\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\uff08rheumatoid arthritis\uff0cRA\uff09\u662f\u4ee5\u4fb5\u8680\u6027\u3001\u5bf9\u79f0\u6027\u591a\u5173\u8282\u708e\u4e3a\u4e3b\u8981\u4e34\u5e8a\u8868\u73b0\u7684\u6162\u6027\u3001\u5168\u8eab\u6027\u81ea\u8eab\u514d\u75ab\u75c5\u3002\u4e2d\u533b\u5c5e\u201c\u75f9\u8bc1\u201d\u201c\u5386\u8282\u75c5\u201d\u201c\u5c2a\u75f9\u201d\u7b49\u8303\u7574\u3002<\/p>\n
\u6839\u636e\u300a\u7d20\u95ee\u00b7\u75f9\u8bba\u300b\u53ca\u300a\u91d1\u532e\u8981\u7565\u300b\u5bf9\u75f9\u8bc1\u6216\u5386\u8282\u75c5\u7684\u8bba\u8ff0\uff0c\u8303\u6c38\u5347\u8ba4\u4e3a\u813e\u4e3b\u56db\u80a2\u808c\u8089\uff0c\u809d\u4e3b\u7b4b\uff0c\u80be\u4e3b\u9aa8\uff0c\u6545RA\u7684\u75c5\u4f4d\u5728\u809d\u813e\u80be\u3002\u5176\u75c5\u56e0\u75c5\u673a\u6709\u5185\u5916\u4e24\u4e2a\u65b9\u9762\uff1a\u5185\u56e0\u4e3a\u809d\u80be\u4e0d\u8db3\u6216\u6c14\u8840\u4e8f\u865a\uff0c\u5916\u56e0\u4e3a\u98ce\u5bd2\u6e7f\u70ed\u7b49\u90aa\u6c14\u6742\u800c\u4e3a\u75c5\uff0c\u5185\u5916\u56e0\u76f8\u5408\u800c\u4e3a\u75f9\u8bc1\u3002\u300a\u7d20\u95ee\u00b7\u8bc4\u70ed\u75c5\u8bba\u300b\u8bf4\uff1a\u201c\u90aa\u4e4b\u6240\u51d1\uff0c\u5176\u6c14\u5fc5\u865a\u3002\u201d\u300a\u7075\u67a2\u00b7\u53e3\u95ee\u300b\u8bf4\uff1a\u201c\u6545\u90aa\u4e4b\u6240\u5728\uff0c\u7686\u4e3a\u4e0d\u8db3\u3002\u201d\u300a\u7075\u67a2\u00b7\u767e\u75c5\u59cb\u751f\u300b\u8bf4\uff1a\u201c\u6b64\u5fc5\u56e0\u865a\u90aa\u4e4b\u98ce\uff0c\u4e0e\u5176\u8eab\u5f62\uff0c\u4e24\u865a\u76f8\u5f97\uff0c\u4e43\u5ba2\u5176\u5f62\u3002\u201d\u672c\u75c5\u7684\u53d1\u751f\u9996\u5148\u662f\u6b63\u6c14\u4e0d\u8db3\uff0c\u6216\u809d\u80be\u4e0d\u8db3\uff0c\u6216\u6c14\u8840\u4e8f\u865a\u3002\u968f\u540e\u98ce\u5bd2\u6e7f\u70ed\u7b49\u75c5\u90aa\u624d\u80fd\u4e58\u865a\u800c\u5165\uff0c\u4e24\u865a\u76f8\u5f97\uff0c\u75be\u75c5\u6e10\u6210\u3002\u5728\u75be\u75c5\u53d1\u5c55\u8fc7\u7a0b\u4e2d\uff0c\u5fc5\u7136\u51fa\u73b0\u75f0\u7600\u7b49\u75c5\u7406\u4ea7\u7269\uff0c\u800c\u53c8\u6210\u4e3a\u81f4\u75c5\u56e0\u7d20\u3002<\/p>\n
