發(fā)布時間：2019-05-07 17:23

【摘要】：目的:對CT發(fā)現(xiàn)類風(fēng)濕關(guān)節(jié)炎(RA)合并肺部類風(fēng)濕結(jié)節(jié)患者臨床資料進(jìn)行分析,探討RA合并肺部類風(fēng)濕結(jié)節(jié)的臨床特點(diǎn),分析RA合并肺部類風(fēng)濕結(jié)節(jié)的危險因素,為其診斷、治療、預(yù)后提供參考。方法:總結(jié)292例RA患者CT表現(xiàn),共發(fā)現(xiàn)RA合并肺部類風(fēng)濕結(jié)節(jié)患者82例。以82例RA合并肺部類風(fēng)濕結(jié)節(jié)為病例組,余210人為對照組。通過對這兩組一般情況、實驗室檢查、CT結(jié)果等進(jìn)行對比分析。采用t檢驗、χ~2檢驗及Logistic回歸模型進(jìn)行統(tǒng)計學(xué)分析。結(jié)果:Logistic單因素分析結(jié)果:年齡、RF值與肺部結(jié)節(jié)有關(guān)。Logistic多因素分析結(jié)果:年齡≥60歲(OR,1.961;95%CI,1.146~3.354;P=0.014)及RF大于200(OR,2.861;95%CI,1.683~4.883;P0.001)是類風(fēng)濕關(guān)節(jié)炎合并肺部結(jié)節(jié)的獨(dú)立預(yù)測因素。結(jié)論:肺部類風(fēng)濕結(jié)節(jié)在RA患者中比較常見,與年齡、高滴度RF值有關(guān),CT檢查有助于發(fā)現(xiàn)RA合并肺部類風(fēng)濕結(jié)節(jié)病例。
[Abstract]:Objective: to analyze the clinical data of (RA) patients with rheumatoid arthritis (RA) and pulmonary rheumatoid nodules by CT, to explore the clinical features of RA with pulmonary rheumatoid nodules, and to analyze the risk factors of RA combined with pulmonary rheumatoid nodules for its diagnosis. Treatment and prognosis provide reference. Methods: the CT findings of 292 patients with RA were summarized. 82 patients with RA complicated with pulmonary rheumatoid nodules were found. 82 cases of RA with pulmonary rheumatoid nodules were used as the case group and the remaining 210 cases as the control group. Through the two groups of general situation, laboratory examination, CT results were compared and analyzed. T-test, 蠂 ~ 2 test and Logistic regression model were used for statistical analysis. Results: Logistic univariate analysis showed that age and RF were correlated with pulmonary nodules. Logistic multivariate analysis showed that age 鈮，

本文編號：2471256