对类风湿性关节炎(RA)的治疗,阿司匹灵、非激素类抗炎药为一线药,青霉胺、金制剂等为二线药,而免疫抑制剂则属三线药。对严重的顽固性RA用上述一、二线药和皮质激素等治疗后仍继续有活动性炎症及活动障碍者可选用以下免疫抑制剂,但因毒性较大,一般应作为最后治疗手段,并应仔细观察随访。巯甲丙脯酸为近年发现治疗RA有希望的新药。兹分别介绍如下。 For the treatment of rheumatoid arthritis (RA), aspirin, non-hormonal anti-inflammatory drugs for the first-line drugs, penicillamine, gold preparations for second-line drugs, and immunosuppressive agents are the third-line drugs. Severe intractable RA with the first and second-line drugs and corticosteroids and other treatment continued to have active inflammation and movement disorders may choose the following immunosuppressive agents, but because of toxicity, generally should be used as the last resort, and should Carefully observe the follow-up. Captopril is a promising new drug for the treatment of RA in recent years. Here are the introduction.