| 抗阻运动对类风湿性关节炎患者手功能康复及生活自理能力的影响 |
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| 引用本文： | 解本香,吴义金.抗阻运动对类风湿性关节炎患者手功能康复及生活自理能力的影响[J].安徽医学,2023,44(8):918-922. |
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| 作者姓名： | 解本香 吴义金 |
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| 作者单位： | 241000 安徽芜湖 皖南医学院第二附属医院风湿免疫科;241000 安徽芜湖 皖南医学院第二附属医院药剂科 |
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| 基金项目： | 安徽省自然科学基金青年项目（编号：2108085QH386），安徽省卫生健康委科研项目（编号：AHWJ2021b038） |
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| 摘 要： | 目的 探讨抗阻运动训练对类风湿性关节炎患者手功能康复及生活自理能力的影响。方法 选择2020年3月至2022年10月皖南医学院第二附属医院收治的类风湿性关节炎患者64例，采用抽签法分为对照组和干预组，每组32例。对照组采用常规健康指导及手功能康复锻炼，干预组在对照组基础上进行手部抗阻运动训练。比较干预前及干预3个月后两组患者双手晨僵时间、握力、手功能障碍评分（SOFI）、Barchel指数评分及疼痛视觉模拟评分（VAS）的差异。结果 干预3个月后，干预组患者手关节晨僵时间为（18.41±3.67）min,VAS评分为（1.53±0.88）分，SOFI评分为（2.00±0.57）分，低于对照组；握力为（10.29±0.97）kg,Barchel指数评分（70.31±6.95）分，高于对照组；差异均有统计学意义（P<0.05）；两组患者干预前后晨僵时间、VAS评分、握力、SOFI评分、Barchel指数评分差值进行比较，差异均有统计学意义（P<0.05）。结论 抗阻运动能促进类风湿性关节炎患者手功能的康复，其效果优于常规手功能训练，能提高患者生活自理能力，值得临床推广使用。
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| 关 键 词： | 抗阻运动 类风湿性关节炎 手功能康复 生活自理能力 功能锻炼 |
| 收稿时间： | 2023/1/28 0:00:00 |
Effects of resistance exercise on hand function rehabilitation and self-care ability of patients with rheumatoid arthritis |
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| XIE Benxiang,WU Yijin.Effects of resistance exercise on hand function rehabilitation and self-care ability of patients with rheumatoid arthritis[J].Anhui Medical Journal,2023,44(8):918-922. |
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| Authors: | XIE Benxiang WU Yijin |
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| Affiliation: | Rheumatology and Immunology Department, the Second Affiliated Hospital of Wannan Medical College, Wuhu 241000, China; Pharmacy Department, the Second Affiliated Hospital of Wannan Medical College, Wuhu 241000, China |
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| Abstract: | Objective To explore the effect of resistance exercise training on the rehabilitation of hand function and self-care ability of patients with rheumatoid arthritis. Methods A total of 64 patients with rheumatoid arthritis admitted to the Second Affiliated Hospital of Wannan Medical College from March 2020 to October 2022 were randomly divided into a control group and an intervention group using a lottery method, with 32 patients in each group.The control group received routine health guidance and hand function rehabilitation exercise,while the intervention group received hand resistance exercise training on the basis of the control group.The differences in morning stiffness time,grip strength, hand dysfunction score (SOFI), Barchel index score, and pain visual analogue score (VAS) between the two groups of patients were compaerd before and after the intervention for three months. Results The intervention group had a hand joint morning stiffness time of (18.41±3.67) minutes, a VAS score of (1.53±0.88) points, and a SOFI score of (2.00±0.57) points, which were lower than those of control group. The grip strength was (10.29±0.97) kg, and the Barchel index score was (70.31±6.95) points, which were higher than those of control group. The differences were statistically significant (P<0.05). The difference in morning stiffness time, VAS score, grip strength, SOFI score, and Barchel index score between the two groups of patients after intervention was statistically significant (P<0.05). Conclusions Anti-resistance exercise can promote the rehabilitation of hand function in patients with rheumatoid arthritis,and its effect is better than that of routine hand function training.It can improve the self-care ability of patients, and is worth clinical application. |
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| Keywords: | Resistanceexercise Rheumatoidarthritis Hand function rehabilitation Self-careability Functionalexercise |
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