【摘要】 目的 分析人工智能结合全病程管理在老年类风湿关节炎共病患者中的应用效果。方法 选取我院2022年1月-6月符合条件的老年类风湿关节炎共病患者204例，按照随机数字表法分为试验组（102例）和对照组（102例）。对照组采用常规护理干预措施，试验组在常规护理干预的基础上采用“人工智能+全病程管理”模式。比较两组干预6个月前后疾病活动度、躯体功能、生活质量水平。结果 试验组干预后HAQ得分、DAS28评分、ESR、CRP均较干预前降低，且均低于对照组，差异有统计学意义（P<0.05）；试验组SF-36中生理功能、生理职能、躯体疼痛、总体健康、生命活力、精神健康6个维度得分较干预前增加，且优于对照组，差异有统计学意义（P<0.05）。结论 将人工智能技术嵌入风湿科慢病全病程管理中，能有效降低老年类风湿关节炎共病患者疾病活动度，改善其生活质量，为风湿科结合人工智能进行全病程管理提供参考。更多还原

【Abstract】 Objective To analyze the application effect of artificial intelligence combined with whole course management in elderly rheumatoid arthritis patients with comorbidities. Methods A total of 204 elderly rheumatoid arthritis patients with comorbidities in our hospital from January to June 2022 were selected and divided into experimental group(102 patients) and control group(102 patients) according to the random number table method. The control group was treated with routine nursing intervention, and the experimental group was treated with “artificial intelligence+whole course management”mode on the basis of routine nursing intervention. The disease activity, physical function and quality of life were compared between the two groups before and after 6 months of intervention. Results After intervention, the HAQ score, DAS28 score, ESR and CRP in the experimental group were lower than those before intervention, and lower than those in the control group, the differences were statistically significant(P <0.05). The scores of physiological function, physiological function, physical pain, general health, vitality and mental health in SF-36 in the experimental group were higher than those before the intervention, and better than those in the control group, the differences were statistically significant(P<0.05). Conclusion In the whole course management of chronic diseases in rheumatology department, artificial intelligence technology can effectively reduce the disease activity of elderly rheumatoid arthritis patients with comorbidities and improve their quality of life, which provides a reference for the whole course management of rheumatology department combined with artificial intelligence.更多还原