[摘 要] 目的 探讨感染因素对风湿病病情的影响及对临床治疗的指导意义。 方法 总结了38例免疫风湿病患者，按合并感染与未合并感染(包括治疗前和治疗中)分为两组，分析其临床表现(发热、病情程度、病情反复)及相关实验室检查(C-反应蛋白、血沉)有无异同。结果 38例免疫风湿病患者中29例合并感染(76%)，感染组的发热率显著高于未合并感染组(75.8%，P<0.05)，感染组患者C-反应蛋白显著高于未合并感染组(P<0.05)。 结论 警惕和控制感染是免疫风湿病治疗过程中一个不可忽视的问题。发热和C-反应蛋白对感染较为敏感。

    关键词：感染 风湿病

    Analyse the influence of infection factor to 38 patients of immune rheumatic AN Li, ZHANG Chao-yang. Department of Rheumatology, The First Affiliated Hospital of Henan TCM University, Henan 450000, China

    [Abstract] Objective To reserch the influence of infection factor to rheumatic activity and the guiding significance of infection factor to clinical treatment. Methods Summary 38 patients of immune rheumatic are divided into two groups according to concurrent infection or not concurrent infection (before and during the therapy). Then analyse the similarities and differences between their clinical symptom(fever、disease activity、 disease prognosis) and the laboratory examination (CRP、ESR). Results The fever rate of the concurrent infection group which contains 29 patiens (76%)is remarkable higher than the fever rate of not concurrent infection group(78.5%, p<0.05) And the CRP of the former is remarkable higher than the later. Conclusion Control the infection is one of problems which can not ignore in the process of treatment the rheumatic disease,fever and CRP are sensitive to infection. ......