\u672c\u75c5\u7684\u6cbb\u7597\u539f\u5219\u4e3a\u6276\u6b63\u795b\u90aa\u3001\u6807\u672c\u517c\u987e\u3002\u6276\u6b63\u4e3b\u8981\u4ece\u8865\u76ca\u809d\u80be\u548c\u76ca\u6c14\u5065\u813e\u5165\u624b\uff0c\u795b\u90aa\u5219\u6839\u636e\u98ce\u5bd2\u6e7f\u70ed\u53ca\u75f0\u7600\u7b49\u90aa\u6c14\u7684\u5939\u6742\u548c\u76db\u8870\u5206\u522b\u6216\u8054\u5408\u8fd0\u7528\u795b\u98ce\u3001\u6563\u5bd2\u3001\u9664\u6e7f\u3001\u6e05\u70ed\u3001\u5316\u75f0\u53ca\u901a\u7edc\u7b49\u6cbb\u6cd5\u3002<\/p>\n
\u4e34\u5e8a\u4e0a\u4e00\u90e8\u5206RA\u60a3\u8005\u8f83\u4e3a\u96be\u6cbb\uff0c\u53e6\u5916RA\u5408\u5e76\u95f4\u8d28\u6027\u80ba\u75c5\u6216\u5408\u5e76\u6162\u6027\u809d\u75c5\u4e34\u5e8a\u4e5f\u8f83\u4e3a\u68d8\u624b\u3002\u4eca\u5929\u6211\u4eec\u8ddf\u968f\u8303\u5148\u751f\u5b66\u4e60\u4e00\u5219\u96be\u6cbb\u6027\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u5178\u578b\u533b\u6848\u3002<\/p>\n
\u96be\u6cbb\u6027\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u5178\u578b\u533b\u6848\u5206\u6790<\/p>\n
\u5f20\u67d0\uff0c\u5973\uff0c47\u5c81\u3002\u6d59\u6c5f\u4e1c\u9633\u4eba\u3002<\/p>\n
\u521d\u8bca2018\u5e7412\u670821\u65e5<\/p>\n
\u4e3b\u8bc9\uff1a\u56db\u80a2\u5173\u8282\u80bf\u75db4\u5e74\u4f59\u3002<\/p>\n
\u75c5\u53f2\uff1a4\u5e74\u524d\u60a3\u8005\u65e0\u660e\u663e\u8bf1\u56e0\u4e0b\u51fa\u73b0\u53cc\u624b\u6307\u8fd1\u7aef\u6307\u95f4\u5173\u8282\u548c\u638c\u6307\u5173\u8282\u80bf\u75db\uff0c\u5f53\u5730\u533b\u9662\u8bca\u65ad\u4e3a\u201c\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\uff08RA\uff09\u201d\uff0c\u540e\u75c7\u72b6\u9010\u6e10\u52a0\u91cd\uff0c\u53d1\u5c55\u81f3\u8155\u3001\u80a9\u3001\u819d\u3001\u8e1d\u7b49\u5168\u8eab\u591a\u5904\u5173\u8282\u80bf\u75db\uff0c\u95f4\u65ad\u4e88\u4e2d\u897f\u533b\u6cbb\u7597\u540e\u75c7\u72b6\u672a\u89c1\u597d\u8f6c\uff0c\u81ea\u884c\u505c\u836f\u30022018\u5e744\u6708\u5750\u98de\u673a\u540e\u51fa\u73b0\u56db\u80a2\u672b\u7aef\u80bf\u80c0\u660e\u663e\uff0c\u4e88\u6fc0\u7d20\u6cbb\u7597\u540e\u597d\u8f6c\uff0c7\u6708\u53c8\u51fa\u73b0\u4e0a\u8ff0\u75c7\u72b6\uff0c\u4e88\u7532\u6c28\u8776\u5464\uff08MTX\uff09\u3001\u67f3\u6c2e\u78fa\u80fa\u5421\u5576\uff08SASP\uff09\u53ca\u4e2d\u836f\u6cbb\u75975\u4e2a\u6708\u540e\uff0c\u75c7\u72b6\u65e0\u660e\u663e\u6539\u5584\u6545\u81ea\u884c\u505c\u836f\u3002\u8fd1\u65e5\u75c7\u72b6\u52a0\u91cd\uff0c\u9042\u81f3\u8303\u6c38\u5347\u5904\u5c31\u8bca\u3002<\/p>\n
