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大骨节病(KBD)是一种与环境相关,慢性病程的地方性骨病,病理表现为骨和软骨发育不良,成年人可出现关节及软组织疼痛,甚至造成关节畸形、残疾等,在陕西咸阳等地区KBD发病率较高。类风湿关节炎(RA)是一种慢性的累及全身多关节炎的自身免疫病,我国患病率在0.5%~1%之间[1]。两种疾病均为慢性、进行性、侵袭性疾病,病情可发展为关节僵直、畸形,继而严重影响劳动力。近10年来研究表明,患者慢病管理支持与自身心理因素、关节功能锻炼和保护在本病中备受关注[2,3]。2002年美国风湿病年会(ACR)治疗指导标准中,RA患者教育和自我管理计
Kashin-Beck disease (KBD) is an endemic bone disease associated with the environment and chronic diseases. The pathological manifestations are bone and cartilage dysplasia. Adult may have joint and soft tissue pain, and even cause joint deformity and disability. In Shaanxi Xianyang KBD and other areas of higher incidence. Rheumatoid arthritis (RA) is a chronic autoimmune disease involving systemic polyarthritis, with a prevalence of 0.5% to 1% in China [1]. Both diseases are chronic, progressive, invasive disease, the disease can develop into joint stiffness, deformity, and then seriously affect the workforce. In the past 10 years, studies have shown that patients with chronic disease management support and their own psychological factors, joint exercise and protection of the concern in this disease [2,3]. 2002 American annual meeting of rheumatism (ACR) treatment guidelines, RA patient education and self-management