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骨性关节炎与风湿类关节炎有什么区别? 曹玉霞 山西中医学院第三中医院 骨性关节炎、风湿性关节炎和类风湿关节炎这三者之间具有明显的区别。骨性关节炎多见于40岁以上的中老年人患者,主要是由于骨关节的退行性改变和骨质增生引起的,主要症状以膝、髋、腰等关节的疼痛活动受限为主,虽有晨僵,但持续时间较短,在实验室中检查,其风湿类风湿因子是阴性的。类风湿关节炎属于风湿免疫病,属于一种滑膜炎症,主要以小关节疼痛为主,且是对称性的红肿疼痛,这种病的致残率非常高,其类风湿因子的阳性率在75%以上。而风湿性关节炎是一种急性或慢性结体组织病,多发于年轻人群体,一般继发咋感冒发热后,以A组溶血性链球菌感染为主,主要表现是大关节的游走性疼痛,今天是肩疼,明天就可能是膝疼,使用静脉滴注风湿青霉素的疗效非常好。 What is the difference between osteoarthritis and rheumatoid arthritis? There are obvious differences among osteoarthritis, rheumatoid arthritis and rheumatoid arthritis. Osteoarthritis is common in the elderly over 40 years old, It is mainly caused by the degenerative changes of bone and joint and the hyperosteogeny, The main symptoms were limited pain activity of knee, hip, waist and other joints, In spite of the morning stiffness, But the duration is short, In the laboratory, Its rheumatoid factor is negative. Rheumatoid arthritis belongs to rheumatic immune disease, It belongs to synovial inflammation, Mainly small joint pain, And symmetrical swelling pain, The rate of disability is very high, The positive rate of rheumatoid factor was over 75%. Rheumatoid arthritis is an acute or chronic nodal tissue disease, Most of them are young people, After the common cold and fever, Group A was mainly infected by hemolytic streptococcus, The main manifestation is the walking pain of the big joint, It's shoulder pain today, Tomorrow it could be a knee pain, The curative effect of rheumatic penicillin is very good.