\u67e5\u4f53\uff1a\u53cc\u4fa7\u814b\u7a9d\u53ef\u89e6\u53ca\u591a\u4e2a\u80bf\u5927\u6dcb\u5df4\u7ed3\uff0c\u53f3\u4fa7\u8f83\u660e\u663e\uff0c\u53cc\u624b\u8fd1\u7aef\u6307\u95f4\u5173\u8282\u3001\u638c\u6307\u5173\u8282\u3001\u8155\u5173\u8282\u7565\u80bf\u5927\uff0c\u538b\u75db\uff08+\uff09\uff0c\u53cc\u8e1d\u5173\u8282\u80bf\u5927\u660e\u663e\uff0c\u538b\u75db\uff08+\uff09\u3002<\/p>\n
\u5916\u9662\u8f85\u52a9\u68c0\u67e5\uff1a\u80a9\u5173\u8282MR\u5e73\u626b\uff1a\u53f3\u80a9\u5173\u8282\u6ed1\u819c\u589e\u751f\uff0c\u53f3\u80a9\u5173\u8282\u708e\u8003\u8651\uff1b\u53f3\u80a9\u5cf0-\u4e09\u89d2\u808c\u4e0b\u6ed1\u56ca\u79ef\u6db2\uff1b\u53f3\u4fa7\u814b\u7a9d\u591a\u4e2a\u80bf\u5927\u6dcb\u5df4\u7ed3\u3002\u7c7b\u98ce\u6e7f\u56e0\u5b50\uff08RF\uff09123.2IU\/mL\uff0cC\u53cd\u5e94\u86cb\u767d\uff08CRP\uff0966.8mg\/L\uff0c\u8840\u6c89\uff08ESR\uff0950mm\/h\u3002\u670d\u7528\u836f\u7269\uff1a11\u670825\u65e5\u524d\u670d\u7528\u4ed6\u533b\u4e2d\u836f+MTX+SASP\uff0c\u81ea\u8bc9\u670d\u836f\u540e\u75c7\u72b6\u52a0\u91cd\uff0c\u6545\u81ea\u884c\u505c\u7528\u6240\u6709\u836f\u7269\u3002<\/p>\n
\u523b\u4e0b\u75c7\uff1a\u56db\u80a2\u591a\u5173\u8282\u80bf\u75db\uff0c\u6709\u70ed\u611f\uff0c\u6668\u8d77\u53cc\u624b\u50f5\u786c\u53d1\u70eb\uff0c\u53cc\u8e1d\u5173\u8282\u80bf\u5927\u660e\u663e\uff0c\u884c\u8d70\u3001\u4e0b\u8e72\u6216\u8d77\u7acb\u56f0\u96be\uff0c\u53cc\u80a9\u5173\u8282\u6015\u51b7\uff0c\u591c\u95f4\u53cc\u80a9\u5173\u8282\u53ca\u53cc\u624b\u81c2\u75bc\u75db\u660e\u663e\uff0c\u62ac\u4e3e\u65e0\u529b\uff0c22\u70b9\u7761\u4e0b\u540e1\u5c0f\u65f6\u75bc\u9192\uff0c\u540e\u8f97\u8f6c\u7ffb\u8eab\u5f7b\u591c\u96be\u7720\uff0c\u5e73\u7d20\u5934\u90e8\u3001\u80f8\u80cc\u90e8\u51fa\u6c57\u8f83\u591a\uff0c\u6076\u5bd2\uff0c\u80c3\u7eb3\u4e00\u822c\uff0c\u5c0f\u4fbf\u53ef\uff0c\u5927\u4fbf\u5076\u7a00\u3002\u820c\u8d28\u7ea2\uff0c\u6709\u88c2\u7eb9\uff0c\u82d4\u5c11\uff0c\u8109\u5f26\u3002<\/p>\n
\u897f\u533b\u8bca\u65ad\uff1a\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\uff0c\u53f3\u80a9\u5173\u8282\u708e\u3002<\/p>\n
\u4e2d\u533b\u8bca\u65ad\uff1a\u5c2a\u75f9\uff08\u98ce\u6e7f\u70ed\u75f9\uff09\u3002<\/p>\n
\u6cbb\u6cd5\uff1a\u6e05\u70ed\u795b\u98ce\u901a\u7edc\u3002<\/p>\n
