类风湿关节炎患者发生骨质疏松的危险因素分析

AnalysisofRisk Factors for Osteoporosis inPatientswith Rheumatoid Arthritis

LIUChen1，WULijun2

（1.Shihezi University School of Medicine，Shihezi 832OO3，Xinjiang，Chia； 2.Department of Rheumatology and Immunology，People's Hospital of Xinjiang Uygur Autonomous Region，

Urumqi 83000o，Xinjiang，China）

Abstract：ObectiealescofdisRomlediteopsisOetAotaloft withOPwhowerespialiedinteDepartmentofeumatologndImmuologoftheople'sHospitalofXinjangUgrutoomousRegio fromJanuary1，toDecember31OwereselectedastheOgropnd4patientswitoutOPoereospitalidattsaetieere randomlyselectedstheoOrouTheliicaldataereolctedndomparedetwngousndtisfctosfOntits wereanalyzedbyuivariateLgistcgresioResultsComparedithteoOPoupatintsinteOPoupasdethousef diseasewaslongertheDAS28（ESR）soreandDAS28（CRP）scorewerehighertheCRPlevelandD-dimerlevelwerehigerandteurof joint swelling and joint tenderness were more （ P<0 . 0 5 ） .Multivariate Logistic regression analysis showed that advanced age and long course of disease were risk factors for OP in RA（ P<0 . 0 0 1 ？ .ConclusionRA patients with advanced age，longer course of disease，higher DAS28 score，higher CRP levelandDvedsoa advanced age and longer course of disease.

Keywords：Rheumatoid arthritis； Osteoporosis；Risk factors

类风湿关节炎（rheumatoidarthritis，RA）是一种常见的自身免疫性疾病，以对称性多关节滑膜炎、关节软骨受损、骨侵蚀、关节畸形为特征，主要累及手足的关节，最终可能会导致关节畸形甚至功能丧失[12]。（剩余6073字）