![\"幼年特发性关节炎用药治疗方法\"](\"http://01luntan.com/ly_img/uimgs/1498397388643.jpg\" "\\"幼年特发性关节炎用药治疗方法\\"")
现在就吃激素，没吃其他药。中药可以调理吗？还是等激素减到一定程度才开始？上次年初四看的时候，让我激素三粒四粒轮流吃二周减到三粒，然后三粒药吃二个月？这激素怎么就要吃那么长，人都变型了
请给我一些治疗上的建议
","barId":"1708","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"4614","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿肺炎会出现发热情况吗","content":"孩子在幼儿的时候容易得肺炎，肺炎是儿科里面比较严重的。如果不能够及时的得到重视，小儿肺炎症状就会发展的比较迅速，甚至会直接影响到患儿的大脑发育，那么，小儿肺炎有哪些典型症状？
\n发热情况
\n儿童罹患肺炎时大多有发热症状，体温多在38℃以上，持续两三天时间，退热药只能使体温暂时下降一会儿，不久便又上升。儿童感冒虽然也会发热，但体温多数在38℃以下，持续时间较短，退热药的效果也较明显。
\n但同时也应该警惕不发热的小儿肺炎，宝宝患肺炎体温可能会很高，但也可能不发烧，甚至体温低于正常。发烧时间长短，也不能作为判断肺炎的依据。有的宝宝发烧仅两天就已发展为肺炎，而有的宝宝发烧一周也并不是肺炎引起的。所以但从发热并不能判断孩子是否患了肺炎，还需结合其他几方面判断。
\n咳嗽和呼吸
\n判断还是是否罹患肺炎还需看孩子有无咳、喘和呼吸是否困难。感冒和支气管炎引起的咳、喘多呈阵发性，一般不会出现呼吸困难。若咳、喘较重，静止时呼吸频率增快（即不到2个月婴儿呼吸次数≥60次/分；2-12个月婴儿≥50次/分；1-5岁幼儿≥40次/分），两侧鼻翼一张一张的，口唇发青或发紫，一旦出现上述症状，提示病情严重，不可拖延。
\n病毒性肺炎的病原体50%以上是呼吸道合胞病毒，该型肺炎占小儿肺炎住院总数的三分之一。好发于冬春季。最典型的好发年龄是6个月-3岁大。这些孩子往往起病急，先有″感冒″症状，持续时间约3天，表现发低烧（测量体温在38℃左右）、流清鼻涕水、咳嗽，约60%患儿也可不发烧。2-3天后咳嗽加重，呼吸快而浅表，每分钟可达60-100次。最突出的症状是喘、憋、呼气延长，喘鸣之声音有时不必用听诊器，只要靠近患儿就可听到，患儿非常痛苦。
\n精神状态
\n要想及时发现儿童肺炎，细心的妈妈们也应该注意孩子的精神状态。如果孩子在发热、咳嗽、喘的同时精神很好、能玩、爱笑，则提示患肺炎的可能性很小。相反，孩子精神状态不佳、口唇青紫、烦躁、哭闹或昏睡、抽风，少数患儿可出现谵语则说明孩子病得较严重，得肺炎的可能性较大。孩子在患肺炎初期既可能精神并无明显变化，也可能精神状态不佳。
\n食欲
\n得了肺炎食欲会显著下降，小儿得了肺炎，不吃东西，或一吃奶就哭闹不安。如果确诊孩子已经得了肺炎后，应继续喂奶、喂食，多喝汤类食物，如果患儿食欲减退，应少量多餐，哺乳婴儿应增加每天的喂奶次数，以增强营养与体力。
\n胸部
\n由于儿童的胸壁薄，有时不用听诊器也能听到水泡音，所以细心的家长可以在孩子安静或睡着时听听他的胸部。听儿童胸部时，要求室温在18℃以上，脱去孩子的上衣，将耳朵轻轻地贴在孩子脊柱两侧的胸壁，仔细倾听。肺炎患儿在吸气时会听到“咕噜儿”、“咕噜儿”的声音，医生称之为细小水泡音，这是肺部发炎的重要体征。
\n同时仔细观察孩子有无胸凹陷（在吸气时，两侧肋骨边缘处内陷随呼吸起伏）。如果出现此情况，则需马上送孩子去医院确诊以便及时治疗。
\n温馨提示，当孩子出现一些疾病症状时，语言上不会很全面的叙述出疾病症状，但是孩子都会出现精神状况不佳现象，甚至会情绪比较烦躁，出现哭闹不止症状，家长们要特别关注孩子的一举一动，避免肺炎病情加重，需要及时得到有效治疗。
\n","barId":"1708","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"5239","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"幼年特发性关节炎用药治疗方法","content":"