\u65b9\u836f\uff1a<\/p>\n
\u767d\u864e\u52a0\u6842\u679d\u6c64\u52a0\u51cf\u3002\u751f\u77f3\u818f20g\uff08\u5148\u714e\uff09\uff0c\u77e5\u6bcd9g\uff0c\u6842\u679d10g\uff0c\u845b\u683915g\uff0c\u6851\u679d30g\uff0c\u4e4c\u68a2\u86c79g\uff0c\u5a01\u7075\u4ed930g\uff0c\u8c68\u83b6\u834915g\uff0c\u7ec6\u8f9b3g\uff0c\u4f5b\u624b9g\uff0c\u5ddd\u828e12g\uff0c\u9b3c\u7bad\u7fbd10g\u300214\u5242\uff0c\u6c34\u714e\u670d\uff0c\u65e51\u5242\uff0c\u52062\u6b21\u670d\u7528\u3002<\/p>\n
\u4e8c\u8bca2019\u5e741\u67085\u65e5<\/p>\n
\u5173\u8282\u80bf\u75db\u6539\u5584\u660e\u663e\uff0c\u5c24\u5176\u662f\u8e1d\u5173\u8282\u80bf\u5927\u6d88\u9000\u660e\u663e\uff0c\u819d\u3001\u8098\u5173\u8282\u4ecd\u6709\u4f5c\u75db\uff0c\u5bd0\u6b20\u4f73\uff0c\u820c\u8d28\u6697\u7ea2\uff0c\u82d4\u8584\u817b\uff0c\u8109\u5f26\uff0c\u4ecd\u62df\u6e05\u70ed\u901a\u7edc\u5b89\u795e\u4e3a\u6cbb\u3002<\/p>\n
\u4e0a\u65b9\u6539\u845b\u6839\u4e3a20g\uff0c\u9b3c\u7bad\u7fbd\u4e3a20g\uff0c\u52a0\u858f\u82e1\u4ec130g\uff0c\u9996\u4e4c\u85e430g\u300214\u5242\uff0c\u714e\u670d\u6cd5\u540c\u524d\u3002\u540c\u65f6\u5631\u7ee7\u7eed\u670d\u7528MTX7.5mg\/w\u3002<\/p>\n
\u4e09\u8bca2019\u5e741\u670831\u65e5<\/p>\n
1\u670830\u65e5\u67e5\uff1aRF 316.3IU\/L\uff0cESR 120mm\/h\uff0c CRP 71.7mg\/L\u3002\u8fd1\u65e5\u80a9\u3001\u819d\u3001\u8e1d\u5173\u8282\u4f5c\u75db\u660e\u663e\uff0c\u820c\u8d28\u7ea2\uff0c\u82d4\u8584\uff0c\u8109\u7ec6\uff0c\u62df\u53c2\u6e05\u70ed\u901a\u7edc\u4e3a\u6cbb\u3002<\/p>\n
\u5904\u65b9\uff1a<\/p>\n
\u77e5\u6bcd9g\uff0c\u6842\u679d10g\uff0c\u4e4c\u68a2\u86c79g\uff0c\u5a01\u7075\u4ed930g\uff0c\u8c68\u83b6\u834915g\uff0c\u7ec6\u8f9b3g\uff0c\u4f5b\u624b9g\uff0c\u5ddd\u828e12g\uff0c\u9b3c\u7bad\u7fbd20g\uff0c\u858f\u82e1\u4ec130g\uff0c\u72ec\u6d3b12g\uff0c\u9ec4\u67cf9g\uff0c\u9996\u4e4c\u85e430g\uff0c\u9752\u98ce\u85e418g\u300214\u5242\uff0c\u714e\u670d\u6cd5\u540c\u524d\u3002\u540c\u65f6\u5631MTX\u589e\u52a0\u81f310mg\/w\uff0c\u540c\u65f6\u4e88\u4ee5\u7f9f\u6c2f\u55b9\uff08HCQ\uff090.2g\/d\u6cbb\u7597\u3002<\/p>\n
\u56db\u8bca2019\u5e742\u670821\u65e5<\/p>\n
\u6307\u5173\u8282\u4f5c\u75db\u3001\u5f2f\u66f2\u4e0d\u5229\uff0c\u5bd0\u5dee\uff0c\u820c\u8d28\u7ea2\uff0c\u82d4\u8584\uff0c\u8109\u7ec6\uff0c\u62df\u53c2\u6e05\u70ed\u901a\u7edc\u4e3a\u6cbb\u3002<\/p>\n
