TÌNH HÌNH VÀ KẾT QUẢ ĐIỀU TRỊ ĐỢT CẤP BỆNH VIÊM KHỚP DẠNG THẤP TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Exacerbation of rheumatoid arthritis is an important process of the disease and should be well controlled to prevent joint destruction. Objectives: to determine the rate of active rheumatoid arthritis patients and evaluate the outcome of treatment the active rheumatoid arthritis. Materials and methods: a cross-sectional descriptive study in 99 patients with acute arthritis disease who were inpatient at Neurology and Musculoskeletal Deparment – Can Tho General Hospital from May 2018 to June 2019. Results: the rate of active rheumatoid arthritis patients was 26.3% (the mean age was 61.46 ± 11.94, men and women 50%). After six days of therapy, swollen and tender joints, VAS 100 scale, MHAQ-DI score, GH scale, DAS28-CRP and CRP were low level and decreased markedly compared to before treatment with p < 0.01; the rate of patients got significant improvement in the level of activity of the disease was 91.6%; 4% of patients were worse because of myocarditis complication; not anyone got side effects of drug therapy and not anyone got complications of treatment. Conclusions: the rate of active rheumatoid arthritis patients was high level  among patients with acute arthritis disease and the outcome of treatment was fairly good.