Abstract: Juvenile dermatomyositis is one of the rare rheumatic diseases in children. The common treatment is hormone combined with slow-acting drugs. It is difficult to choose slow-acting drugs，swith drugs and design course of treatment because of the low incidence and lack of large randomized controlled trials. The author summarizes the common slow-acting antirheumatic drugs used in the treatment of juvenile dermatomyositis，and introduces the mechanism of action，dosage，adverse reactions and indications of these drugs，in order to help doctors to select drugs.

Key words: juvenile dermatomyositis, slow- acting antirheumatic drug, treatment

摘要： 幼年皮肌炎是儿童少见的风湿性疾病之一，常用的治疗方案是激素联合慢作用药物。由于发病率较低，缺少大样本随机对照试验研究，选择哪种慢作用药物、了解药物之间的转换以及确定疗程是比较困难的。该文对治疗幼年皮肌炎的常用慢作用药物及其作用机制、剂量、不良反应和适应证进行介绍，有助于临床医师对药物选择进行权衡。

关键词: 幼年皮肌炎, 慢作用抗风湿药物, 治疗