\u5904\u65b9\uff1a<\/p>\n
\u751f\u77f3\u818f30g\uff08\u5148\u714e\uff09\uff0c\u77e5\u6bcd9g\uff0c\u6842\u679d6g\uff0c\u6851\u679d30g\uff0c\u5a01\u7075\u4ed930g\uff0c\u8c68\u83b6\u834915g\uff0c\u7ec6\u8f9b3g\uff0c\u5ddd\u828e12g\uff0c\u9b3c\u7bad\u7fbd20g\uff0c\u72ec\u6d3b12g\uff0c\u9752\u98ce\u85e430g\uff0c\u9996\u4e4c\u85e430g\uff0c\u7092\u767d\u828d20g\uff0c\u4e4c\u68a2\u86c79g\uff0c\u4f5b\u624b9g\uff0c\u5927\u67a310g\u300214\u5242\uff0c\u714e\u670d\u6cd5\u540c\u524d\u3002<\/p>\n
\u60a3\u8005\u5728\u8303\u6c38\u5347\u5904\u575a\u6301\u4e2d\u897f\u533b\u7ed3\u5408\u6cbb\u75971\u5e74\u4f59\u3002<\/p>\n
2020\u5e743\u67087\u65e5\u5fae\u4fe1\u968f\u8bbf\uff1a\u590d\u67e5\u8840\u5e38\u89c4\u3001\u809d\u80be\u529f\u80fd\u6b63\u5e38\uff0c\u8840\u6c896mm\/h\uff0cRF85.9IU\/mL\uff0c\u5173\u8282\u80bf\u75db\u660e\u663e\u6539\u5584\uff0c\u81ea\u884c\u5c06MTX\u51cf\u81f37.5mg\/w\u7ef4\u6301\u6cbb\u7597\u3002<\/p>\n
\u3010\u6309\u8bed\u3011<\/p>\n
\u60a3\u8005\u4ee5\u56db\u80a2\u5173\u8282\u80bf\u75db\u3001\u70e6\u70ed\u4e3a\u4e3b\u75c7\uff0c\u5c24\u4ee5\u53cc\u8e1d\u80bf\u5927\u660e\u663e\uff0c\u4f34\u6709\u53cc\u624b\u50f5\u786c\u53d1\u70eb\uff0c\u4ed6\u533b\u5e94\u7528\u76ca\u6c14\u517b\u9634\u3001\u795b\u7600\u901a\u7edc\u65b9\u65e0\u6548\uff0c\u53cd\u800c\u52a0\u91cd\uff0c\u7ed3\u5408\u820c\u8109\uff0c\u8303\u6c38\u5347\u8ba4\u4e3a\u76ee\u524d\u60a3\u8005\u6709\u90aa\u70ed\uff0c\u8fa8\u8bc1\u4e3a\u98ce\u6e7f\u70ed\u75f9\u3001\u90aa\u70ed\u4f24\u9634\uff0c\u6545\u4e0d\u53ef\u7528\u8865\u6cd5\uff0c\u5f53\u7528\u767d\u864e\u52a0\u6842\u679d\u6c64\u52a0\u51cf\u795b\u90aa\u4e3a\u5148\u3002\u300a\u91d1\u532e\u8981\u7565\u00b7\u759f\u75c5\u8109\u8bc1\u5e76\u6cbb\u7b2c\u56db\u300b\u66f0\uff1a\u201c\u6e29\u759f\u8005\uff0c\u5176\u8109\u5982\u5e73\uff0c\u8eab\u65e0\u5bd2\u4f46\u70ed\uff0c\u9aa8\u8282\u75bc\u70e6\uff0c\u65f6\u5455\uff0c\u767d\u864e\u52a0\u6842\u679d\u6c64\u4e3b\u4e4b\u3002\u201d\u4ece\u516d\u7ecf\u8fa8\u8bc1\u800c\u8a00\uff0c\u8be5\u75c5\u8bc1\u5c5e\u4e8e\u592a\u9633\u9633\u660e\u5408\u75c5\uff0c\u592a\u9633\u4e3b\u4e00\u8eab\u4e4b\u8868\uff0c\u592a\u9633\u8868\u6709\u5bd2\uff0c\u6545\u6709\u56db\u80a2\u5173\u8282\u75bc\u75db\u4e4b\