类风湿关节炎，是一种可以导致畸形的严重慢性疾病，它的病程长，致残率高。但由于对这种常见病仍然存在知晓率低、就诊率低、治疗率低的“三低状况”，很多患者未能在疾病的早期阶段寻求到正规治疗。这不仅危害患者的健康和生命，也为其家庭带来沉重的经济负担。

Rheumatoid arthritis，Is a kind of can lead to serious deformity of the chronic disease，It's the course of a long，High morbidity。But because of this kind of common disease awareness remains low、JiuZhenLv low、Treatment rates low“Three low status”，Many patients in the early stages of the disease to seek to regular treatment。This not only harm patient's health and life，For the family to bring heavy economic burden。

　　在中国，类风湿关节炎患病率为0.2%-0.4%。按13亿人口计算，中国类风湿关节炎病人大概是500万左右。患者通常伴有关节疼痛。如果得不到有效治疗，将会行动受限，最终导致残疾。据统计，类风关患者2年致残率达50%，3年致残率达70%。

In China，Rheumatoid arthritis prealence was 0.2%-0.4%。According to the 1.3 billion population calculation，Chinese patients with rheumatoid arthritis is about 5 million or so。Patients often accompanied by joint pain。If we can't get any effective treatment，Will be limited mobility，Eventually lead to disability。According to the statistics，Kind of wind off 50% morbidity in patients with 2 years，3 years morbidity of 70%。

　　目前，我国类风湿关节炎发病率逐年升高，严重影响到人们的生活质量和家庭生活，让患者痛不欲生。另外，类风湿关节炎还会加重国民经济的负担。美国曾经做了一个调查，每年类风湿关节炎以及类风湿相关治疗的费用超过其GDP的1%。中国虽然尚无数据，但估计我国由该病带来的损失不比美国少。

At present，Our country is increasing incidence of rheumatoid arthritis，The serious influence to people's quality of life and family life，Let the patient pain not the desire living。In addition，Rheumatoid arthritis will also increase the burden of the national economy。The United States has made a survey，Rheumatoid arthritis and every year more than the cost of treatment rheumatoid related 1% of its GDP。Though China there is no data，But estimates by the losing of the disease in China than the United States less。

类风湿关节炎的症状 The symptoms of rheumatoid arthritis

　　大部分患有风湿性疾病的病人都有关节软组织疼痛、发烧以及其他器官的变化，出现这种症状，建议到风湿免疫性疾病专科门诊，作相关的检查，以便判断是否患有类风湿关节炎。国际上对早期类风湿有很多规定，总的来说，如果疼痛发生在三个月以内，都算非常早期的。但同时也要注意关节疼不一定都是类风湿。因为，风湿性疾病是一个总称，它底下有几百种疾病类别。因此，医生的诊断是非常重要的。诊断明确后，就要在风湿免疫专科寻求正规的治疗。走对科室这一步，非常关键。如果类风湿病人无法做到早诊断，早治疗，就很可能导致关节破坏，最终有可能导致残废。

Most people with rheumatoid disease of patients are relevant section soft tissue pain、A fever and other organs of change，Appear this kind of symptoms，Advice to rheumatism immune diseases specialist outpatient service，For relevant examination，In order to judge whether people with rheumatoid arthritis。The international rheumatoid have many provisions early，In general，If pain occurred in less than three months，Calculate very early。But at the same time also want to pay attention to joint pain is not always kind of rheumatism。because，Rheumatoid disease is a general，Under its hundreds of disease categories。so，The doctor's diagnosis is very important。Diagnosis after clear，Will be in rheumatoid immune specialized subject for standard treatment。Go to department this step，Very key。If the patient can't be rheumatoid early diagnosis，Early treatment，It is very possible lead to joint destruction，End may lead to disability。

目前在诊疗中的误区 At present the erroneous zones in diagnosis and treatment

　　首先从医生角度分析，临床诊疗不规范体现在以下两个方面。第一，由于风湿免疫专业是比较新的学科，很多医生不了解这个疾病的特点，所以诊断治疗上有缺陷。第二，现在很多的医院没有设立专科，导致病人求医无门。其次对于患者而言，存在认知度低和就诊率低的问题。

First from the doctors Angle analysis，Clinical diagnosis and treatment is not standard reflect in the following two aspects。The first，Because rheumatoid immune professional is a new subject，Many doctors don't know the characteristics of the disease，So a defect in the diagnosis and treatment。The second，Now a lot of the hospital does not have a specialized subject，Patients seek to attack。Second for patients is concerned，There JiuZhenLv and low awareness of low。

　　例如，民间有一种说法，因为很多孕妇在坐月子时候吹风着凉，因此得了风湿病。这是认识的一大误区。需要强调的是：风湿病是一个系统性的自身免疫性疾病。免疫系统是保护自己免受病毒、细菌侵害的，对自己组织器官不反应的，这种现象叫免疫耐受。当免疫耐受破坏以后，就造成自身免疫性疾病。作为一个系统性的自身免疫性疾病，风湿病不仅只在一个器官上表现，而是会在多个器官上表现，发病原因尚未明确。因此，不会因为受到风寒的影响、或者是坐月子吹了风，就会得风湿病。

