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第一章 常识篇···········································································1

什么是类风湿关节炎？······················································· 1

类风湿关节炎在我国的发病概况是怎样？······················· 1

类风湿关节炎中医病名是什么？······································· 1

什么是关节？······································································· 2

关节的主要结构由什么组成？··········································· 2

关节的辅助结构有哪些？··················································· 2

关节的功能有哪些？··························································· 3

关节的运动形式有哪些？··················································· 3

影响关节活动范围的因素有哪些？··································· 3

关节的运动也需要稳定？··················································· 3

关节可发生哪些病变？······················································· 4

类风湿关节炎的基本病理改变是什么？··························· 4

类风湿关节炎有哪些危害？··············································· 4

类风湿关节炎可以根治吗？··············································· 4

类风湿关节炎可以预防吗？··············································· 5

第二章 病因篇···········································································6

类风湿关节炎发病与感染有关吗？··································· 6

类风湿关节炎与遗传有关吗？··········································· 6

类风湿关节炎发病与内分泌因素有关吗？······················· 7

类风湿关节炎的发病还与哪些因素有关？······················· 7

类风湿关节炎的中医病因病机特点是什么？··················· 7

《黄帝内经》对痹证有什么认识？··································· 8

第三章 症状篇···········································································9

类风湿关节炎典型的关节表现有哪些？··························· 9

类风湿关节炎起病方式如何？········································· 10

类风湿关节炎关节受累有何特点？································· 10

何为持续性关节炎？························································· 10

何为对称性关节炎？························································· 11

何为多关节炎？································································· 11

何为破坏性关节炎？························································· 11

类风湿关节炎哪些部位容易受累？································· 12

类风湿关节炎对关节周围组织有影响吗？····················· 12

类风湿关节炎可引起骨质丢失吗？································· 12

类风湿关节炎关节功能障碍如何分级？························· 12

类风湿关节炎有哪些特殊类型？····································· 13

何为血清阴性类风湿关节炎？········································· 13

何为缓解性血清阴性对称性滑膜炎伴凹陷性水肿

　综合征？····································································13

何为反复型风湿症？························································· 14

何为Felty综合征？····························································· 14

类风湿关节炎可出现关节外表现吗？····························· 14

类风湿关节炎对心脏有什么影响？································· 15

类风湿关节炎会累及肺吗？············································· 15

类风湿关节炎对肾脏有影响吗？····································· 15

类风湿关节炎对消化系统有影响吗？····························· 15

类风湿关节炎可影响神经系统吗？································· 16

类风湿关节炎对血液系统有什么影响？························· 16

类风湿关节炎对眼有什么影响？····································· 16

类风湿关节炎可引起血管炎吗？····································· 17

何为类风湿结节？····························································· 17

第四章 诊断与鉴别诊断篇···················································· 18

1987年美国风湿病学会类风湿关节炎分类标准是

　什么？···················································································· 18

