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青少年类风湿性关节炎的管理;长期康复问题。

Management of juvenile rheumatoid arthritis; the problem of long-term rehabilitation.

作者信息

WILLIAMS G F

出版信息

Calif Med. 1957 Oct;87(4):244-7.

PMID:13460740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1512175/
Abstract

A program for the management of juvenile rheumatoid arthritis should permit the child an optimal developmental experience despite the persistence of potentially crippling inflammatory disease. Drugs are useful, although no more than palliative, and all are significantly toxic. Physical measures should be directed toward the improvement of joint alignment and mobility and the restoration of muscular strength. The emotional, social and educational needs of a child with such a chronic disability deserve the most thoughtful attention.

摘要

青少年类风湿性关节炎的管理方案应使患儿在潜在致残性炎症疾病持续存在的情况下仍能获得最佳的发育体验。药物虽有帮助,但只是缓解症状,且都有明显的毒性。物理治疗措施应旨在改善关节对线和活动度以及恢复肌肉力量。患有这种慢性残疾的儿童在情感、社交和教育方面的需求值得给予最周到的关注。

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本文引用的文献

1
Early recognition of rheumatoid disease with comments on treatment.
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Serious untoward reactions to therapy with cortisone and adrenocorticotropin in pediatric practice. II.
Pediatrics. 1957 Feb;19(2):272-84.
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Investigation of the synergism of isonicotinic acid hydrazide and cortisone. II. Long-term study of the synergistic action of isonicotinic acid hydrazide and cortisone acetate in the treatment of rheumatoid arthritis.
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4
Comparison of cortisone and aspirin in treatment of juvenile rheumatoid arthritis.可的松与阿司匹林治疗青少年类风湿性关节炎的比较。
Br Med J. 1956 May 12;1(4975):1075-7. doi: 10.1136/bmj.1.4975.1075.
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Systemic lupus erythematosus in childhood; a clinical study.儿童系统性红斑狼疮;一项临床研究。
Acta Paediatr (Stockh). 1956 Mar;45(2):189-204. doi: 10.1111/j.1651-2227.1956.tb17690.x.
6
Effects of prolonged cortisone therapy on the statural growth, skeletal maturation and metabolic status of children.长期使用可的松治疗对儿童身高增长、骨骼成熟和代谢状况的影响。
N Engl J Med. 1956 Apr 5;254(14):636-41. doi: 10.1056/NEJM195604052541402.
7
Evaluation of prolonged cortisone therapy in rheumatiod arthritis: a four-year study.类风湿关节炎长期皮质醇治疗的评估:一项四年研究。
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Juvenile rheumatoid arthritis.
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Cortisone and corticotropin in rheumatic fever and juvenile rheumatoid arthritis.可的松与促肾上腺皮质激素在风湿热和青少年类风湿性关节炎中的应用
J Am Med Assoc. 1952 Nov 29;150(13):1273-8. doi: 10.1001/jama.1952.03680130005002.