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目的:分析不同年龄的类风湿关节炎患者的临床特征。方法:选择2011年9月~2012年9月在我院接受治疗的类风湿关节炎患者68例,根据发病的年龄,分成幼年组、中青年组、老年组。幼年组年龄小于16岁,中青年组年龄在16~60岁之间,老年组年龄在60岁以上。结果:对组间进行比较,幼年组类风湿关节炎患者IgM、类风湿因子水平要高于中青年组以及老年组,P<0.05具有统计学的意义;WBC、肌酐水平、抗CCP以及尿素氮低于中青年组以及老年组,差异具有统计学意义;老年组患者尿素氮、肌酐水平以及血清CRP高于中青年组,抗CCP低于中青年组,差异具有统计学意义。结论:在血管炎、血液系统受累以及发热等病症上,幼年患者较多发;在肺间质病变、胃肠受累上,老年患者多发。
Objective: To analyze the clinical features of rheumatoid arthritis patients of different ages. Methods: Sixty-eight patients with rheumatoid arthritis who were treated in our hospital from September 2011 to September 2012 were divided into young group, middle-aged group and old group according to the age of onset. The young group is less than 16 years old, the middle-aged group is between 16 and 60 years old, and the older group is over 60 years old. Results: Compared with the control group, IgM and rheumatoid factor in juvenile patients with rheumatoid arthritis were higher than those in middle-aged and young patients (P <0.05); WBC, creatinine, anti-CCP and urea nitrogen Lower than the middle-aged group and the elderly group, the difference was statistically significant; elderly patients with urea nitrogen, creatinine and serum CRP higher than the young group, anti-CCP lower than the young group, the difference was statistically significant. Conclusion: In the vasculitis, blood system involvement and fever and other diseases, juvenile patients are more frequent; interstitial lung disease, gastrointestinal involvement, elderly patients with multiple.