2010年美国风湿病学会/欧洲抗风湿病联盟类风湿

　关节炎分类标准是什么？············································· 19

如何评价新旧分类标准？················································· 20

有哪些症状时需考虑类风湿关节炎可能？····················· 20

类风湿关节炎需要做哪些检查？····································· 20

为什么类风湿关节炎患者要定期到医院检查？············· 21

如何早期诊断类风湿关节炎？········································· 21

类风湿关节炎有哪些自身抗体？····································· 22

什么是类风湿因子？························································· 22

什么是血沉？····································································· 22

什么是C反应蛋白？·························································· 23

类风湿关节炎X线检查有哪些征象？······························ 24

类风湿关节炎X线如何分期？·········································· 24

超声检查有何帮助？························································· 24

磁共振检查有何帮助？····················································· 25

超声和磁共振检查的优势是什么？································· 25

如何评价疼痛程度？························································· 26

类风湿关节炎病情活动指标有哪些？····························· 26

类风湿关节炎预后不良指标有哪些？····························· 26

如何判断类风湿关节炎病情的轻重？····························· 27

类风湿关节炎的临床缓解指标有哪些？························· 27

类风湿关节炎需与哪些疾病相鉴别？····························· 27

类风湿关节炎与骨关节炎有何不同？····························· 28

类风湿关节炎与强直性脊柱炎有何不同？····················· 28

类风湿关节炎与痛风性关节炎有何不同？····················· 29

类风湿关节炎与银屑病性关节炎有何不同？················· 30

类风湿关节炎与系统性红斑狼疮有何不同？················· 30

类风湿关节炎与干燥综合征有何不同？························· 30

类风湿关节炎与系统性硬化病有何不同？····················· 31

类风湿关节炎与化脓性关节炎有何不同？····················· 31

类风湿关节炎与反应性关节炎有何不同？····················· 32

类风湿关节炎与结核性关节炎有何不同？····················· 32

类风湿关节炎与风湿性多肌痛有何不同？····················· 32

第五章 误区篇········································································ 33

类风湿因子阳性就是类风湿关节炎？····························· 33

类风湿关节炎患者类风湿因子一定阳性？····················· 33

关节肿痛一定是类风湿关节炎？····································· 34

类风湿关节炎一定是多关节肿痛？································· 34

关节畸形即可诊断为类风湿关节炎？····························· 34

抗风湿药副作用大，用量越少、时间越短越好？········· 35

激素不能服，用了会上瘾？············································· 35

中成药治疗既有效又安全？············································· 36

自己感觉没啥不舒服，不用监测药物副作用？············· 36

青霉素治疗类风湿关节炎有效吗？································· 37

止痛药不能“治本”，不需要使用止痛药？················· 37

药物有副作用，我坚强，我能忍？································· 38

类风湿关节炎治不好，吃点止痛药就行？····················· 38

治疗2个星期不见好转就换医生？··································· 38

西药副作用大，中药比西药好？····································· 39

得了类风湿关节炎，十之八九要残废？························· 39

换一下关节，病就好了？················································· 40

医院药贵，不去医院治疗？············································· 40

医院就开那几样药，自己买来吃，不用复诊？············· 40

不用进行功能锻炼？························································· 41

一直吃药，关节还变形，吃药没有用？························· 41

类风湿关节炎会传染？····················································· 41

第六章 治疗篇········································································ 43

