运动干预在幼年特发性关节炎患儿中应用的范围综述

doi:10.3761/j.issn.0254-1769.2026.06.019

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (6): 858-864.DOI: 10.3761/j.issn.0254-1769.2026.06.019

• 综述 • 上一篇

运动干预在幼年特发性关节炎患儿中应用的范围综述

陈静¹(), 王君君¹, 魏晓琼¹, 何欢², 孙秋怡², 唐莹², 韩莹², 何华云²^,^*()

1.重庆医科大学附属儿童医院风湿免疫科/儿童少年健康与疾病国家临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿童感染与免疫罕见病重庆市重点实验室重庆市 401122
2.重庆医科大学附属儿童医院新生儿科/儿童少年健康与疾病国家临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿童感染与免疫罕见病重庆市重点实验室重庆市 401122

收稿日期:2025-06-19 出版日期:2026-03-20 发布日期:2026-03-23
*通讯作者: 何华云，E-mail：1564046113@qq.com
作者简介:陈静：女，本科（硕士在读），主管护师，E-mail：929849266@qq.com
基金资助:
重庆市科卫联合医学科研项目面上项目(2024MSXM107)

Exercise intervention in children with juvenile idiopathic arthritis：a scoping review

CHEN Jing¹(), WANG Junjun¹, WEI Xiaoqiong¹, HE Huan², SUN Qiuyi², TANG Ying², HAN Ying², HE Huayun²^,^*()

1. Department of Rheumatology and Immunology，Children’s Hospital of Chongqing Medical University/National Clinical Research Center for Children and Adolescents’ Health and Diseases/Ministry of Education Key Laboratory of Child Development and Disorders/Chongqing Key Laboratory of Child Rare Diseases in Infection and Immunity，Chongqing 401122，China
2. Department of Neonatology，Children’s Hospital of Chongqing Medical University/National Clinical Research Center for Children and Adolescents’ Health and Diseases/Ministry of Education Key Laboratory of Child Development and Disorders/Chongqing Key Laboratory of Child Rare Diseases in Infection and Immunity，Chongqing 401122，China

Received:2025-06-19 Online:2026-03-20 Published:2026-03-23
Funding program:
The General Program of Chongqing Science-Technology and Health Commission Joint Medical Research Project(2024MSXM107)

摘要/Abstract

摘要： 目的对运动干预在幼年特发性关节炎患儿中应用的相关研究进行范围综述，明确其类型、干预要素、结局指标、评估工具及应用效果，以期为临床实践提供参考。方法以范围综述方法学指南为指导，系统检索国内外数据库，检索时限为建库至2025年3月31日，2名研究者独立筛选文献、提取资料。结果纳入16篇文献，其中随机对照试验9篇、类实验研究6篇、混合性研究1篇。运动干预类型包括有氧运动、抗阻训练、柔韧性练习、协调性训练；干预要素多为2~3次/周、每次30~45 min、持续8~12周；结局指标涵盖疼痛、生活质量及健康状态、体能及运动功能等方面。结果显示，运动干预可缓解疼痛、提升肌力、改善关节功能与生活质量，且安全可行。结论运动干预对幼年特发性关节炎患儿有积极效果，但现有证据多来自国外，建议结合国内患儿特点制订个体化运动处方并开展规范化研究。

关键词: 幼年特发性关节炎, 运动, 康复护理, 范围综述

Abstract:

Objective To review the research of exercise interventions in children with juvenile idiopathic arthritis，clarify the intervention elements and effects，so as to provide references for clinical practice. Methods Guided by scoping review methodological guidelines，systematic searches were performed in domestic and international databases from their establishment to March 31，2025. Totally 2 researchers independently conducted literature screening and data extraction. Results A total of 16 studies were included，consisting of 9 randomized controlled trials，6 quasi-experimental studies， and 1 mixed-methods study. Exercise interventions included aerobic exercise，resistance training，flexibility exercises，and coordination training. Most protocols were designed as 2 to 3 times peer week，30 to 45 minutes peer times，and lasted 8 to 12 weeks. Outcome measures covered，such as pain，quality of life，physical fitness. Results showed that exercise intervention can alleviate pain，enhance muscle strength，improve joint function and quality of life，and is both safe and feasible. Conclusion Exercise interventions exert positive effects for paediatric patients；however，existing evidence is mostly derived from overseas studies. It is recommended to develop individualized exercise prescriptions based on the characteristics of Chinese juvenile idiopathic arthritis，and carry out standardized research.

Key words: Juvenile Idiopathic Arthritis, Exercise, Rehabilitation Nursing, Scoping Review

陈静, 王君君, 魏晓琼, 何欢, 孙秋怡, 唐莹, 韩莹, 何华云. 运动干预在幼年特发性关节炎患儿中应用的范围综述[J]. 中华护理杂志, 2026, 61(6): 858-864.

CHEN Jing, WANG Junjun, WEI Xiaoqiong, HE Huan, SUN Qiuyi, TANG Ying, HAN Ying, HE Huayun. Exercise intervention in children with juvenile idiopathic arthritis：a scoping review[J]. Chinese Journal of Nursing, 2026, 61(6): 858-864.

图/表 2

参考文献 29

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运动干预在幼年特发性关节炎患儿中应用的范围综述

Exercise intervention in children with juvenile idiopathic arthritis：a scoping review

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