在早期類風(fēng)濕關(guān)節(jié)炎中，低、中劑量的激素可以預(yù)防關(guān)節(jié)損傷，低劑量的糖皮質(zhì)激素可以作為類風(fēng)濕關(guān)節(jié)炎的維持治療，中、高劑量的則可作為最初的橋方案，極高劑量或沖擊療法可用于治療急性危及生命或累及器官的并發(fā)癥。同時，激素的副作用和藥物相互作用也應(yīng)引起重視。

In early rheumatoid arthritis, low-moderate doses of hormones can prevent joint damage. Low-dose glucocorticoids can be used as maintenance therapy for rheumatoid arthritis, and medium and high doses may act as initial bridge program. Very high doses or pulse therapy of glucocorticoids can be used in the treatment of acute or life-threatening complications involving organs. At the same time, hormonal side effects and drug-drug interactions should draw attention.