殷建美 孟凡雨 张昊喆 唐海倩 晏蔚田 凌丽 杨显娜 彭江云

    【摘 要】目的：分析类风湿关节炎合并2型糖尿病的临床特点及其影响因素。方法：选取264例类风湿关节炎患者作为研究对象，根据是否合并2型糖尿病将患者分为观察组和对照组，记录2组患者的临床资料，比较2组实验室指标及关节受累情况。结果：观察组患者平均年龄大于对照组(P = 0.002)；观察组血尿酸、甘油三酯、低密度脂蛋白胆固醇、C反应蛋白、谷草转氨酶、IgG-RF值均高于对照组，差异有统计学意义(P 0.05)。结论：类风湿关节炎高龄患者更容易发生2型糖尿病，合并2型糖尿病的类风湿关节炎患者炎症指标相对较高，易伴随代谢综合征以及肝功能损伤的发生，且关节受累的发生率更高。

    【关键词】 类风湿关节炎；2型糖尿病；代谢综合征；临床特点

    Clinical Characteristics of Rheumatoid Arthritis with Type 2 Diabetes

    YIN Jian-mei，MENG Fan-yu，ZHANG Hao-zhe，TANG Hai-qian，YAN Wei-tian，LING Li，YANG Xian-na，PENG Jiang-yun

    【ABSTRACT】Objective：To analyze the clinical characteristics and influencing factors of rheumatoid arthritis with type 2 diabetes.Methods：Two hundred and six-four patients with rheumatoid arthritis were selected as the research object，and divided into the observation group and the control group according to whether they were combined with type 2 diabetes.The clinical data of the patients in the two groups were recorded ......