类风湿性关节炎多次手术治疗与康复

Multiple Operations in the Rehabilitation of Patient with Rheumatoid Arthritis

从1984年1月—1985年12月,173例类风湿患者因1个或几个关节持续疼痛或关节严重破坏、畸形,而多次入院手术。做一次手术90例,2次58例,3次13例,4次8例,5次例。本组中原来过床椅生活者48例(27.9％),最后随访时仍然床椅生活者仅4例(2.3％)。术前需要他人照顾者149例、术后为89例,而且依赖的程度和项目要大为减轻,仅26例需专人帮助。结果表明:如能合理选择抗风湿药物,并对体疗足够重视,手术治疗能挽救原来被认为毫无希望或严重畸形的病人,使他们获得不同程度的自立能力。

In order to get best Rehabilitation Multiple joint involvement in RA often leads to multiple joint operation in a short period. Frora Jan, 1981 to Dec, 1985 because of the joint inflammation or severe damage, there were 173 cases of RA repeatedly admitted to our hospital for one or more operations. Ninty cases had one operation, 56 cases twice, 13 cases three times; 8 cases four times, 6 cases five times. There were, on the average, 1.8 operations per patient. In this series, there were 48 cases (27.9 percent) of bedchair life before operation, and only 4cases showed no improvements after operation, 69 out of 149 cases continued to resort to some help, but dependency was lessened greatly. There were only 26 cases who still needed remarkable service. These patients had not got the expected results, results have shown conclussively that with a judicious combination of drug therapy and physical trainning. Arthritic cripple often can be salvaged from hopeless dependency and restored to self-sufficient and productive lives.