类风湿关节炎治疗原则是什么？····································· 43

类风湿关节炎的治疗目标是什么？································· 43

如何做到个体化治疗？····················································· 43

治疗类风湿关节炎的药物有哪些种类？························· 44

如何选择治疗类风湿关节炎的药物？····························· 44

非甾体抗炎药有何特点？················································· 44

改善病情抗风湿药有何特点？········································· 44

糖皮质激素有何特点？····················································· 45

糖皮质激素有哪些副作用？············································· 45

医源性皮质醇增多症有哪些表现？································· 46

生物制剂有何特点？ ························································ 46

生物制剂有哪些种类？····················································· 46

生物制剂使用有何风险？················································· 46

新的改善病情抗风湿药是如何分类的？························· 47

常用的非甾体抗炎药有哪些？········································· 47

非甾体抗炎药有哪些不良反应？····································· 47

非甾体抗炎药相关胃肠道损害的危险因素有哪些？···········48

高选择性环氧化酶-2抑制剂有哪些？····························· 48

如何用好非甾体抗炎药？················································· 48

外用镇痛药有哪些种类？················································· 49

外用非甾体抗炎药有哪些？············································· 49

影响外用非甾体抗炎药疗效的最重要因素是什么？···········50

外用非甾体抗炎药常见不良反应有哪些？····················· 50

传统合成改善病情抗风湿药有哪些？····························· 50

甲氨蝶呤常用剂量及不良反应有哪些？························· 50

来氟米特常用剂量及不良反应有哪些？························· 51

硫酸羟氯喹常用剂量及不良反应有哪些？····················· 51

柳氮磺吡啶常用剂量及不良反应有哪些？····················· 51

艾拉莫德常用剂量及不良反应有哪些？························· 52

雷公藤多苷常用剂量及不良反应有哪些？····················· 52

正清风痛宁常用剂量及不良反应有哪些？····················· 52

白芍总苷常用剂量及不良反应有哪些？························· 53

传统合成改善病情抗风湿二线药物有哪些？················· 53

环孢素常用剂量及不良反应有哪些？····························· 53

硫唑嘌呤常用剂量及不良反应有哪些？························· 53

环磷酰胺常用剂量及不良反应有哪些？························· 54

何时考虑手术治疗？························································· 54

常用的手术治疗有哪些？················································· 54

什么情况下可以行滑膜切除术？····································· 54

什么情况下可以行人工关节置换术？····························· 55

什么情况下可以行关节融合术？····································· 55

什么情况下可以行软组织手术？····································· 55

什么情况下可选择免疫净化治疗？································· 56

类风湿关节炎还有哪些其他治疗方法？························· 56

中医有哪些外治疗法？····················································· 56

什么是针灸？····································································· 57

针灸为什么能改善关节肿痛？········································· 57

针灸治疗的注意事项有哪些？········································· 58

什么是拔罐疗法？····························································· 58

拔罐疗法的治病机理是什么？········································· 58

拔罐疗法的种类？····························································· 59

如何通过罐印辨别疾病？················································· 59

拔罐疗法的注意事项有哪些？········································· 60

哪些情况不宜拔罐？························································· 60

拔罐后可以洗澡吗？························································· 61

拔罐时间越长越好吗？····················································· 61

什么是灸法？····································································· 61

灸法的分类？····································································· 62

灸法有什么作用？····························································· 62

艾灸有什么禁忌证？························································· 62

艾灸有哪些注意事项？····················································· 63

艾灸会有哪些反应？························································· 63

什么是隔物灸？································································· 64

什么是化脓灸？································································· 64

什么是烫熨疗法？····························································· 64

烫熨疗法有哪些种类？····················································· 65

烫熨疗法有哪些注意事项？············································· 65

什么是贴敷疗法？····························································· 65

贴敷疗法有哪些注意事项？············································· 65

什么是熏洗疗法？····························································· 66

熏洗疗法有哪些注意事项？············································· 66

什么是穴位注射？····························································· 66

穴位注射有哪些注意事项？············································· 66

什么是耳针疗法？····························································· 67

第七章　保健篇········································································ 68

类风湿关节炎会导致瘫痪吗？········································· 68

类风湿关节炎患者如何进行家庭护理？························· 68

类风湿关节炎患者生活起居有何讲究？························· 69

类风湿关节炎患者如何进行功能锻炼？························· 69

类风湿关节炎患者如何制订锻炼计划？························· 70

类风湿关节炎如何进行康复治疗？································· 70

如何处理好运动与休息的平衡？····································· 71

类风湿关节炎患者有哪些日常注意事项？····················· 72

类风湿关节炎患者为什么需要定期随访？ ··················· 73

类风湿关节炎会遗传吗？················································· 74

类风湿关节炎患者妊娠要注意什么？····························· 74

第八章　食疗篇········································································ 75

类风湿关节炎患者需要忌口吗？····································· 75

类风湿关节炎患者的饮食需要注意什么？····················· 76

进食时，如何利用好食物的偏性？································· 76

类风湿关节炎合并骨质疏松症如何进食？····················· 77

类风湿关节炎患者可以吃保健品吗？····························· 77

类风湿关节炎保健品能代替药物吗？····························· 78

类风湿关节炎患者为什么不能暴饮暴食？····················· 79

类风湿关节炎患者可以喝牛奶吗？································· 79

类风湿关节炎患者可以喝药酒吗？································· 80

类风湿关节炎患者食品烹饪推荐什么方法？················· 80

类风湿关节炎患者食品推荐有哪些？····························· 81

类风湿关节炎常用药膳有哪些？····································· 81