功能锻炼对类风湿关节炎患者的疗效观察

Efficacy observation of functional exercise on patients with rheumatoid arthritis

目的探讨类风湿关节炎患者进行功能锻炼的临床疗效。方法106例类风湿关节炎患者,随机分为对照组及观察组,每组53例。对照组应用常规治疗及护理方法,观察组在常规治疗及护理基础上应用功能锻炼。比较两组患者的治疗效果,治疗前后的视觉模拟评分法(VAS)评分及疾病活动度评分(DAS28),治疗后的生活质量。结果观察组治疗总有效率为90.6%,高于对照组的69.8%,差异具有统计学意义(P<0.05)。治疗后,观察组患者的VAS评分(2.39±0.38)分、DAS28评分(3.19±0.73)分明显低于对照组的(4.41±1.41)、(4.57±0.77)分,差异具有统计学意义(P<0.05)。治疗后,观察组患者的生理功能、心理职能、社会功能、精神健康、情感职能、总体健康评分分别为(89.73±4.56)、(90.79±4.13)、(93.05±4.56)、(93.02±4.13)、(92.07±3.56)、(92.77±5.43)分,明显高于对照组的(81.72±3.17)、(83.05±5.01)、(84.56±4.53)、(85.79±6.01)、(84.07±6.01)、(85.79±5.73)分,差异具有统计学意义(P<0.05)。结论功能锻炼可有效促进类风湿关节炎患者关节功能的恢复,能减轻患者疼痛,提升患者生活质量,促进康复作用明显,建议临床应用。

Objective To discuss the clinical efficacy of functional exercise on patients with rheumatoid arthritis.Methods A total of 106 patients with rheumatoid arthritis were randomly divided into a control group and an observation group,with 53 cases in each group.The control group applied conventional treatment and nursing method,while the observation group applied functional exercise based on conventional treatment and nursing.Both groups were compared in terms of therapeutic effect,visual analogue scale(VAS)score and disease activity score(DAS28)before and after treatment,and the quality of life after treatment.Results The total effective rate of treatment in the observation group was 90.6%,which was higher than that of 69.8%in the control group,and the difference was statistically significant(P<0.05).After treatment,the VAS score(2.39±0.38)points and DAS28 score(3.19±0.73)points in the observation group were significantly lower than those of(4.41±1.41)and(4.57±0.77)points in the control group,and the differences were statistically significant(P<0.05).After treatment,the physical function,psychological function,social function,mental health,emotional function,and overall health scores in the observation group were(89.73±4.56),(90.79±4.13),(93.05±4.56),(93.02±4.13),(92.07±3.56),and(92.77±5.43)points,which were significantly higher than those of(81.72±3.17),(83.05±5.01),(84.56±4.53),(85.79±6.01),(84.07±6.01),and(85.79±5.73)points in the control group,and the differences were statistically significant(P<0.05).Conclusion Functional exercise can effectively promote the recovery of joint function in patients with rheumatoid arthritis,relieve the pain of patients,improve the quality of life of patients,and has an obvious effect on promoting rehabilitation.It is recommended for clinical application.