血友病性慢性疼痛的综合康复治疗  

Comprehensive rehabilitation therapy of hemophilic chronic pain

作　　者：杜威[1] 李要春 唐银波 冷屹[1] 陈坤利 周莉[1] Wei Du;Yao-chun Li;Yin-bo Tang;Yi Leng;Kun-li Chen;Li Zhou(Department of Rehabilitation Medicine,Xiangya Hospital,Centre South University,Changsha,Hunan 410008,China)

机构地区：[1]中南大学湘雅医院康复医学科,湖南长沙410008

出　　处：《中国现代医学杂志》2019年第7期117-120,共4页China Journal of Modern Medicine

摘　　要：目的探讨运用物理治疗结合传统康复手段治疗血友病性慢性疼痛。方法 9例诊断为血友病性慢性疼痛的患者接受为期3周的物理治疗和治疗性按摩,分别采用视觉模拟法(VAS)评分、血友病关节健康评分量表(HJHS)评分及血友病功能独立性(FISH)评分对治疗前后患者疼痛、关节健康及日常生活能力进行评估。结果患者VAS评分、FISH评分治疗前后比较,差异有统计学意义(P <0.05);HJHS评分比较,差异无统计学意义(P>0.05)。结论个体化的综合康复治疗不仅能有效缓解疼痛,而且能提高患者日常生活活动能力(ADL)。Objective To explore the use of physical therapy combined with traditional rehabilitation methods to treat chronic hemophilia pain.Methods Nine patients with hemophilic chronic pain were treated with physical therapy and therapeutic massage for 3 weeks,using visual analogue(VAS)score,hemophilia joint health score scale(HJHS)score and functional independence score in hemophilia(FISH)were assessed before and after the treatment.Results There was a significant difference on VAS and FISH score before and after the treatment,while no statistical change was found on HJHS.Conclusions Comprehensive rehabilitation therapy can not only relieve the pain,but also improve the patients’activities of daily life(ADL)with chronic pain of hemophilia.

关 键 词：血友病A 慢性疼痛 物理治疗 治疗性按摩 

分 类 号：R554.1[医药卫生—血液循环系统疾病] R493[医药卫生—内科学]