| Objective To investigate the occurrence and related risk factors of shoulder joint disease in patients with rheumatoid arthritis (RA). Methods From June 2016 to May 2017, 38 cases RA patients with shoulder joint lesions were selected as the experimental group, and 38 cases of RA patients without shoulder joint lesions were enrolled as the control group. The two groups’ routine survey data, ultrasound results and laboratory test indicators were compared to explore the risk factors for shoulder disease in RA patients. Results In the experimental group, the results showed that the lesions on the shoulder joint occurred in 51 shoulders, including 10 cases of bone erosion, 7 tendinitis, 11 joint effusion, 13 synovial hyperplasia, and 10 shoulder cuff lesions. Compared with the control group, the levels of ACCP, CRP and ESR in the experimental group were significantly increased (P<0.05). Single factor logistic regression analysis showed that shoulder joint lesions in RA patients were related to moderate and severe physical labor, excessive shoulder movement, inflammation, history of trauma, rheumatoid factor, ACCP, CRP, ESR and other factors. Logistic regression analysis showed that related risk factors for shoulder joint disease in RA patients include moderate and severe physical labor, shoulder excessive movement, inflammation, trauma history and elevated levels of RF-IgA, RF-IgM, ACCP and CRP, ESR, etc. Conclusion Understanding the risk factors for shoulder joint disease in patients with RA is important for early prevention and treatment of shoulder lesions. |