Vliet Vlieland Thea P M
Department of Rheumatology, Leiden University Medical Center and University of Professional Education Leiden, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Best Pract Res Clin Rheumatol. 2003 Oct;17(5):847-61. doi: 10.1016/s1521-6942(03)00043-3.
Rehabilitation, as an adjunct to pharmacological and surgical therapies in patients with rheumatoid arthritis (RA), aims to minimize the consequences of the disease. For a systematic assessment of the consequences of disease, an appropriate definition and evaluation of the goals of therapy and interventions, and an active partnership with the patient, a structured approach to rehabilitation management is needed.Despite widespread positive clinical experience with rehabilitative interventions, the scientific evidence of their effectiveness is, in general, scanty, owing to a lack of studies with sufficient methodological quality. Further well-designed clinical studies are warranted with respect to several interventions where evidence is falling short.
康复作为类风湿性关节炎（RA）患者药物和手术治疗的辅助手段，旨在将疾病的后果降至最低。为了系统评估疾病的后果、对治疗和干预目标进行恰当的定义和评估，以及与患者建立积极的合作关系，需要一种结构化的康复管理方法。尽管康复干预在临床上有广泛的积极经验，但由于缺乏方法学质量足够高的研究，其有效性的科学证据总体上较少。对于一些证据不足的干预措施，有必要开展进一步精心设计的临床研究。
