 cases, including 6 cases with pre-meal glucose> 7.0 mmol / L and pre-meal glucose> 10.0 mmol / L2. Compared with before treatment and 12 w after treatment, blood glucose and fasting blood glucose were both controlled 2 h after the meal, with significant difference (P <0.05). Conclusion: The pathogenesis of diabetes and rheumatoid arthritis have a certain commonalities, and have an intrinsic link, comprehensive treatment of diabetes and rheumatoid arthritis, clinical symptoms can be significantly alleviated, and enhance clinical efficacy and reduce morbidity, to protect The prognosis of patients is significant.