van de Putte Leo B A
Department of Rheumatology, University Hospital, Nijmegen, The Netherlands.
J Rheumatol Suppl. 2002 Nov;66:13-9.
Disease modifying antirheumatic drugs (DMARD) for treatment of rheumatoid arthritis (RA) are well established. As evidence has shown, considerable damage to the joints occurs early in the disease: thus DMARD therapy is being initiated earlier. Clinical trials with DMARD monotherapy in early RA are reviewed with consideration given to efficacy, onset of therapeutic effect, and the toxicity profile of currently available drugs.
用于治疗类风湿性关节炎(RA)的改善病情抗风湿药(DMARD)已得到广泛认可。有证据表明,在疾病早期关节就会出现相当程度的损害:因此,DMARD治疗开始得更早。本文回顾了早期类风湿性关节炎中DMARD单药治疗的临床试验,并考虑了现有药物的疗效、治疗效果的起效时间和毒性特征。