风湿性多肌痛86例回顾性临床分析

基础医学与临床 ›› 2010, Vol. 30 ›› Issue (2): 194-197.

风湿性多肌痛86例回顾性临床分析

罗薇张文曾小峰张奉春

中日友好医院中国医学科学院北京协和医学院北京协和医院中国医学科学院北京协和医学院北京协和医院风湿免疫科中国医学科学院北京协和医学院北京协和医院风湿免疫科

收稿日期:2009-04-14 修回日期:2009-06-15 出版日期:2010-02-05 发布日期:2010-02-05
通讯作者: 张文

Clinical analyses of 86 patients with Polymyalgia rheumatica

Wei LUO, Wen ZHANG, Xiao-feng ZENG, Feng-chun ZHANG

China-Japan Friendship Hospital PUMC Hospital, CAMS & PUMC Department of Rheumatology，PUMC Hospital，CAMS&PUMC Department of Rheumatology，PUMC Hospital，CAMS&PUMC

Received:2009-04-14 Revised:2009-06-15 Online:2010-02-05 Published:2010-02-05
Contact: Wen ZHANG,

摘要/Abstract

摘要： 目的探讨风湿性多肌痛的临床特点及男女患者之间的差别。方法回顾性分析了86例风湿性多肌痛患者的临床表现和治疗反应。结果女性患者表现为颈后肌和肩胛带肌痛的比例高于男性（P＜0.05）。而男性患者出现高热、关节痛、体质量下降、血清C反应蛋白水平、白细胞计数升高比例以及免疫球蛋白升高的比例均高于女性（P＜0.05）。但女性患者的复发率高于男性（P＜0.05）。结论男性患者部分全身症状和炎性反应重于女性，女性患者较男性更易复发。

关键词: 风湿性多肌痛, 临床特性

Abstract: Objective To investigate the clinical characteristics of Polymyalgia rheumatica（PMR）and the difference between male and female patients. Methods The clinical features of 86 patients with PMR were retrospectively analyzed. Results The ratio of hip and shoulder girdle muscle pain in female patients are higher than in male (P＜0.05), whereas the ratio of hyperpyrexia, arthralgia, weight loss, average level of CRP, as well as percentage of elevated immunoglobulin and leukocyte count are all higher in male patients compared with female patients（P＜0.05）. In terms of therapy response, relapsing rate was higher in female patients than in male patients. Conclusion Partial symptoms and inflammatory signs were more predominant in male patients. However, relapsing rate was higher in female patients.

Key words: Polymyalgia rheumatica, Clinical characteristic

中图分类号:

R-012

罗薇张文曾小峰张奉春. 风湿性多肌痛86例回顾性临床分析[J]. 基础医学与临床, 2010, 30(2): 194-197.

Wei LUO; Wen ZHANG; Xiao-feng ZENG; Feng-chun ZHANG. Clinical analyses of 86 patients with Polymyalgia rheumatica[J]. Basic & Clinical Medicine, 2010, 30(2): 194-197.