首页|血友病性慢性滑膜炎92例患者的康复治疗

血友病性慢性滑膜炎92例患者的康复治疗

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目的 观察在常规凝血因子治疗基础上运用综合康复治疗方法治疗血友病性慢性滑膜炎的疗效。方法 选取2022年8月至2023年2月该院康复医学科收治的血友病性慢性滑膜炎患者92例,在凝血因子按需治疗的基础上以物理因子治疗、运动疗法等综合康复治疗4周。采用视觉模拟疼痛量表、血友病关节健康评分、焦虑自评量表及抑郁自评量表评估患者治疗前后关节疼痛、关节活动状况,以及情绪、心理健康的改变等。结果 92例患者中完成研究90例,康复过程中终止退出2例。90例患者治疗后视觉模拟疼痛量表、焦虑自评量表、抑郁自评量表评分,以及血友病关节健康评分均较治疗前明显下降,差异均有统计学意义(P<0。05)。结论 综合康复治疗可改善血友病性慢性滑膜炎患者疼痛症状和关节活动状况,缓解其焦虑、抑郁情绪,提升其生活质量。
Rehabilitation treatment of 92 patients with hemophilic chronic synovitis
Objective To observe the curative effect of comprehensive rehabilitation therapy in the treatment of hemophilic chronic synovitis on the basis of conventional coagulation factor therapy.Methods A total of 92 patients with hemophilic chronic synovitis admitted to the Department of Rehabilitation Medicine of the hospital from August 2022 to February 2023 were selected.On the basis of on-demand treatment of co-agulation factors,comprehensive rehabilitation treatment such as physical factor therapy and exercise therapy was performed for four weeks.The visual analogue pain scale,hemophilia joint health score,self-rating anxiety scale and self-rating depression scale were used to evaluate the changes of joint pain,joint activity,mood and mental health before and after treatment.Results Of the 92 patients,90 completed the experiment and two withdrew during the rehabilitation process.The scores of visual analogue pain scale,self-rating anxiety scale,self-rating depression scale and hemophilia joint health score of 90 patients after treatment were significantly lower than those before treatment,and the differences were statistically significant(P<0.05).Conclusion Compre-hensive rehabilitation therapy can improve the pain symptoms and joint activity of patients with chronic synovitis of hemophilia,relieve their anxiety and depression,and improve their quality of life.

HemophiliaChronic synovitisRehabilitation treatmentArthralgiaJoint mobilityAnxietyDepressed

胡源、崔永刚、李飞翔、李树强、吴睿

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郑州大学第二附属医院康复医学科,河南郑州 450014

血友病 慢性滑膜炎 康复治疗 关节疼痛 关节活动 焦虑 抑郁

河南省医学科技攻关联合共建项目

LHGJ20220471

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(4)
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