运动康复训练对强直性脊柱炎患者功能状态康复的影响  

Exercise Rehabilitation Training Effect on Functional Recovery for Patients with Ankylosing Spondylitis

作　　者：陈妙兰[1] 叶肖红[1] 邱映明[1] 李惠[1] 邹立华[1] 

机构地区：[1]深圳市龙岗区人民医院,广东深圳518172

出　　处：《黑龙江医学》2015年第11期1256-1258,共3页Heilongjiang Medical Journal

摘　　要：目的 探讨运动康复训练对强直性脊柱炎（AS）患者功能状态康复的临床疗效.方法 选取2011-01 ～2015-01间在我院中医骨伤科住院部和门诊部收治的AS患者89例,其中采用药物联合运动康复训练45例患者为研究组,采用单纯药物治疗的44例患者为对照组,采用国际毕氏强直性脊柱炎功能指数（BASFI）量表和Keitel积分评估功能状态康复疗效,比较两组患者功能状态康复的疗效差异.结果 研究组患者蹬台阶、不扶物站立、直立后望、平卧位起立、坐位站立、触及高处、弯腰拾笔和穿袜等BASFI功能评分均明显低于对照组,差异具有统计学意义（P＜0.05）;两组患者治疗前Keitel积分比较差异无统计学意义（P＞0.05）,两组患者治疗后Keitel积分均明显低于治疗前,差异具有统计学意义（P＜0.05）,研究组患者Keitel积分明显低于对照组,差异具有统计学意义（P＜0.05）.结论 运动康复训练对强直性脊柱炎患者功能状态康复疗效显著,值得临床推广应用.Objective To investigate the effect of exercise rehabilitation training effect on functional recovery for patients with ankylosing spondylitis （AS）. Methods 89 cases of patients with ankylosing spondylitis in orthopedics and tranmatology of Chinese medicine hospital department and outpatient department from January 2011 to January 2015 were seleted,including the use of drugs combined with reha- bilitation exercise training in patients with as the study group （ n = 45 ）, the use of single drug therapy in the treatment of patients as control group （ n = 44）, the functional recovery efficacy were assessed by Bath Ankylosing Spondylitis Functional Index （BASFI） and Keitel Score, compared with differences in the efficacy of rehabilitation in two groups. Results Study Group tic steps, not help things stand, upright, look, supine st and up, sitting standing,touch the height, bending pick up the pen and wear socks etc. BASFI score were significantly lower than control group, the difference between the two groups had statistical significance （ P 〈 0. 05 ）, before treatment, the difference between the two groups of neither Keitel integral had no statistical significance （P 〉 0. 05 ）, after treatment, all patients were with or without Keitel integral were significantly lower in the treatment before and after treatment, the difference had statistical significance （P 〈 0. 05 ）. Study group＇s Keitel integral was significantly lower than the control group, the difference between the two groups had statistical significance （ P 〈 0. 05 ） Conclusion Exercise rehabilitation training on the functional status of patients with ankylosing spondylitis was significant, it was worthy of clinical application.

关 键 词：强直性脊柱炎 运动 康复 功能 疗效 

分 类 号：R49[医药卫生—康复医学]