Spoorenberg A, Boers M, Van der Linden S
Department of Medicine, University Hospital Maastricht, The Netherlands.
Clin Rheumatol. 1994 Dec;13(4):559-63. doi: 10.1007/BF02242994.
Wrist splints are often used in the treatment of rheumatoid arthritis (RA). We applied a questionnaire to RA patients and rheumatologists to assess wrist splint use and to assess the policy of prescription. We related the reported use to patient satisfaction, severity of disease and physician's advice. Of 44 RA patients admitted to our hospital in 1990, 32 received one or more splints. Most patients (23) had both a wrist immobilization splint and a wrist activity splint (Futuro cock-up splint). The response rate to the questionnaire sent to all (n = 109) Dutch rheumatologists was 83%; 89 of 91 rheumatologists prescribed splints. Each rheumatologist prescribed yearly a mean of 30 immobilization splints (min-max: 2-120) and 51 activity splints (min-max: 4-170). Both types were mainly prescribed to relieve pain and reduce inflammation. From the patients' point of view, only the wrist activity splints were worth regular and continued use. Our findings suggest that if one prescribed splints, more attention should be paid to patient education and compliance.
腕关节夹板常用于类风湿性关节炎（RA）的治疗。我们向RA患者和风湿病学家发放了一份问卷，以评估腕关节夹板的使用情况并评估处方政策。我们将报告的使用情况与患者满意度、疾病严重程度和医生建议联系起来。1990年我院收治的44例RA患者中，32例接受了一个或多个夹板。大多数患者（23例）同时使用了腕关节固定夹板和腕关节活动夹板（Futuro翘腕夹板）。发给所有（n = 109）荷兰风湿病学家的问卷回复率为83%；91位风湿病学家中有89位开具了夹板处方。每位风湿病学家每年平均开具30个固定夹板（最小 - 最大：2 - 120）和51个活动夹板（最小 - 最大：4 - 170）。两种类型的夹板主要用于缓解疼痛和减轻炎症。从患者的角度来看，只有腕关节活动夹板值得定期持续使用。我们的研究结果表明，如果开具夹板处方，应更加关注患者教育和依从性。
