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2017年最新克罗恩病治疗指南

已有 8296 次阅读 2017-3-7 07:36 |个人分类:临床指南和病例解析|系统分类:观点评述| style, important


2017年最新克罗恩病治疗指南


  1. 疾病活动度评分—CDAI:

The index of clinical disease activity of CD is represented by the CDAI(Table 3) and the Harvey-Bradshaw index (HBI) (Table 4). CDAI is widely used in many clinical studies and clinical fields. A CDAI of <150 is classified as remission, 150 to <220 as mild activity, 220 to <450 as moderate activity, and ≥450 as severe activity. On the other hand, HBI is a disease activity index designed to simplify the complex CDAI, and consists of only clinical parameters. An HBI of <5 is classified as remission, 5 to <8 as mild activity, 8 to <16 as moderate activity, and ≥16 as severe activity.


2. 疾病活动度评分—HBS:



3. 蒙特利尔分类:



4. 诱导缓解治疗—轻中度CD:



5. 诱导缓解治疗—中重度CD:



6. 难治性CD药物治疗:



7. 维持治疗—5-ASA诱导:


8. 维持治疗—激素诱导:



9. 维持治疗—anti-TNF诱导:



10. 维持治疗—MTX诱导:



11. 维持治疗中再复发:




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