患有类风湿性关节炎的患者中与间歇性肺病相关的因素:系统性审查和元分析
Minjie Zhang1, Jianwei Yin2, Xiaoyan Zhang3
1Department of Medical Laboratory, Xian Yang Central Hospital, Xianyang, China.
PloS one
|June 23, 2023
概括
这项研究发现,男性性别,年龄较大,类风湿性关节炎 (RA) 持续时间较长,吸烟以及阳性类风湿性因子 (RF) 和抗素蛋白抗体 (ACPA) 会增加与RA相关的间歇性肺病 (RA-ILD) 的风险. 这些因素,以及高的RF/ACPA标位和ESR和CRP等炎症标志物,对于理解RA-ILD发展至关重要.
科学领域:
- 风湿病学和肺部病学
- 临床流行病学临床流行病学
- 医学研究 医学研究
背景情况:
- 风湿性关节炎相关的间歇性肺病 (RA-ILD) 是风湿性关节炎 (RA) 的严重并发症.
- 识别与RA-ILD相关的因素对于风险分层和早期干预至关重要.
- 这一元分析系统地调查了与RA-ILD发展相关的流行病学和临床因素.
结论:
- 这一元分析确定了与RA-ILD相关的关键人口,临床和血清学因素.
- 男性性别,晚年,疾病持续时间较长,吸烟史和特定自身抗体 (RF,ACPA) 是显著的危险因素.
- 炎症标志物 (ESR,CRP) 和自身抗体标位的升高进一步增加了风险,突出了全面患者评估在治疗RA-ILD中的重要性.
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