康复体操对强直性脊柱炎患者脊柱功能状态及生存质量的影响  

Effect of rehabilitation gymnastics on spinal function and quality of life in patients with ankylosing spondylitis

作　　者：黄桃英[1] 何芳 杨帆 HUANG Taoying;HE Fang;YANG Fan(Medical Center,Fuzhou Vocational and Technical College,Jiangxi Province,Fuzhou 344000,China;Department of Gynecology and Obstetrics,Linchuan District People's Hospital of Fuzhou City,Jiangxi Province,Fuzhou 344100,China)

机构地区：[1]抚州职业技术学院医务所,江西抚州344000 [2]江西省抚州市临川区人民医院妇产科,江西抚州344100

出　　处：《中国当代医药》2024年第29期26-30,共5页China Modern Medicine

基　　金：江西省教育厅科学技术研究项目(GJJ2207401)。

摘　　要：目的探究康复体操对强直性脊柱炎患者脊柱功能状态及生存质量的影响。方法选取2018年3月至2023年9月抚州职业技术学院医务所收治的80例强直性脊柱炎患者为研究对象,根据随机数字表法分为对照组(40例)和观察组(40例)。对照组进行常规治疗,观察组则在对照组的基础上进行康复体操干预。比较两组患者的治疗总有效率、治疗前后的测量指标(Schober试验、指地距、枕墙距及胸廓活动度)巴斯强直性脊柱炎疾病活动指数(BASDAI)评分、巴斯强直性脊柱炎功能指数(BASFI)评分及强直性脊柱炎患者生存质量的专用测定量表(SQOL-AS)评分。结果观察组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组治疗6、12周后的Schober试验长于对照组,指地距、枕墙距短于对照组,胸廓活动度大于对照组,差异有统计学意义(P<0.05)。观察组治疗6、12周后BASDAI及BASFI评分低于对照组,差异有统计学意义(P<0.05)。观察组治疗6、12周后的SQOL-AS各项评分高于对照组,差异有统计学意义(P<0.05)。结论康复体操在强直性脊柱炎患者中的应用效果较好,可显著改善患者的脊柱功能,提高生存质量,在强直性脊柱炎患者中的应用价值较高。Objective To explore the effect of rehabilitation gymnastics on spinal function and quality of life in patients with ankylosing spondylitis.Methods A total of 80 patients with ankylosing spondylitis treated in Medical Center,Fuzhou Voca-tional and Technical College from March 2018 to September 2023 were selected as the study objects,and were divided into control group(40 cases)and observation group(40 cases)according to random number table method.The control group were treated with routine treatment,the observation group were treated with rehabilitation gymnastics on the treatment of control group.The total response rate,the measures(Schober test,finger distance,occipital wall distance and thoracic motion),the Bath ankylosing spondylitis disease activity index(BASDAI)score,the Bath ankylosing spondylitis function index(BASFI)score and scale of the quality of life for ankylosing spondylitis(SQOL-AS)score before and after the treatment of two groups were compared.Results The total effective rate of observation group was higher than that of control group,the difference was statistically significant(P<0.05).After 6 and 12 weeks of treatment,the Schober test in the observation group was longer than that in the control group,the distance between finger and ground and the occipital wall were shorter than that in the control group,and the thoracic motion was greater than that in the control group,the differences were statistically significant(P<0.05).After 6 and 12 weeks of treatment,BASDAI and BASFI scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The SQOL-AS scores of the observation group were higher than those of the control group after 6 and 12 weeks of treatment,the differences were statistically significant(P<0.05).Conclusion The application effect of rehabilitation gymnastics in patients with ankylosing spondylitis is better,and it can significantly improve the spinal functional state and life quality of patients,so its application v

关 键 词：康复体操 强直性脊柱炎脊柱功能状态 生存质量 

分 类 号：R593[医药卫生—内科学]