矿泉浴治疗类风湿性关节炎时适宜温度的探讨  

Probe into appropriate temperature of treating patients with rheumatoid arthritis by mineral spring baths

作　　者：郑建寅[1] 王晶[1] 赵伟实 秦建明 

机构地区：[1]中国人民解放军空军兴城疗养院

出　　处：《中国疗养医学》1998年第3期3-5,共3页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨兴城矿泉浴治疗类风湿性关节炎时的适宜温度。方法１１４例类风湿性关节炎患者随机分成５组进行对比观察，５组年龄、性别、病程及病情分期等方面差异无显著性（Ｐ＞０．０５）。观察了２５℃、３０℃、３５℃、４０℃及４５℃５个温度条件下类风湿性关节炎患者兴城矿泉浴前后关节疼痛评分、关节肿胀评分、重点关节运动计分、ＡＤＬ能力评分、晨僵时间、２０米步行时间及双手握力等康复指标的变化。结果水温２５℃矿泉浴后，患者关节疼痛评分、重点关节运动计分、晨僵时间、２０米步行时间４项康复指标数值增加（Ｐ＜０．０５）。水温３０℃矿泉浴后，患者关节疼痛评分、重点关节运动计分、晨僵时间、２０米步行时间４项指标数值增加（Ｐ＞０．０５）。水温３５℃矿泉浴后，患者关节疼痛评分、关节肿胀评分、重点关节运动计分、晨僵时间４项指标数值下降（Ｐ＞０．０５）。水温４０℃、４５℃矿泉浴后，患者关节疼痛评分、关节肿胀评分、重点关节运动计分及晨僵时间４项指标数值下降（Ｐ＜０．０５）。结论水温２５～４５℃范围内，矿泉浴时水温愈高，其缓解类风湿性关节炎患者关节肿痛、晨僵和增加关节活动度的效果愈好。Objective To probe into the appropriate temperature of treating patients with rheumatoid arthritis(RA) by Xingcheng mineral spring baths. Methods 114 patients with RA were randomly divided into five groups and conducted mineral spring baths,the number of degree of temperature of mineral spring is 25、30、35、40 and 45.We observed the change of recovery index of score of pain and swelling of joint,marks of activities of important joint and ADL abilities,the time of stiff in the morning and a 20-metre-walk,the power of gripping of both hands after mineral spring baths in patients with RA. Results The numerical value of scores of pain of joint and activities of important joint,the time of stiff in the morning and a 20-metre walk increased after 25℃ mineral spring baths,and the difference of above recovery index is obvious by statistics conduct(P>0.05).The numerical value of scores of pain of joint and activities of important joint,the time of stiff in the morning and a 20-metre-walk increased after 30℃ mineral spring baths,and the difference of above recovery index is not obvious by statistics conduct(P<0.05).The numerical value of the scores of pain and swelling of joint,the time of stiff in the morning decreased after 35℃ mineral spring baths,and the difference of above recovery index is not obvious by statistics conduct(P>0.05).The numerical value of the scores of pain and swelling of joint,the marks of activities of important joint and the time of stiff in the morning decreased after 40℃ and 45℃ mineral spring baths,the difference of above recovery index is obvious by statistics conduct(P<0.05). Conclusions Temperature ranged from 25℃to 45℃,the higher temperature of mineral spring is ,the better effect of lysis on pain and swelling of joint,stiff in the morning and improvement of scope of activity of joint are in patients with RA.

关 键 词：温度 类风湿性关节炎 矿泉浴治疗 

分 类 号：R593.220.5[医药卫生—内科学] R454.6[医药卫生—临床医学]