冲击波在强直性脊柱炎患者康复中的应用研究  

Application of shock wave in rehabilitation of patients with ankylosing spondylitis

作　　者：宋为民 杨欢[1] 张坤[1] 高同飞 张玉慧 Song Weimin;Yang Huan;Zhang Kun;Gao Tongfei;Zhang Yuhui(Bozhou People's Hospital,Bozhou,Anhui 236800,China)

机构地区：[1]亳州市人民医院,安徽亳州236800

出　　处：《齐齐哈尔医学院学报》2023年第19期1823-1827,共5页Journal of Qiqihar Medical University

基　　金：亳州市人民医院院级科研项目(By202022);亳州市卫生健康科研项目(bzwj2022a005)。

摘　　要：目的探讨冲击波在强直性脊柱炎患者康复中的临床应用价值。方法选择2020年10月—2021年10月本院诊治的强直性脊柱炎患者80例为研究对象,按照随机数表法分为对照组和治疗组两组,每组各40例。对照组给予常规抗风湿治疗,治疗组在常规治疗基础上联合使用冲击波。比较两组治疗前后疼痛视觉(VAS)评分、Bath强直性脊柱炎功能指数(BASFI)评分、Bath强直性脊柱炎活动性指数(BASDAI)评分、Bath强直性脊柱炎计量指数(BASMI)评分变化情况,统计两组治疗后髋关节活动、脊柱运动功能、胸廓活动度良好及Keitel功能试验评分优秀的比例,比较两组治疗前后血沉和C-反应蛋白水平变化情况。结果治疗后治疗组VAS评分为(2.3±1.6)分,BASFI评分为(2.4±1.7)分,BASDAI评分为(2.8±0.8)分,均低于治疗前治疗组的(6.9±2.4)分、(5.8±2.0)分和(4.9±1.3)及治疗后对照组的(3.1±2.2)分、(3.2±1.9)分和(3.8±1.2)分(均P<0.05);治疗组治疗后BASMI评分为(6.1±1.6)分,高于治疗前的(3.9±1.9)分和对照组治疗后的(5.3±1.5)分(均P<0.05);治疗组治疗后髋关节活动、脊柱运动功能、胸廓活动度良好及Keitel功能试验评分优秀的比例均高于治疗后对照组(均P<0.05);治疗后治疗组血沉水平为(39.0±20.3)s,C-反应蛋白水平为(18.6±9.8)mg/L,均低于治疗前的(74.1±28.3)s和(43.2±26.5)mg/L,同时低于治疗后对照组的(51.1±27.3)s和(24.4±13.3)mg/L(均P<0.05)。结论针对强直性脊柱炎患者,应用体外冲击波治疗,能够减轻躯体疼痛程度,提高患者的运动能力、活动能力以及整体功能,促进血沉和C反应蛋白恢复到正常范围。Objective To explore the clinical application value of shock wave in the rehabilitation of patients with ankylosing spondylitis.Methods 80 patients with ankylosing spondylitis diagnosed and treated in our hospital from October 2020 to October 2021 were enrolled as study objects,and randomly divided into control group and treatment group,40 cases in each group.The control group was given conventional anti-rheumatism treatment,while the observation group was treated with conventional treatment and shock wave.The changes of visual analogue scale(VAS)score,Bath ankylosing spondylitis functional index(BASFI)score,Bath ankylosing spondylitis activity index(BASDAI)score and Bath ankylosing spondylitis measurement index(BASMI)score before and after treatment were compared between the two groups.The rates of hip joint activity,spinal motor function,good thoracic mobility and excellent Keitel functional test score after treatment were counted.The changes of erythrocyte sedimentation rate and C-reactive protein level before and after treatment were compared between the two groups.Results After treatment,the VAS score(2.3±1.6),BASFI score(2.4±1.7)and BASDAI score(2.8±0.8)in the treatment group were all lower than those before treatment(6.9±2.4,5.8±2.0,4.9±1.3),and those in the control group after treatment(3.1±2.2,3.2±1.9,3.8±1.2)(all P<0.05).The BASMI score of the observation group after treatment was(6.1±1.6),it higher than(3.9±1.9)before treatment and(5.3±1.5)of the control group after treatment(all P<0.05).After treatment,the hip joint activity,spinal motor function,rate of good thoracic mobility and excellent Keitel functional test scores in the treatment group were all higher than those in the control group(all P<0.05).After treatment,the ESR level and C-reactive protein level in the observation group were(39.0±20.3)s and(18.6±9.8)mg/L,which were all lower than those before treatment(51.1±27.3s,24.4±13.3mg/L),and those(51.1±27.3s,24.4±13.3mg/L)of the control group after treatment(all P<0.05).Conclusio

关 键 词：体外冲击波 强直性脊柱炎 康复指标 实验室指标 

分 类 号：R593.2[医药卫生—内科学]