For example，Folk have a kind of view，Because many pregnant women in after having a blow when catch cold，So got rheumatism。This is a big error of understanding。Need to be emphasized：Rheumatism is a systemic autoimmune diseases。The immune system is to protect themselves against the virus、Bacteria violations of，To his organs not reactions，This kind of phenomenon called immune tolerance。When the immune tolerance after damage，By autoimmune diseases。As a systemic autoimmune diseases，Rheumatism is not only in a organs performance，But in many organs performance，The cause is clear。so，Not because the influence of the wind chill was、Or is the wind blow after having，Will have to rheumatism。

　　由于认知不足，有些患者常常未能在早期到医院的风湿免疫科进行诊断和治疗，失去了最佳治疗时机。据统计，我国类风湿关节炎患者中首次就诊风湿(免疫)科者仅占23.2%。

The cognitive deficiency，Some patients often failed to in early to hospital for diagnosis and treatment of li rheumatism lead，Lost best timing of treatment。According to the statistics，For the first time in our country in patients with rheumatoid arthritis doctor rheumatism(immune)The families just 23.2%。

目前疾病治疗的最新进展 At present the new progress of the disease treatment

　　由于过去的基本概念是风湿病不能治愈，所以一直长期使用免疫抑制剂。免疫抑制剂治疗，可以很大程度上改善病情，使得致残率大大缩减。生物制剂的诞生，使风湿病的治疗迎来了一场革命，骨骼的破坏在很大程度上得以缓解，国外多项长达八、九年的研究资料显示，生物制剂对病人的早期治疗有非常大的益处。2012年欧洲抗风湿病联盟年会上公布的最新数据表明，通过抑制炎症因子IL6生成的疗法在减轻类风湿关节炎体征和症状方面优势明显。

Because the past is based on the concept of rheumatism cannot be cured，So has been the long-term use of immunosuppressive agents。Immunosuppressant therapy，Can largely improve disease，Make morbidity greatly curtailed。The birth of biological agents，Make rheumatism the treatment ushered in a revolution，The destruction of the bones in the very great degree ease，Many foreign countries for eight、Nine years of research data shows，Biological agents for the patient's early treatment is very beneficial。The 2012 European resistance rheumatism alliance annual meeting of the latest data show that，Through the limit inflammation factors IL6 generated therapy to reduce the rheumatoid arthritis signs and symptoms of advantage。

患者怎样控制疾病发展 Patients how to control the disease development

　　类风湿关节炎患者以四五十岁的女性多见。作为一个系统性的自身免疫性疾病，从根本上讲，风湿病的发病机制是不清楚的。女性发病率比男性高的根本原因尚不明确，但很可能跟女性的激素水平有关。由于致病原理尚不清楚，目前没有很好的预防方法，但如果早诊断，早治疗，可以降低致残率。在致残之前就诊，可以控制疾病进展，甚至可以做到骨质破坏延缓。

Rheumatoid arthritis patients at the age of forty or fifty to see more women。As a systemic autoimmune diseases，fundamentally，The pathogenesis of rheumatism is not clear。Incidence of women than men the root cause of the high is not clear，But it is possible to women's hormone level relevant。Because pathogenic principle is not clear，There is no good prevention methods，But if early diagnosis，Early treatment，Can reduce morbidity。In the disability doctor before，Can control the disease progress，Can even do bone destruction delay。

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《类风湿关节炎规范化诊疗项目》正式启动 《Standardization of rheumatoid arthritis diagnosis and treatment projects》Official start

　　为进一步完善我国重大疾病规范化诊疗体系，卫生部医政司决定开展《类风湿关节炎规范化诊疗项目》，以提高我国类风湿关节炎规范化诊疗水平，项目得到上海罗氏制药有限公司的支持，日前正式启动。由中国医师协会主办的类风湿关节炎规范化诊疗项目为期三年，旨在通过制定《类风关规范化诊疗标准》、促进医疗机构规范类风关诊疗流程；建立全国首个国家级类风关患者数据平台；搭建多渠道的患者教育系统，从行业管理、学术研究和患者教育方面实现“三个规范”，提高我国类风湿关节炎规范化诊疗水平。《类风湿关节炎规范化诊疗项目》将覆盖全国所有省份共161家医院，教育万名一线临床医生，惠及数百万类风关患者。(北京协和医院风湿免疫科副主任 曾小峰 第二军医大学附属长征医院风湿免疫学科主任 徐沪济)

To further perfect our country's major disease diagnosis and treatment system standardization，Health YiZhengSi decided to carry out《Standardization of rheumatoid arthritis diagnosis and treatment projects》，In order to improve the standardization of rheumatoid arthritis diagnosis and treatment in China，A project to get Shanghai roche pharmaceuticals limited company's support，Officially launched a。Sponsored by the Chinese medical doctor association rheumatoid arthritis diagnosis and treatment projects standardization for three years，Aims to make《The diagnosis and treatment of close standardization standard》、Promote medical establishment standard class wind shut diagnosis and treatment process；Set up the first national class wind shut patients data platform；The education system set up multi-channel patients，From the industry management、Academic research and education in patients with the system“Three standard”，Improve the diagnosis and treatment in China standardization rheumatoid arthritis。《Standardization of rheumatoid arthritis diagnosis and treatment projects》Will cover the national all provinces of 161 hospitals，Education a line clinical doctors，Benefit millions of kind of wind shut patients。(Beijing union medical college hospital, deputy director of the li rheumatism lead had little peak, second military medical university hospital affiliated long march rheumatoid immune subject director xu Shanghai fish)