幼年特发性性关节炎是一类儿童特发性关节滑膜炎，伴周围软组织肿胀和渗出，是儿童时期最常见的一种风湿性疾病。关节炎就是关节发生炎症，关节里面的液体会增加，使关节出现局部的发热、肿胀和疼痛等症状。
\n
什么是“晨僵”？
\n晨僵是幼年特发性性关节炎常见的症状，是指当关节在较长时间（如睡了一夜）不活动后出现疼痛、僵硬、活动受限，随着慢慢活动后，这些症状会有所好转。
\n ![\"幼年特发性关节炎用药治疗方法\"](\"http://01luntan.com/ly_img/uimgs/1498397235294.jpg\" "\\"幼年特发性关节炎用药治疗方法\\"")
幼年特发性性关节炎主要是怎样治疗？
\n该病的治疗原则是缓解症状，保持关节活动和肌肉力量；防治或减少关节损害，最大程度地保持其功能状态。目前主要的药物分为两大类：一是对症抗炎止痛药（如双氯芬酸钠），该类药物只能缓解症状，不能阻止病情进展。其止痛作用起效很快。另外一类是慢作用改变病情药（氨甲喋呤、羟氯喹、来复米特等），该类药物可防止或减轻骨关节破坏性病变发生，生效时间较长，也有一定的副作用。随着对该病的不断研究发现一些生物制剂对该病也有一定的疗效。（马明圣供稿）
\n\n
转自协和医院官网
\n","barId":"1708","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":12},{"id":"5242","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"协和医院遗传代谢就诊指南","content":"
目前遗传门诊可提供的疾病诊断主要如下：
\n• 染色体病
• 苯丙酮尿症 （ＰＫＵ）
• Ｘ连锁进行性肌营养不良（ＤＭＤ）
• 脊髓性肌萎缩（ＳＭＡ）
• 肝豆状核变性 （ＷＤ）
• 血友病Ａ
• 性别鉴定
• 性反转分析
• Prader-Willi 综合症
• 脆Ｘ综合症
• 亨廷顿病（ＨＤ）
• ２１三体（Ｄｏｗｎ综合症）快速检测
• Ｆａｂｒｙ 病
• 糖原累积症Ia型，Ib型，II型（Pompe病）和III型
• 岩藻糖苷储积症
• 甘露糖苷储积症
• ＧＭ１神经节苷脂储积症
• ＧＭ２神经节苷脂储积症 （Ｔａｙ－Ｓａｃｈｓ）
• ＧＭ２神经节苷脂储积症 （Ｓａｎｄｈｏｌｌ）
• 高雪氏病 （Ｇａｕｃｈｅｒ）
• 异染性脑白质营养不良 （ＭＬＤ）
• 球形脑白质营养不良 （Ｋｒａｂｂｅ）
• 尼曼匹克病 （Ｎｉｅｍａｎｎ－Ｐｉｃｋ）
• 各型粘多糖储积症（ＭＰＳ）
• 粘脂储积症 （ＭＬ）ＩＩ和ＩＩＩ型
遗传门诊还能针对患者的特殊需要提供专门的基因诊断服务。曾经做过的基因诊断包括软骨发育不良、进行性假性类风湿病性软骨发育不良、干骺端发育不良(Jansen型)、颅锁骨发育不良、Costello综合症、Blau综合症、先天性大唾液腺缺失、丙酮酸脱氢酶缺乏症（PDH）、湿疹血小板减少紫癜综合症（WAS）、Sotos综合症、Williams综合症、火棉胶样儿、遗传性对称性色素异常症等。
| \n 时间 \n | \n\n 地点 \n | \n\n 出诊人员 \n | \n
| \n 星期二上午 \n | \n\n 协和东院儿科门诊 \n | \n\n 施惠萍，邱正庆，孟岩，仇佳晶 \n | \n
| \n 星期二下午 \n | \n\n 协和东院北配楼特需门诊 \n | \n\n 赵时敏，施惠萍 \n | \n
| \n 星期五上午 \n | \n\n 协和东院儿科门诊 \n | \n\n 施惠萍，邱正庆，孟岩，仇佳晶 \n | \n
\n
","barId":"1708","topicTypeId":null,"topicThemeId":"1013","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":13}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"5241","isDel":0,"createAt":1498397024262,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"协和医院儿科肾病、风湿病就诊指南","content":"
