物理综合疗法治疗类风湿关节炎64例分析

2015-11-13杨介河

中外医疗 2015年28期

物理综合疗法治疗类风湿关节炎64例分析

杨介河

吉林省温泉医院,吉林通化134502

[摘要]目的分析物理综合疗法治疗类风湿关节炎的临床疗效。方法整群选取2012年4月—2015年5月该院收治的64例类风湿性关节炎患者作为观察目标，按照1:1比例分为对照组（采用传统药物治疗方法）和研究组（采用物理综合疗法），各32例，对两组临床症状、体征变化进行比较。结果研究组晨僵时间、关节疼痛数及关节肿胀数等指标均显著优于对照组，组间差异有统计学意义（P＜0.05）。结论物理综合疗法治疗类风湿关节炎疗效显著，可有效改善患者的临床症状、体征，具有积极的临床使用和推广价值。

[关键词]物理疗法；类风湿性关节炎；综合疗法

[中图分类号]R5

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0060-02

[作者简介]杨介河(1979.5-)，男，吉林农安人，本科，主治医师。

Abstract[]Objective To compare the postoperative incidence of complications between endoscopic submucous resection of nasal septum and endoscopic modified nasal septum plasty for the treatment of deviation of nasal septum.Methods 384 patients with deviation of nasal septum underwent hospitalization in Department of ENT of our hospital between April 2010 and January 2015 were selected and randomly divided into submucous resection of nasal septum group (group A, 191 cases) and modified nasal septum plasty group (group B, 193 cases).Patients in group A were treated by endoscopic submucous resection of nasal septum, and those in group B were treated by endoscopic modified nasal septum plasty.And the incidence of complications was compared between the two groups.Results The incidences of nasal septum swing, perforation of nasal septum, nasal columella retreat, bridge collapse in group A were significantly higher than those in group B (P<0.05).10 patients with nasal septum perforation were treated by repair operation again, of them, 2 patients were failed.26 patients with nasal septum swing were not given special treatment because of no obvious discomfort.5 patients with nasal columella retreat and 8 patients with bridge collapse were treated by allograft nasal septal cartilage repair with no obvious deformation during 2-year follow-up.Conclusion Endoscopic modified nasal septum plasty has the advantages of less trauma and complications, which is worthy of clinical application and promotion.

收稿日期：（2015-07-03）

Comparatively Study on the Postoperative Complications of Two Kinds of Nasal Septum Surgery

PANG Chang-an

Department of ENT, Zhengzhou Seventh People's Hospital, Zhengzhou, Henan Province, 454000 China

[Key words]Deviation of nasal septum; Laparoscope; Submucous resection of nasal septum; Modified nasal septum plasty

类风湿性关节炎，在临床中也被称之为类风湿(RA),其是一种以累及周围关节为主要发病特征的多系统性炎症性自身免疫疾病，关节滑膜炎是此种疾病的主要病理变化。类风湿性关节炎的临床表现繁多，多数患者都是缓慢隐匿性起病，只有少数患者是急性起病，发作与缓解常以交替形式出现，慢性对称性小关节炎是患者的主要临床表现，采用物理综合疗法为患者进行治疗，可取得比较理想的治疗效果[1]。该研究整群选取该院2012年4月—2015年5月收治的64例类风湿性关节炎患者作为观察目标，现报道如下。