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本文引用的文献

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Low-dose prednisone inclusion in a methotrexate-based, tight control strategy for early rheumatoid arthritis: a randomized trial.小剂量泼尼松加入甲氨蝶呤为基础的紧密控制策略治疗早期类风湿关节炎:一项随机试验。
Ann Intern Med. 2012 Mar 6;156(5):329-39. doi: 10.7326/0003-4819-156-5-201203060-00004.
2
A tight control treatment strategy aiming for remission in early rheumatoid arthritis is more effective than usual care treatment in daily clinical practice: a study of two cohorts in the Dutch Rheumatoid Arthritis Monitoring registry.在荷兰类风湿关节炎监测注册中心的两个队列研究中,旨在早期缓解的严格控制治疗策略比日常临床实践中的常规治疗更有效。
Ann Rheum Dis. 2012 Jun;71(6):845-50. doi: 10.1136/annrheumdis-2011-200274. Epub 2011 Dec 30.
3
Sustained disease remission and inhibition of radiographic progression in methotrexate-naive patients with rheumatoid arthritis and poor prognostic factors treated with abatacept: 2-year outcomes.在接受阿巴西普治疗的甲氨蝶呤初治、具有不良预后因素的类风湿关节炎患者中,持续缓解疾病和抑制影像学进展:2 年的结果。
Ann Rheum Dis. 2011 Nov;70(11):1949-56. doi: 10.1136/ard.2010.145268. Epub 2011 Aug 6.
4
Self-management of fatigue in rheumatoid arthritis: a randomised controlled trial of group cognitive-behavioural therapy.类风湿关节炎疲劳的自我管理:群组认知行为疗法的随机对照试验。
Ann Rheum Dis. 2011 Jun;70(6):1060-7. doi: 10.1136/ard.2010.144691.
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The risk of myocardial infarction in rheumatoid arthritis and diabetes mellitus: a Danish nationwide cohort study.类风湿关节炎和糖尿病患者心肌梗死风险:一项丹麦全国队列研究。
Ann Rheum Dis. 2011 Jun;70(6):929-34. doi: 10.1136/ard.2010.143396. Epub 2011 Mar 9.
6
The lifetime risk of adult-onset rheumatoid arthritis and other inflammatory autoimmune rheumatic diseases.成人起病的类风湿关节炎和其他炎性自身免疫性风湿性疾病的终生风险。
Arthritis Rheum. 2011 Mar;63(3):633-9. doi: 10.1002/art.30155.
7
To improve outcomes we must define and measure them: toward defining remission in rheumatoid arthritis.为了改善治疗结果,我们必须对其进行定义和衡量:迈向类风湿关节炎缓解的定义。
Arthritis Rheum. 2011 Mar;63(3):587-9. doi: 10.1002/art.30199.
8
American College of Rheumatology/European League Against Rheumatism provisional definition of remission in rheumatoid arthritis for clinical trials.美国风湿病学会/欧洲抗风湿病联盟关于类风湿关节炎临床试验缓解的临时定义
Arthritis Rheum. 2011 Mar;63(3):573-86. doi: 10.1002/art.30129.
9
Disease activity score-driven therapy versus routine care in patients with recent-onset active rheumatoid arthritis: data from the GUEPARD trial and ESPOIR cohort.疾病活动评分驱动治疗与新发活动期类风湿关节炎患者的常规治疗比较:来自 GUEPARD 试验和 ESPOIR 队列的数据。
Ann Rheum Dis. 2011 Apr;70(4):611-5. doi: 10.1136/ard.2010.137695. Epub 2011 Jan 17.
10
B cell activation biomarkers as predictive factors for the response to rituximab in rheumatoid arthritis: a six-month, national, multicenter, open-label study.B细胞活化生物标志物作为类风湿关节炎患者对利妥昔单抗反应的预测因素:一项为期6个月的全国性多中心开放标签研究。
Arthritis Rheum. 2011 Apr;63(4):933-8. doi: 10.1002/art.30233.

我的类风湿关节炎治疗方法。

My treatment approach to rheumatoid arthritis.

机构信息

Division of Rheumatology, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Mayo Clin Proc. 2012 Jul;87(7):659-73. doi: 10.1016/j.mayocp.2012.03.011.

DOI:10.1016/j.mayocp.2012.03.011
PMID:22766086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3538478/
Abstract

The past decade has brought important advances in the understanding of rheumatoid arthritis and its management and treatment. New classification criteria for rheumatoid arthritis, better definitions of treatment outcome and remission, and the introduction of biologic response-modifying drugs designed to inhibit the inflammatory process have greatly altered the approach to managing this disease. More aggressive management of rheumatoid arthritis early after diagnosis and throughout the course of the disease has resulted in improvement in patient functioning and quality of life, reduction in comorbid conditions, and enhanced survival.

摘要

过去十年,人们对类风湿关节炎的认识及其治疗和管理取得了重要进展。新的类风湿关节炎分类标准、对治疗结果和缓解的更好定义,以及旨在抑制炎症过程的生物反应调节剂的引入,极大地改变了治疗这种疾病的方法。在诊断后和疾病过程中早期更积极地治疗类风湿关节炎,可改善患者的功能和生活质量,减少合并症,并提高生存率。