48例强直性脊柱炎病人的护理干预

强直性脊柱炎（ankylosing spondylitis,AS）是一种慢性进行性疾病,主要侵犯骶髂关节、脊柱骨突、脊柱旁软组织及外周关节,并可伴发关节外表现,严重者可发生脊柱畸形和关节强直0]。发病年龄多为13岁～31岁,男性多发。病人主要表现为腰背部疼痛,初期症状不明显,易被病人忽视。随着病情的发展,症状逐渐加重。胸椎受累病人出现胸痛,胸部扩张受限;颈椎受累病人不能低头、后仰,转颈困难;疼痛严重的病人翻身困难。     

强直性脊柱炎病人的护理

总结了10例强直性脊柱炎(AS)病人的护理体会,主要包括用药护理、饮食护理、环境护理、生活细节护理及功能锻炼,认为积极治疗和有效护理可以改善、延缓强直性脊柱的发展,改善病人的生活质量.     

强直性脊柱炎病人的心理护理

强直性脊柱炎（简称AS）是一种病因尚不明了的常见疾病。本病多见男性，男女之比在9～14：1之间。病变特点是从骶髂关节开始逐渐向上蔓延，造成脊柱关节骨性强直。病程可长达数十年。好发年龄16～30岁，以16～25岁发病年龄最高。     

强直性脊柱炎病人的康复护理

为了更好地护理强直性脊柱炎病人,使其尽快康复,选择 126例病人进行康复护理并取得较好的效果,现报道如下。 1对象与方法 126例强直性脊柱炎病人的诊断均符合 1990年美国风湿病学会制定的诊断标准 [1],其中男 113例,占 89.7％,女 13例,占 10.3％,男女之比为 8.7： 1;年龄 10～ 57岁,平均 24岁,其中 < 20岁 43例, 21～ 40岁 64例, >40岁 19例;病史 10d～ 25年。 126例强直性脊柱炎病人中 74％ (74/126例 )无明确诱因, 26％ (52/126例 )有明确诱因,主要为感染、劳累、外伤等诱发;疼痛部位： 126例 AS患者中 99例以腰骶部疼…     

强直性脊柱炎护理干预的研究进展

强直性脊柱炎（AS）患者对疾病知识的认识程度,对该病在日常生活中的治疗及护理有着极其重要的意义。通过护理干预,心理干预,健康指导可增强患者的依从性,促进恢复期患者有效的功能锻炼,进而提高患者的生活质量。     

护理干预对幼年强直性脊柱炎病人生活质量的影响

[目的]探讨护理干预对幼年强直性脊柱炎病人生活质量的影响。[方法]选择2009年—2013年在我院住院的强直性脊柱炎幼年病人65例实施护理干预,并对干预前及干预后半个月、1个月、3个月临床指标进行比较。[结果]护理干预前与干预后半个月、1个月、3个月晨僵时间、腰骶部压痛得分、有效睡眠时间、胸廓扩张度、脊柱侧弯、指地距比较差异有统计学意义(P0.05或P0.01)。[结论]护理干预可有效改善强直性脊柱炎幼年病人的生活质量,干预过程中对个体差异的评估及严格监督实施计划尤为重要。     

门诊护理干预对强直性脊柱炎病人生活质量的影响

[目的]观察门诊护理干预对强直性脊柱炎（AS）病人生活质量的影响。[方法]对门诊200例AS病人建立健康档案，进行生活质量的问卷调查，从心理干预、药物指导、行为干预、运动干预、健康教育和随访巡诊等方面实施护理干预，12个月后再次进行生活质量的调查，并对调查结果进行统计分析。[结果]干预后病人的生活质量明显高于干预前，差异有统计学意义（P〈0．05）。[结论]门诊护理干预可提高As病人的生活质量。     

