起床關節僵硬？小心類風濕關節炎
<p style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">【聯合晚報</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 細明體; mso-bidi-font-family: 細明體; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt" lang="EN-US">╱</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">記者李樹人</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US">/</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">台北報導】</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US"><o:p></o:p></span></font></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">早晨起床，總覺得手關節僵硬、紅腫熱痛，小心可能是類風濕關節炎。中華民國風濕病醫學會理事長蔡嘉哲指出，約有三分之一類風濕關節炎患者，因疾病在發病後兩年離開職場，如果能夠趁早治療，即能避免關節扭曲變形。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US"> <o:p></o:p></span></font></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">據統計，類風濕性關節炎患者即使繼續工作，有高達</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US">53%</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">至</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US">82%</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">需要請病假，一年請假總天數達</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US">46</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">天，比一般健康人足足多出</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US">35</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">天。高雄醫學大學附設中和紀念醫院免疫風濕內科主治醫師蔡文展指出，早期類風濕關節炎、僵直性脊椎炎症狀不明顯，特徵為一早起床手關節僵硬，時間可能長達好幾個小時。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US"> <o:p></o:p></span></font></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">許多患者沒提早確診，等到疾病惡化骨頭關節變形，就無法恢復原來的樣子。蔡文展曾收治過僵直性脊椎炎病人，全身僵硬疼痛無法直著走路，只能像螃蟹一樣橫著走。還有類風濕關節炎患者拖延</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US">10</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">年才確診，就診時手部關節已變形嚴重，兩邊手腕都換人工關節，無法寫字、打電腦失業在家。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US"> <o:p></o:p></span></font></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">中華民國風濕病醫學會理事長蔡嘉哲表示，治療類風濕關節炎等自體免疫疾病，除傳統兩種生物製劑，健保今年起給付另一種新型長效生物製劑，患者每個月打一針，一年可節省近</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US">40</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-size: 12.0pt">萬元。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-size: 12.0pt" lang="EN-US"> <o:p></o:p></span></font></p>