社区干预在强直性脊柱炎治疗中的效果观察  

Community intervention in management of ankylosing spondylitis

作　　者：于文广[1] 张鲁阳[2] 董瑞华[1] 张学顺[1] 

机构地区：[1]山东省海阳市第三人民医院风湿病科,265100 [2]山东省烟台市烟台山医院风湿病科

出　　处：《中华全科医师杂志》2013年第8期646-648,共3页Chinese Journal of General Practitioners

摘　　要：将65例强直性脊柱炎患者随机分为观察组32例，对照组33例。对照组采用常规药物治疗，观察组在常规药物治疗的基础上全程接受社区干预，干预内容包括健康教育、心理干预、关节功能锻炼。观察治疗6个月。结果显示，观察组实际观察29例，对照组实际观察28例；治疗后观察组的脊柱运动（前屈、后伸、侧弯）、指地试验、扩胸试验和枕墙距均优于对照组（P〈0．05）；治疗后观察组的SAS、SDS标准分均低于对照组（P〈0．05）。提示，社区干预能有效改善强直性脊柱炎患者的脊柱活动度，减轻脊柱畸形的发生；改善焦虑和抑郁状态，提高患者生活质量。Sixty five patients with of ankylosing spondylitis were randomly divided into intervention group （n = 32） and control group （n = 33 ）. Patients in control group received conventional treatment only; in addition to conventional treatment, patients in intervention group also received community intervention, including heahh education, psychological counseling and joint function exercise. The treatment lasted for 6 months, 29 patients in intervention group and 28 in control group completed the trial. The results showed that the spinal motion （flexion, extension, lateral bending）, chest expantion, finger to floor distance, occiput to wall gap in intervention group were better improved than those in control group after treatment （P 〈 0.05 ）. The scores of self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were lower in intervention group than those in control group after treatment （ P 〈 0.05 ）. The results indicate that community intervention can effectively improve spinal mobility, reduce spinal deformity; relieve the anxiety and depression and improve the quality of life for patients with ankylosing spondylitis.

关 键 词：强直性脊柱炎 社区卫生服务 

分 类 号：R593.234[医药卫生—内科学]