类风湿性关节炎手功能障碍的康复医疗

Rehabilitation Therapy of Dysfunction of Hands With Rheumatoid Arthritis

本文阐述了类风湿性关节炎手功能障碍评价的标准和具体方法。对30例类风湿关节炎患者手功能障碍除应用抗风湿药物和理疗之外,采用日常生活动作训练,手关节可动范围的训练,以及功能性作业训练等。疗程是2至3个月,根据五次评价指标分析的结果表明各项拍标改善非常显著(P<0.01)。总改善率93％,显著改善率53％。

The evaluation standard and methods of hand dysfunction for RA patients were presented in this article. Besides the use of antirheumatoid medicine and physiotherapies for hands disorders, the author adopted the training of ADL and ROM and functional exercises. The course of treatment took 2-3 months. The results showed that 5 kinds of evaluation indexes improved markedly (P<0.01). The overall rate of improvement was 93％, and 24.8％ of these patients improved markedly.