血友病性慢性疼痛的综合康复治疗
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摘要
目的探讨运用物理治疗结合传统康复手段治疗血友病性慢性疼痛。方法 9例诊断为血友病性慢性疼痛的患者接受为期3周的物理治疗和治疗性按摩,分别采用视觉模拟法(VAS)评分、血友病关节健康评分量表(HJHS)评分及血友病功能独立性(FISH)评分对治疗前后患者疼痛、关节健康及日常生活能力进行评估。结果患者VAS评分、FISH评分治疗前后比较,差异有统计学意义(P <0.05);HJHS评分比较,差异无统计学意义(P>0.05)。结论个体化的综合康复治疗不仅能有效缓解疼痛,而且能提高患者日常生活活动能力(ADL)。
Objective To explore the use of physical therapy combined with traditional rehabilitation methods to treat chronic hemophilia pain. Methods Nine patients with hemophilic chronic pain were treated with physical therapy and therapeutic massage for 3 weeks, using visual analogue(VAS) score, hemophilia joint health score scale(HJHS) score and functional independence score in hemophilia(FISH) were assessed before and after the treatment.Results There was a significant difference on VAS and FISH score before and after the treatment, while no statistical change was found on HJHS. Conclusions Comprehensive rehabilitation therapy can not only relieve the pain, but also improve the patients' activities of daily life(ADL) with chronic pain of hemophilia.
Objective To explore the use of physical therapy combined with traditional rehabilitation methods to treat chronic hemophilia pain. Methods Nine patients with hemophilic chronic pain were treated with physical therapy and therapeutic massage for 3 weeks, using visual analogue(VAS) score, hemophilia joint health score scale(HJHS) score and functional independence score in hemophilia(FISH) were assessed before and after the treatment.Results There was a significant difference on VAS and FISH score before and after the treatment, while no statistical change was found on HJHS. Conclusions Comprehensive rehabilitation therapy can not only relieve the pain, but also improve the patients' activities of daily life(ADL) with chronic pain of hemophilia.
引文
[1]中国血友病协作组中华医学会血液学分会血栓与止血学组.血友病诊断与治疗中国专家共识(2017年版)[J].中华血液学杂志,2017,38(5):364-370.
[2]BLANCHETTE V S,KEY N S,LJUNG L R,et al.Definitions in hemophilia:communication from the SSC of the ISTH[J].JThromb Haemost,2014,12(11):1935-1939.
[3]ELANDER J,ROBINSON G,MITCHELL K,et al.An assessment of the relative influence of pain coping,negative thoughts about pain,and pain acceptance on health-related quality of life among people with hemophilia[J].Pain,2009,145(1-2):169-175.
[4]韩济生.疼痛学[M].北京:北京大学医学出版社,2012:42-49.
[5]FISCHER K,de KLEIJN P.Using the haemophilia joint health score for assessment of teenagers and young adults:exploring reliability and validity[J].Haemophilia,2013,19(6):944-950.
[6]SUN J,HILLIARD P E,FELDMAN B M,et al.Chinese hemophilia joint health score 2.1 reliability study[J].Haemophilia,2014,20(3):435-440.
[7]de MOERLOOSE P,FISCHER K,LAMBERT T,et al.Recommendations for assessment,monitoring and follow-up of patients with haemophilia[J].Haemophilia,2012,18(3):319-325.
[8]HILLIARD P,FUNK S,ZOURIKIAN N,et al.Hemophilia joint health score reliability study[J].Haemophilia,2006,12(5):518-525.
[9]RILEY R R,WITKOP M,HELLMAN E,et al.Assessment and management of pain in haemophilia patients[J].Haemophilia,2011,17(6):839-845.
[10]POONNOOSE P M,THOMAS R,KESHAVA S N,et al.Psychometric analysis of the functional independence score in haemophilia(FISH)[J].Haemophilia,2007,13(5):620-626.
[11]刘颖,赵宏,陈丽霞,等.成年血友病患者生活质量及其影响因素分析[J].中国康复,2017,32(1):33-36.
[12]范维铭,乔志恒.物理治疗学全书[M].北京:科学技术文献出版社,2001:626-640.
[2]BLANCHETTE V S,KEY N S,LJUNG L R,et al.Definitions in hemophilia:communication from the SSC of the ISTH[J].JThromb Haemost,2014,12(11):1935-1939.
[3]ELANDER J,ROBINSON G,MITCHELL K,et al.An assessment of the relative influence of pain coping,negative thoughts about pain,and pain acceptance on health-related quality of life among people with hemophilia[J].Pain,2009,145(1-2):169-175.
[4]韩济生.疼痛学[M].北京:北京大学医学出版社,2012:42-49.
[5]FISCHER K,de KLEIJN P.Using the haemophilia joint health score for assessment of teenagers and young adults:exploring reliability and validity[J].Haemophilia,2013,19(6):944-950.
[6]SUN J,HILLIARD P E,FELDMAN B M,et al.Chinese hemophilia joint health score 2.1 reliability study[J].Haemophilia,2014,20(3):435-440.
[7]de MOERLOOSE P,FISCHER K,LAMBERT T,et al.Recommendations for assessment,monitoring and follow-up of patients with haemophilia[J].Haemophilia,2012,18(3):319-325.
[8]HILLIARD P,FUNK S,ZOURIKIAN N,et al.Hemophilia joint health score reliability study[J].Haemophilia,2006,12(5):518-525.
[9]RILEY R R,WITKOP M,HELLMAN E,et al.Assessment and management of pain in haemophilia patients[J].Haemophilia,2011,17(6):839-845.
[10]POONNOOSE P M,THOMAS R,KESHAVA S N,et al.Psychometric analysis of the functional independence score in haemophilia(FISH)[J].Haemophilia,2007,13(5):620-626.
[11]刘颖,赵宏,陈丽霞,等.成年血友病患者生活质量及其影响因素分析[J].中国康复,2017,32(1):33-36.
[12]范维铭,乔志恒.物理治疗学全书[M].北京:科学技术文献出版社,2001:626-640.