应关注老年人风湿病的诊治

摘要

With the rapid population aging in China, the prevalence of rheumatic diseases in the elderly increases gradually. Compared with the young people, the incidence of osteoarthritis and polymyalgia rheumatica in the elderly people is higher The clinical manifestations of rheumatoid arthritis, systemic erythematosus and spondyloarthropathy are different compared with the young patients. Individualized treatment strategy should be chosen based on the clinical characteristics and comorbidities in the elderly patients. Furthermore, adverse drug reaction should be emphasized specifically. This paper summarized the clinical features and therapeutic strategy of several common rheumatic diseases in elderly patients.%随着我国人口老龄化速度的加快,老年风湿病患者逐渐增多.老年风湿病患者中骨关节炎和风湿性多肌痛的患病率明显增多,而类风湿关节炎、系统性红斑狼疮以及脊柱关节病等常见风湿病的表现往往不典型,与年轻患者有明显差异.老年风湿病患者在治疗过程中要根据其疾病特点及合并其他系统疾病情况,选择个体化治疗方案,并要特别重视药物不良反应的发生.本文对常见老年风湿病的临床特点及治疗过程中的注意事项进行总结,可能对提高临床医师对老年人风湿病的诊治水平具有一定意义.