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中轴脊柱关节炎应用达标治疗策略的优势与困境

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基于其他慢性疾病管理的成功,达标治疗被认为是一种治疗中轴脊柱关节炎的有效策略.实现达标治疗有助于提高患者生活质量、改善临床症状和体征、延缓放射学进展、减少并发症和指导临床用药.临床实践中,达标治疗存在加重患者经济和时间成本负担、过度医疗风险、目标值的界定及对患者整体情况反映是否全面等问题.因此,临床诊疗中如何正确应用达标治疗策略,仍有待商榷.本文旨在分析目前中轴脊柱关节炎应用达标治疗策略的优势与困境,为临床决策提供参考.
Advantages and dilemma of treat-to-target strategies applied in axial spondyloarthritis
Based on successful management of other chronic diseases,treat-to-target is considered an effective strategy in the treatment of axial spondyloarthritis.Realize treat-to-target can help improve patients'quality of life,improve clinical symptoms and signs,delay radiological progression,reduce complications and guide clinical medication.In clinical practice,treat-to-target has problems such as increasing economic and time cost burden on patients,excessive medical risks,defining target values,and whether it reflects overall situation of patients comprehensively.Therefore,it is debatable how to correctly apply treat-to-target strategies in clinical diagnosis and treatment.This article mainly analyzes advantages and dilemma of treat-to-target strategies applied in axial spondyloarthritis,and to provide reference for clinical decision-making.

Treat-to-targetAxial spondyloarthritisDisease activityAdvantages and dilemmas

陈悦宁、刘宏潇

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中国中医科学院广安门医院风湿病科,北京 100051

达标治疗 中轴脊柱关节炎 疾病活动度 优势与困境

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(23)