肾病和风湿免疫性疾病是小儿常见病，它不仅给患者及其家庭带来痛苦，也造成了沉重的社会负担。随着医学技术的发展，很多相关疾病可以获得治愈或病情得到明显改善。随之带来的挑战也越来越艰巨。自上世纪70年代初，在我院儿科潘俨偌教授、朱传酉教授的带领下，我们一直致力于肾病和风湿免疫性疾病的研究，对于各类小儿原发性及继发性肾小球肾炎（紫癜性肾炎、狼疮性肾炎及乙肝相关膜性肾病）、难治性肾病、高钙尿症、肾小管酸中毒、泌尿系感染及先天性肾脏疾病等的诊治，具有丰富的临床经验和先进的科研水平。通过开展肾穿刺活检技术，与儿童ICU病房合作等形式，使我们的诊治水平得到长足发展。依托内科风湿免疫专业实验室，为广大儿童患者提供临床诊断服务。每年收治大量来自全国各地的各种肾病与风湿病患儿。通过对风湿免疫性疾病患儿的长期诊治及随访，我们已积累了大量的临床资料，积极开展国内外各种先进治疗方法，改善了患儿的预后，使他们更为健康与茁壮的成长。风湿免疫性疾病方面，我科主治：系统性红斑狼疮、幼年特发性关节炎、皮肌炎、硬皮病、儿童血管炎、混合性结缔组织病、幼年型强直性脊柱炎等。
自协和儿科创建以来，肾病及风湿免疫性疾病专业一直是我科重点学科，历经三代学科带头人的共同努力，打造了我们的专业团队，使学组的工作得到了广大患者及家属的好评以及国内外同行的认可。学科带头人魏珉教授（博士生导师，现任中华医学会儿科学分会常委、中华医学会儿科学分会肾脏病学组委员、中华医学会北京分会儿科学会主任委员）、科主任宋红梅教授（博士生导师，现任中华医学会儿科学分会中青年委员、中华医学会儿科学分会免疫学组委员）、何艳燕副教授（硕士生导师）等专业骨干，也分别在完成好临床工作的同时，承担并组织完成多项国内、国际重要科研项目。在接受协和更为全面与系统的专业训练的同时，新一代中青年学者也在实践与研究的领域中逐渐成为专家：李凡医师、景红医师、吴晓燕医师。
我科设有儿童肾病及风湿病专家门诊和专业门诊，还设有相应的专业病房。希望通过我们共同的努力，更为及时、有效的诊治疾病，为患者减少病痛，改善生活质量，实现“除人类之病痛，助健康之完美”的光荣使命。
我科主要专家的出诊时间是：
魏珉教授 普通门诊：周二上午/周四上午 特需门诊：周一下午/周五上午
宋红梅教授 普通门诊：周四上午 特需门诊：周五全天
何艳燕副教授 普通门诊：周一下午/周五全天
转自协和医院官网
\n","barId":"1708","topicTypeId":"1","topicThemeId":"1013","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2194,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1498397024264,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1498397024264,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"b1ba5254dfad11e6a61c00163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1705892489293,"updateBy":"b1a5ca4ddfad11e6a61c00163e04584d","updateName":"小海螺","userId":"b1a5ca4ddfad11e6a61c00163e04584d","topicCount":2201,"replayCount":900,"favorteCount":0,"beFavorteCount":0,"creamCount":2,"focusCount":1,"fansCount":4,"integralCount":2357,"foodCouponCount":0,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1013","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"1","topicTypeName":"资讯","themeName":"最新资讯","barType":"101","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}