抗阻训练方案改善类风湿关节炎患者手关节功能康复的应用研究  

Application of resistance training programs in improving hand joint function rehabilitation in patients with rheumatoid arthritis

作　　者：赖春桃 李水贤 谢宝钊 苏中英 何春莲 LAI Chuntao;LI Shuixian;XIE Baozhao;SU Zhongying;HE Chunlian(Wuzhou Workers'Hospital,Wuzhou 543000,China)

机构地区：[1]梧州市工人医院,543000

出　　处：《中国老年保健医学》2024年第6期35-40,共6页Chinese Journal of Geriatric Care

基　　金：广西壮族自治区卫生健康委员会自筹科研课题(合同编号:Z-D20221715)。

摘　　要：目的抗阻训练方案改善类风湿关节炎(rheumatoid arthritis,RA)患者手关节功能康复的应用研究。方法研究对象为2022年7月至2023年10月梧州市工人医院收治的RA患者80例,使用随机数字表法分为对照组和观察组,每组40例。对照组接受风湿免疫疾病常规护理及药物治疗;观察组在此基础上增加抗阻训练方案,连续干预12个月;评估抗阻训练方案对RA患者手关节功能康复效果。结果干预后6个月、12个月,观察组MPQ评分低于对照组(t=4.285,3.475;P<0.001,P=0.001);观察组手关节活动度高于对照组(t=-8.361,-5.397;P<0.001,P<0.001);观察组HAQ评分低于对照组(t=3.648,2.092;P<0.001,P=0.040);观察组DASH评分低于对照组(t=2.236,2.453;P=0.028,P=0.017);观察组握力高于对照组(t=-3.927,-5.332;P<0.001);观察组心情指数低于对照组(t=3.826,3.847;P<0.001,P<0.001)。结论抗阻训练方案能够显著改善类风湿关节炎患者的手关节功能,降低疼痛和功能障碍指数,提升手关节活动度和握力,值得在RA患者康复治疗中推广应用。Objective This study investigates the application of resistance training programs in improving hand joint function re-habilitation in patients with rheumatoid arthritis(RA).Methods A total of 80 RA patients admitted to our hospital from July 2022 to October 2023 were selected as study subjects.They were randomly divided into two groups:the control group and the observation group,with 40 patients in each group.The control group received routine care and medication for rheumatic immune diseases,while the observation group received an additional resistance training program.The effectiveness of the resistance training program on hand joint function rehabilitation in RA patients was evaluated.Results The MPQ scores of the observation group were lower than those of the control group at 6 months and 12 months after the intervention(t=4.285,3.475;P<0.001,P=0.001).The range of motion of hand joints in the observation group was higher than that in the control group(t=-8.361,-5.397;P<0.001,P<0.001).The HAQ scores of the observation group were lower than those of the control group(t=3.648,2.092;P<0.001,P=0.040).The DASH scores of the observation group were lower than those of the control group(t=2.236,2.453;P=0.028,P=0.017).The grip strength of the observation group was higher than that of the control group(t=-3.927,-5.332;P<0.001,P<0.001).The mood index of the observation group was lower than that of the control group(t=3.826,3.847;P<0.001,P<0.001).Conclusion The resistance training program can significantly improve hand joint function in patients with rheumatoid arthritis,reduce pain and disabil-ity indices,and enhance hand joint mobility and grip strength.It is worthy of promotion in the rehabilitation treatment of RA patients.

关 键 词：类风湿关节炎 手关节功能 抗阻训练 晨僵时间 握力 

分 类 号：R47[医药卫生—护理学]