摘要
目的观察康复训练结合内服中药治疗,与单纯服用中药治疗老年类风湿性关节炎,在关节疼痛指数、压痛、肿胀指数及功能独立性方面的比较。方法80例老年类风湿性关节炎病人均服用雷公藤浸膏片、强力天麻杜仲丸。一组介入康复训练(康复组),一组单纯服用中药(对照组)各40例。观察两个月,评估两次(治疗前及治疗后各一次)。结果康复组的病人在关节疼痛指数、关节压痛指数、关节肿胀指数均明显减少。而在功能独立性评定方面的改善要比对照组明显增加。经t检验P<0.01,两组有显著性差异。结论老年类风湿性关节炎病人在服用中药的同时,介入康复训练比单纯服用中药的病人能更好地消除水肿,减轻疼痛,改善关节功能,防止粘连,预防畸形,减少并发症,改善日常生活的能力。
Objective To evaluate the effect of rehabilitation training combined with taking Chinese herb medicine on the range of motion(ROM) and the functional independence measure(FIM) in elderly patients with Rheumatoid arthritis(RA). Methods Eighty elderly patients with RA were divided into two groups: the rehabilitation group (n=40),in which the patients received rehabilitation treatment plus Chinese herb medicine(Lei Gong Teng) and the control group (n=40), in which the elderly patients took Chinese herb medicine only. After two months of treatment, reassessments were carried out and the results were compared between the two groups. Results The excellent rate of ROIM in the Chinese herb medicine combined with rehabilitation training group was significantly higher than that in the control group (P< 0.01). Conclusions Take Chinese herb medicine combined with rehabilitation training could play an important role in promoting the recovery of function, disappearence of edema, reducing pain, decreasing complications and improving ADL in elderly patients with RA.
出处
《老年医学与保健》
CAS
2003年第2期111-113,共3页
Geriatrics & Health Care
关键词
类风湿关节炎
康复
功能独立性评定
雷公藤
老年人
Rheumatoid arthritis( RA)
Rehabilitation
Functional independance measure
Lei gong teng