u75c7\uff0c\u5982\u300a\u7d20\u95ee\u00b7\u75f9\u8bba\u300b\u8bf4\u201c\u75db\u8005\uff0c\u5bd2\u6c14\u591a\u4e5f\uff0c\u6709\u5bd2\u6545\u75db\u4e5f\u201d\u3002\u7ed3\u5408\u672c\u6848\u60a3\u8005\u540c\u65f6\u6709\u5173\u8282\u80bf\u5927\u3001\u80a2\u8282\u75bc\u70e6\u53ca\u76ae\u6e29\u5347\u9ad8\u4e4b\u75f9\u70ed\u8868\u73b0\uff0c\u8bf4\u660e\u8be5\u60a3\u8005\u4e3a\u9633\u70ed\u4f53\u8d28\uff0c\u6b63\u5982\u300a\u7d20\u95ee\u00b7\u75f9\u8bba\u300b\u6240\u8bf4\u201c\u5176\u70ed\u8005\uff0c\u9633\u6c14\u591a\uff0c\u9634\u6c14\u5c11\uff0c\u75c5\u6c14\u80dc\uff0c\u9633\u906d\u9634\uff0c\u6545\u4e3a\u75f9\u70ed\u201d\u3002\u80f8\u80cc\u90e8\u6c57\u51fa\uff0c\u53e3\u6e34\uff0c\u820c\u7ea2\u6709\u88c2\u7eb9\uff0c\u4ea6\u8bf4\u660e\u60a3\u8005\u9633\u660e\u80ba\u80c3\u6709\u70ed\u4e14\u4f24\u53ca\u9634\u6d25\u3002\u6545\u8303\u6c38\u5347\u53d6\u767d\u864e\u6c64\u4e4b\u77f3\u818f\u3001\u77e5\u6bcd\u6e05\u900f\u9633\u660e\u80ba\u80c3\u4e4b\u90aa\u70ed\uff1b\u52a0\u8f9b\u7518\u51c9\u4e4b\u845b\u6839\u3001\u6851\u679d\u6e05\u70ed\u751f\u6d25\uff0c\u795b\u98ce\u901a\u7edc\uff1b\u82e6\u5bd2\u4e4b\u9b3c\u7bad\u7fbd\u89e3\u6bd2\u6d88\u80bf\uff0c\u6d3b\u8840\u901a\u7ecf\uff1b\u6842\u679d\u8f9b\u6e29\u4ee5\u53d1\u6563\u5728\u8868\u4e4b\u5bd2\u90aa\uff1b\u52a0\u7ec6\u8f9b\u3001\u5ddd\u828e\u3001\u4e4c\u68a2\u86c7\u7b49\u6e29\u7ecf\u901a\u7edc\uff1b\u5a01\u7075\u4ed9\u3001\u8c68\u83b6\u8349\u4e3a\u8303\u6c38\u5347\u5e38\u7528\u795b\u98ce\u6e7f\u3001\u901a\u7ecf\u7edc\u4e4b\u836f\u5bf9\uff0c\u4e0d\u8bba\u98ce\u5bd2\u6e7f\u75f9\u8fd8\u662f\u98ce\u6e7f\u70ed\u75f9\u7686\u53ef\u5e94\u7528\u3002\u8bf8\u836f\u914d\u4f0d\u5e94\u7528\uff0c\u8fa8\u8bc1\u51c6\u786e\uff0c\u670d\u836f2\u5468\u5373\u83b7\u660e\u663e\u7597\u6548\u3002\u4e8c\u8bca\u52a0\u5927\u9b3c\u7bad\u7fbd\u7528\u91cf\u6d3b\u8840\u89e3\u6bd2\u6d88\u80bf\uff0c\u858f\u82e1\u4ec1\u5065\u813e\u5229\u6e7f\u5b89\u795e\uff0c\u9996\u4e4c\u85e4\u517b\u5fc3\u5b89\u795e\uff0c\u795b\u98ce\u901a\u7edc\u3002\u4e09\u8bca\u3001\u56db\u8bca\u60a3\u8005\u5173\u8282\u4f5c\u75db\u660e\u663e\uff0c\u708e\u75c7\u6307\u6807\u660e\u663e\u5347\u9ad8\uff0c\u836f\u529b\u4e0d\u8db3\uff0c\u8303\u6c38\u5347\u53c8\u52a0\u7528\u5927\u5242\u91cf\u8f9b\u82e6\u5e73\u4e4b\u9752\u98ce\