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强直性脊柱炎护理Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety强直性脊柱炎（AS）•强直性脊柱炎是以中轴关节慢性炎症为主，原因不明的全身性疾病。其特点为累及骶髂关节常发生椎间盘纤维环及其附近韧带钙化和骨性强直。Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety谁会得AS？•男性、女性和儿童都会患AS•起病年龄多在10岁—30岁，一般不超过40岁•男女比例为4-7：1，男性多较重，女性较轻•我国发病率百分之零点三左右Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS与类风关有什么不同？•基因不同•性别不同•年龄不同•部位不同•病理不同Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety什么引起了强制性脊柱炎?环境因素遗传因素Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety强柱易与哪些疾病混淆？•风湿性关节炎•外伤性腰痛•椎间盘突出Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS有哪些不舒服（一）Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS有哪些不舒服（二）Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS有哪些不舒服（三）Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS有哪些不舒服（四）Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS有哪些不舒服（五）Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS有哪些不舒服（六）Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS有哪些不舒服（七）•心血管表现•肺部表现•神经、肌肉表现•肾损害主要为IgA肾病和肾淀粉样变•前列腺炎以上表现较为少见，但是临床上应予以重视。Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS要做哪些化验检查？•Rt:可有轻度的白细胞升高、贫血和PLT增多•ESR：可增快•尿常规•免疫球蛋白•类风湿因子•HLA-B27Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyX-线检查Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyX-线检查Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyX-线检查Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety如何诊断强制性脊柱炎？Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS的治疗Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety药物治疗Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety1.非甾体消炎药的副作用？Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety2.改善病情抗风湿药物慢作用药----对疾病有一定的控制性作用，但是奇效慢，需要数周或者数月才会开始缓慢起效。常见的有：抗疟药（羟氯喹和氯喹）、来氟米特、柳氮磺胺吡啶、金制剂、青霉胺等Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety改善病情抗风湿类药Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety柳氮磺胺吡啶Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety柳氮磺胺吡啶Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety3.激素Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety4.生物制剂•类克：Remicade(类克)是缓解病情抗风湿药,抑制甲型肿瘤坏死因子的药物强直性脊柱炎推荐使用方法是0、2、6周各使用5mg/kg,以后每6周使用1次。对本品过敏或有活动性结核和肿瘤者禁用，中重度心衰病人禁用。（使用时要检测血压）•益赛普：皮下注射，注射部位可为大腿、腹部或上臂。成人推荐剂量为每次25mg，每周二次,每次间隔3-4天。常见不良反应是注射部位局部反应，包括轻至中度红斑、搔痒、疼痛和肿胀等。Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.Inordertomeettheneedsofsociety自我调理Withtheimprovingqualityoflifeaswellastheever-acceleratingpaceoflife,thequalityofpeople'sfoodneedsandratealsochanging.InordertomeettheneedsofsocietyAS患者运动的好处？Withtheimprovingqualityoflifeaswellasthee