妊娠合并强直性脊柱炎病人的护理

强直性脊柱炎(ankylosing spondylitis,AS)是一种慢性进行性疾病,主要侵犯骶髂关节、脊柱骨突、脊柱旁软组织及外周关节,并可伴发关节外表现,严重者可发生脊柱畸形和关节强直。强直性脊柱炎病人的妊娠属于高危妊娠的范畴,有研究认为80%的AS病人在孕期病情出现变化[1],但国内外仅有少量病     

强直性脊柱炎病人髋关节置换术的护理

[目的]探讨强直性脊柱炎病人进行双侧人工全髋关节同期置换围术期的护理。[方法]对骨科21例强直性脊柱炎病人行双侧人工全髋关节同期置换术,术前做好心理护理,术后密切观察病情、预防并发症、做好各项护理、功能康复以及出院指导等。[结果]21例病人住院期间经精心护理均顺利地度过了围术期,无并发症发生,均痊愈出院。[结论]强直性脊柱炎并双侧人工全髋关节同期置换围术期护理对病人的康复尤为重要,可解除疼痛,提高病人的生命质量。     

应用氨甲喋呤治疗强直性脊柱炎的护理32例

强直性脊柱炎(AS)是一种累积脊柱的慢性炎症性免疫病,其发病率为0.3%,多见于青年男性,16~32岁发病较多。病变早期呈转移性,上行性腰背疼痛,下腰痛最多见,伴有困倦乏力、消瘦气短、贫血症状、活动受限、晨僵、夜间翻身困难、起床费力,少数患者可伴有发热。2002-2004年,我院收治3     

23例强直性脊柱炎病人行全髋关节置换术的护理

[目的]总结强直性脊柱炎病人行全髋关节置换术的护理措施。[方法]回顾性分析23例强直性脊柱炎病人行全髋关节置换术的临床资料。[结果]本组病人均顺利手术,术后未发生坐骨神经或股神经麻痹、压疮、肺部感染、髋关节脱位等并发症;术后Harris评分62.55分～86.25分,平均72.7分;随访6个月～12个月,病人髋关节屈伸收展及内外旋主动活动度达100°～230°,屈伸主动活动65°～110°;均能达到生活基本自理。[结论]加强强直性脊柱炎病人行全髋关节置换术的护理有利于预后。     

强直性脊柱炎行全髋关节置换病人的护理

强直性脊柱炎(AS)引起的髋关节病变,如严重的髋关节屈曲畸形,髋关节骨性强直困扰着许多病人。施行全髋关节置换术(THA)可以改善关节疼痛、活动度及病人的整体功能,矫正畸形提高病人的生活质量。由于强直性脊柱炎本身的病理特点会给手术的成功带来一定的困难,而且该手术创伤大,并发症多。因此,围手术期的护理非常重要,现将其护理体会报告如下。1　临床资料　　1995年2月—2 0 0 3年12月,我科为8例AS病人(均为男性,年龄3 5岁～5 8岁)施行了THA ,经过精心的治疗护理,术后恢复快,效果满意,无一例因护理不当而引起感染、脱位、假体松动等并发…     

Two exercise interventions for the management of patients with ankylosing spondylitis: a randomized controlled trial

