257例类风湿关节炎患者中医证候分析

摘要

Objective:To analyze the TMC Syndromes distribution of RA.Methods:Retrospective analytical method was used to investigate TMC syndrome pattern distribution and sex,age,course,main laboratory index and DAS 28 levels before and after be-ing hospitalized of 257 RA Patients.Results:There was significant difference in age among different patterns.There was no statis-tical significance in course,main laboratory index although differences existed.Conclusion:Most of the patterns are Phlegm and blood stasis block and damp-heat impeding.When it comes to cold dampness with static blood pattern and damp-heat impeding with static blood Pattern,course of disease is the longest.There were no significant differences in DAS 28 before and after among different patterns.%目的：分析类风湿关节炎患者的中医证候分布。方法：对257例 RA 患者的中医证候分布与性别、年龄、主要实验室指标、入院前后 DAS28评分进行回顾性分析。结果：类风湿关节炎各证型在发病年龄差异有统计学意义，在性别、病程、主要实验室指标、DAS28评分差异无统计学意义。结论：类风湿关节炎患者年龄较轻者多为痰瘀痹阻型和湿热瘀阻型，年龄较大者多为痰瘀痹阻型和湿热痹阻型；寒湿瘀阻型和湿热痹阻型病程最长；各证型 DAS28前后评分无明显差异。