u85e4\u795b\u98ce\u6e7f\u3001\u901a\u7ecf\u7edc\uff0c\u73b0\u4ee3\u836f\u7406\u7814\u7a76\u8bc1\u5b9e\uff0c\u9752\u98ce\u85e4\u5177\u6709\u9547\u75db\u3001\u9547\u9759\u548c\u6297\u708e\u3001\u6297\u8fc7\u654f\u7b49\u4f5c\u7528\u3002\u540c\u65f6\u8303\u6c38\u5347\u9488\u5bf9\u96be\u6cbb\u6027\u98ce\u6e7f\u75c5\u4e3b\u5f20\u4e2d\u897f\u533b\u7ed3\u5408\u6cbb\u7597\uff0c\u5982\u672c\u6848\u5728\u5e94\u7528\u4e2d\u533b\u8fa8\u8bc1\u65bd\u6cbb\u7684\u540c\u65f6\uff0c\u8fd8\u7528\u4e86\u5bf9RA\u7597\u6548\u786e\u5207\u7684MTX\u53caHCQ\u7b49\u897f\u836f\u8054\u5408\u6cbb\u7597\uff0c\u5df2\u8fbe\u75be\u75c5\u7684\u5b8c\u5168\u7f13\u89e3\u3002<\/p>\n
\u672c\u6848\u4e3a\u98ce\u6e7f\u70ed\u75f9\u8bc1\u3002\u8303\u6c38\u5347\u5904\u65b9\u56db\u8bca\u5171\u540c\u836f\u7269\u6709\u77e5\u6bcd\u3001\u6842\u679d\u3001\u5a01\u7075\u4ed9\u3001\u8c68\u83b6\u8349\u3001\u7ec6\u8f9b\u3001\u5ddd\u828e\u3001\u9b3c\u7bad\u7fbd\u3001\u4e4c\u68a2\u86c7\uff0c\u4e09\u8bca\u3001\u56db\u8bca\u5904\u65b9\u4e2d\u5e94\u7528\u4e86\u5927\u5242\u91cf\u9752\u98ce\u85e4\uff08\u6700\u5927\u7528\u81f330g\uff09\u4e3a\u7279\u70b9\u3002\u9752\u98ce\u85e4\uff0c\u4e3a\u9632\u5df1\u79d1\u690d\u7269\u9752\u85e4\u548c\u6bdb\u9752\u85e4\u7684\u5e72\u71e5\u85e4\u830e\uff0c\u5473\u82e6\u3001\u8f9b\uff0c\u6027\u5e73\uff0c\u5177\u6709\u795b\u98ce\u6e7f\u3001\u901a\u7ecf\u7edc\u4e4b\u529f\u6548\u3002\u5176\u4e2d\u9752\u85e4\u78b1\u662f\u4e2d\u836f\u9752\u98ce\u85e4\u7684\u6839\u548c\u830e\u5206\u79bb\u800c\u6765\u7684\u751f\u7269\u78b1\uff0c\u7531\u4e8e\u9752\u85e4\u78b1\u5177\u6709\u6297\u708e\u3001\u514d\u75ab\u8c03\u8282\u7b49\u4f5c\u7528\uff0c\u4e34\u5e8a\u5e38\u7528\u6765\u6cbb\u7597\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\u7b49\u98ce\u6e7f\u514d\u75ab\u76f8\u5173\u6027\u75be\u75c5\u3002\u5904\u65b9\u4ee5\u767d\u864e\u52a0\u6842\u679d\u6c64\u4e3a\u57fa\u672c\u65b9\uff0c\u5bd2\u6e29\u5e76\u7528\uff0c\u65e2\u6709\u795b\u98ce\u6e7f\u6e05\u70ed\u836f\uff0c\u4e5f\u6709\u795b\u98ce\u6563\u5bd2\u836f\u53ca\u6e29\u7ecf\u901a\u7edc\u836f\uff0c\u5982\u65e2\u6709\u8f9b\u7518\u51c9\u4e4b\u6851\u679d\u6e05\u70ed\u795b\u98ce\uff0c\u82e6\u5bd2\u4e4b\u9b3c\u7bad\u7fbd\u89e3\u6bd2\u6d3b\u8840\uff0c\u53c8\u6709\u8f9b\u82e6\u5e73\u4e4b\u9752\