OBJECTIVE: The purpose of this clinical trial was to evaluate the impact of a 4-month comprehensive protocol of strengthening and flexibility exercises developed by our research group versus conventional exercises for patients with Ankylosing Spondylitis (AS) on functional and mobility outcomes. DESIGN: Randomized controlled trial. Forty-five patients diagnosed with AS according to the modified criteria of New York were allocated to control or experimental groups using a random numbers table. The control group was treated with a conventional protocol of physical therapy in AS, whereas the experimental group was treated with the protocol suggested by our research group. The conventional intervention consisted of 20 exercises: motion and flexibility exercises of the cervical, thoracic, and lumbar spine; stretching of the shortened muscles; and chest expansion exercises. The experimental protocol is based on the postural affectation of the AS and the treatment of the shortened muscle chains in these patients according to the Global Posture Reeducation (GPR) method. This intervention employs specific strengthening and flexibility exercises in which the shortened muscle chains are stretched and strengthened. The study lasted 4 mos. During this period, patients received a weekly group session managed by an experienced physiotherapist. Each session lasted an hour, and there were 15 total sessions. Changes in activity, mobility, and functional capacity were evaluated by an assessor blinded to the intervention, using the following previously validated scores from the Bath group: BASMI (tragus to wall distance, modified Schober test, cervical rotation, lumbar side flexion, and intermalleolar distance), BASDAI (The Bath Ankylosing Spondylitis Disease Activity Index), and BASFI (The Bath Ankylosing Spondylitis Functional Index). RESULTS: Both groups showed an improvement (prepost scores) in all the outcome measures, mobility measures of the BASMI index, as well as in BASFI and BASDAI indexes. In the control group, the improvement in tragus to wall distance (P=0.009) and in lumbar side flexion (P=0.02) was statistically significant. Although the rest of the outcomes also improved, they did not reach a significant level (P>0.05). In the experimental group, the improvement in all the clinical measures of the BASMI index (P<0.01) and in the BASFI index (P=0.003) was statistically significant. The intergroup comparison between the improvement (prepost scores) in both groups showed that the experimental group obtained a greater improvement than the control group in all the clinical measures of the BASMI index, except in tragus to wall distance, as well as in the BASFI index. CONCLUSIONS: The experimental protocol developed by our research group, based on the GPR method and specific strengthening and flexibility exercises of the muscle chains, offers promising results in the management of patients suffering from AS. Further trials on this topic are required.     

长蛇灸治疗强直性脊柱炎中的护理安全管理

目的 探讨长蛇灸治疗强直性脊柱炎中的护理安全问题及其防范措施,防止不良并发症发生.方法 对患者施灸前做好充分的灸前准备,并针对治疗中容易发生的皮肤过敏及感染、烫伤、晕厥等安全问题进行积极防范以及灸后的护理干预.结果 38例患者无并发症发生,保障了患者安全.结论 针对长蛇灸治疗强直性脊柱炎中的护理安全问题积极防范,可以保...     

强直性脊柱炎病人早期系统性康复训练

[目的]总结50例强直性脊柱炎病人早期进行系统性康复训练的经验.[方法]对50例病人进行包含运动疗法、健康教育及心理护理的系统性康复训练,并采用强直性脊柱炎疾病活动指数（BASDAI）、强直性脊柱炎功能指数（BASFI）、强直性脊柱炎测量学指数（BASMI）进行训练前后评价.[结果]训练6个月后,病人BASDAI、BASFI、BASMI评分均有改善.[结论]对强直性脊柱炎病人进行早期系统性康复训练能改善病人躯体功能.     

Postural stability in patients with ankylosing spondylitis

Purpose.?The aim of this study is to determine whether the postural changes in ankylosing spondylitis (AS) affected postural stability.

Method.?A total of 64 patients with a diagnosis of AS and 50 healthy volunteers were included in the study. The patients were divided into two groups according to a tragus-to-wall distance?<15?cm (Group I, n?=?30) and?≥15?cm (Group II, n?=?34). The control group (Group III) consisted of 50 healthy volunteers. The postural stability was evaluated with the Biodex Stability System (BSS). The results of Antero-Posterior Stability Index (APSI), Medio-Lateral Stability Index (MLSI) and Overall Stability Index (OSI) were evaluated.

Results.?There were statistically significant differences between the three groups for OSI, APSI and MLSI. MLSI results were significantly different among patient groups. When Group II and the control group were compared, there were significant differences for OSI, APSI, and MLSI. Comparing Group I with the control group revealed a more significant difference for OSI, APSI, and MLSI.

Conclusions.?We have found that postural stability decreases in patients with AS in both the early and the late stages of the disease, but especially in the latter ones. This result may be thought to be related with increased kyphosis which is seen during the course of the disease.