首页|枸橼酸托法替布联合甲氨蝶呤治疗老年类风湿关节炎的效果

枸橼酸托法替布联合甲氨蝶呤治疗老年类风湿关节炎的效果

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目的 探讨在老年类风湿关节炎患者中实施枸橼酸托法替布联合甲氨蝶呤治疗方案的有效性.方法 选取吉林省通化市第二人民医院于2021年11月—2023年10月收治的86例老年类风湿关节炎患者为研究对象,按照随机数表法分成研究组和参照组,每组43例,分别采用枸橼酸托法替布联合甲氨蝶呤治疗、甲氨蝶呤治疗,对比两组的临床效果、病情严重程度、炎性因子.结果 研究组临床有效率为95.35%,高于参照组的81.40%,差异有统计学意义(χ2=4.074,P=0.044).治疗后,研究组关节压痛数和肿胀数低于参照组,晨僵时间短于参照组,差异有统计学意义(P均<0.05).研究组炎性因子水平优于参照组,差异有统计学意义(P<0.05).结论 在老年类风湿关节炎治疗中采取枸橼酸托法替布联合甲氨蝶呤治疗,可以提高临床有效性,提升病情控制效果,缓解炎症反应.
Efficacy of Tofacitinib Citrate Combined with Methotrexate in the Treat-ment of Geriatric Rheumatoid Arthritis
Objective To investigate the effectiveness of tofacitinib citrate combined with methotrexate in the treat-ment of elderly patients with rheumatoid arthritis.Methods A total of 86 cases of elderly patients with rheumatoid ar-thritis admitted to Tonghua Second People's Hospital from November 2021 to October 2023 were selected as study ob-jects,and were divided into the study group and the reference group according to the random number table method,with 43 cases in each group,and were treated with tofacitinib citrate combined with methotrexate as well as methotrex-ate,respectively.The clinical effect,disease severity,and inflammatory factors of the two groups were compared.Re-sults The clinical effectiveness rate was 95.35%in the study group,which was higher than 81.40%in the reference group,and the difference was statistically significant(χ2=4.074,P=0.044).After treatment,the number of joint pres-sure and swelling in the study group was lower than that in the reference group,and the duration of morning stiffness was shorter than those in the reference group,and the differences were statistically significant(all P<0.05).After treat-ment,the level of inflammatory factors in the study group was better than that in the reference group,and the differ-ence was statistically significant(P<0.05).Conclusion Taking tofacitinib citrate combined with methotrexate in the treatment of rheumatoid arthritis in the elderly can improve the clinical effectiveness,enhance the effect of disease control and alleviate the inflammatory response.

Tofacitinib citrateGeriatric rheumatoid arthritisMethotrexate

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吉林省通化市第二人民医院血液肿瘤科,吉林通化 134003

枸橼酸托法替布 老年类风湿关节炎 甲氨蝶呤

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)