u98ce\u85e4\u795b\u98ce\u901a\u7edc\uff0c\u8f9b\u6e29\u4e4b\u7ec6\u8f9b\u3001\u5ddd\u828e\u3001\u4e4c\u68a2\u86c7\u7b49\u6e29\u7ecf\u901a\u7edc\u3002\u53ef\u89c1\u8303\u6c38\u5347\u5904\u65b9\u6df1\u8c19\u300a\u7d20\u95ee\u00b7\u75f9\u8bba\u300b\u4e4b\u533b\u7406\uff0c\u98ce\u5bd2\u6e7f\u90aa\u4e3a\u75f9\u8bc1\u53d1\u751f\u4e4b\u5916\u56e0\uff0c\u201c\u98ce\u5bd2\u6e7f\u4e09\u6c14\u6742\u81f3\uff0c\u5408\u800c\u4e3a\u75f9\u201d\uff0c\u800c\u75f9\u70ed\u7684\u53d1\u751f\u4e00\u662f\u7531\u4e8e\u60a3\u8005\u4e3a\u9633\u70ed\u4f53\u8d28\u4e4b\u6545\uff0c\u201c\u5176\u70ed\u8005\uff0c\u9633\u6c14\u591a\uff0c\u9634\u6c14\u5c11\uff0c\u75c5\u6c14\u80dc\uff0c\u9633\u906d\u9634\uff0c\u6545\u4e3a\u75f9\u70ed\u201d\uff0c\u4e8c\u662f\u7531\u4e8e\u90aa\u6b63\u4ea4\u4e89\u800c\u53d1\u751f\u75f9\u70ed\u53ca\u7600\u8840\u963b\u7edc\u4e4b\u75c5\u7406\u8fc7\u7a0b\u3002\u6545\u9488\u5bf9\u98ce\u6e7f\u70ed\u75f9\u5728\u6cbb\u7597\u4e0a\u65e2\u8981\u795b\u98ce\u6e7f\u6563\u5bd2\uff0c\u53c8\u8981\u6e05\u70ed\u89e3\u6bd2\uff0c\u540c\u65f6\u8fd8\u8981\u914c\u60c5\u6d3b\u8840\u901a\u7edc\u3002<\/p>\n
\u2756\u672c\u6587\u4ec5\u4f5c\u77e5\u8bc6\u5206\u4eab\uff0c\u4e0d\u6784\u6210\u5bf9\u4efb\u4f55\u836f\u7269\u6216\u6cbb\u7597\u7684\u63a8\u8350\u548c\u63a8\u5e7f\uff0c\u4e0d\u80fd\u4ee3\u66ff\u4e13\u4e1a\u533b\u751f\u7684\u533b\u7597\u5efa\u8bae\u3002\u5982\u6709\u8bca\u7597\u9700\u8981\uff0c\u8bf7\u54a8\u8be2\u548c\u8054\u7cfb\u6b63\u89c4\u533b\u7597\u673a\u6784\u3002<\/p>\n
\u5f80\u671f\u63a8\u8350 <\/p>\n
\u4fbf\u79d8\u4e09\u5242\u800c\u6108\uff0c\u751f\u767d\u672f\u7acb\u529f<\/p>\n
2025\u5168\u56fd\u536b\u751f\u4e13\u4e1a\u6280\u672f\u8d44\u683c\u8003\u8bd5\u6307\u5bfc\u7528\u4e66\u6765\u5566\uff01\uff01<\/p>\n
\u53d1\u73b0\u56fd\u5b66\u6587\u5316\u4e2d\u7684\u4e2d\u533b\u517b\u751f\u667a\u6167\u2014\u2014\u300a\u4e2d\u533b\u836f\u56fd\u6c11\u5178\u85cf\u4e1b\u4e66\u00b7\u56fd\u5b66\u517b\u751f\u516d\u8bb2\u300b\u65b0\u4e66\u53d1\u5e03\u66a8\u8bfb\u8005\u89c1\u9762\u4f1a\u5728\u4eac\u9686\u91cd\u4e3e\u884c<\/p>\n","protected":false},"excerpt":{"rendered":"
\u7c7b\u98ce\u6e7f\u5173\u8282\u708e\uff08rheumatoid arthritis\uff0cRA\uff09\u662f\u4ee5\u4fb5\u8680\u6027\u3001\u5bf9\u79f0\u6027 … \u7ee7\u7eed\u9605\u8bfb