类风湿关节炎患者达标治疗及社区全周期管理  

Standard treatment and community full cycle management for rheumatoid arthritis patients

作　　者：吴泓波 吴泽兵 WU Hongbo;WU Zebing(不详;Shantou University Medical College,Shantou 515063,China)

机构地区：[1]汕头大学医学院,汕头515063 [2]深圳市宝安区中心医院富恒社区健康服务中心 [3]深圳市宝安区福永人民医院全科医学科 [4]深圳市宝安区福永人民医院社管中心社区基本医疗管理办公室

出　　处：《中国临床保健杂志》2024年第4期455-457,共3页Chinese Journal of Clinical Healthcare

基　　金：广东省深圳市卫生健康菁英人才培养项目(2021)。

摘　　要：类风湿关节炎是一种慢性、全身性自身免疫性疾病,以关节肿痛为最常见临床表现。类风湿关节炎病情多反复且逐渐加重,最终导致关节结构破坏,造成残疾,而且可能累及全身多个器官和系统,导致患者饱受煎熬,给患者、家庭和社会造成沉重的负担。中国类风湿关节炎具有“四多”特点:病患多、病程长、中重度患者多、并存疾病多。达标治疗是慢病管理的原则,应贯穿类风湿关节炎诊疗管理的始终。类风湿关节炎的管理是一个长期过程,创新医防融合与医防协同机制,完善类风湿关节炎及其风险因素的社区全周期管理防控体系,促进全专协同家庭医生团队高质量发展,加强培养具有公卫意识与风湿病专长的社区人才,对提升类风湿关节炎管理质量具有重要意义。Rheumatoid arthritis(RA)is a chronic,systemic autoimmune disease,the most obvious clinical manifestation of joints is swelling and pain.RA often recurs and gradually worsens,ultimately leading to structure damage of joints,disability,and may affect multiple organs and systems throughout the body,causing patients to suffer physical and mental suffering,as well as heavy economic and medical burdens not only for patients and their families,but for the society.Standardized treatment is a fundamental principle in chronic disease management and should be integrated throughout the diagnosis and treatment of RA.In China,RA has been characterized by a large number of patients,a prolonged disease course,moderate to severe occurrence,and the co-occurrence of multiple diseases.Since the management of RA is a long-term task,thus,to improve community management of RA and its risk factors,as well as the full-cycle prevention and control system,an innovative mechanism of medicine and prevention integration and coordination is necessary.We should substantially promote the high-quality development of a full-time collaborative family doctor team and strengthen the cultivation of community compound talents with public health capabilities and sub expertise in rheumatology,which will remarkably promote the quality and efficiency of RA management in China.

关 键 词：关节炎 类风湿 疾病管理 流行病学因素 社区卫生服务 

分 类 号：R593.22[医药卫生—内科学]