类风湿关节炎合并肺部类风湿结节的危险因素分析

发布时间：2019-05-07 17:23

【摘要】：目的:对CT发现类风湿关节炎(RA)合并肺部类风湿结节患者临床资料进行分析,探讨RA合并肺部类风湿结节的临床特点,分析RA合并肺部类风湿结节的危险因素,为其诊断、治疗、预后提供参考。方法:总结292例RA患者CT表现,共发现RA合并肺部类风湿结节患者82例。以82例RA合并肺部类风湿结节为病例组,余210人为对照组。通过对这两组一般情况、实验室检查、CT结果等进行对比分析。采用t检验、χ~2检验及Logistic回归模型进行统计学分析。结果:Logistic单因素分析结果:年龄、RF值与肺部结节有关。Logistic多因素分析结果:年龄≥60岁(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)是类风湿关节炎合并肺部结节的独立预测因素。结论:肺部类风湿结节在RA患者中比较常见,与年龄、高滴度RF值有关,CT检查有助于发现RA合并肺部类风湿结节病例。
[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，

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