天氣變關節痛？ 深度熱敷有效

[MK]

http://udn.com/NEWS/HEALTH/HEA1/4979870.shtml

【聯合報╱記者彭芸芳／新竹報導】 2009.06.24 02:40 am


這幾天天氣變化，很多人會撫著關節說「我的關節炎犯了，明天一定會下雨」，像個人體氣象台般預告。天氣真的會影響健康嗎？署立新竹醫院骨科主任王子康說，可能是天雨沒出門，窩在沙發上引起僵硬，不妨變天前先深度熱敷。

天氣變化是不是會影響健康、誘發疾病？肩關節、膝關節、髖關節等關節炎和過敏、鼻竇炎、偏頭痛、肌膜炎等患者常這樣抱怨，可是科學上沒有實證，王子康說，他的病患中百分之十到十五會這樣說，他覺得要證明兩者的相關性，得再蒐集精確廣範的研究分析。

「天氣致痛」是真的嗎？王子康說，可從氣壓、濕度、氣溫三部分考量，曾有研究運用高速升降電梯，找關節炎患者乘坐，結果並沒有人因此致痛；也試著在天氣改變的前後，為患者從關節內抽取關節液，結果也沒有差異或因此發炎；至於氣溫，人是恆溫動物，氣溫對關節溫度的改變並不能成立。

他認為，天氣會引發關節炎，只是口耳相傳後根深柢固的信念，沒有證據，但是如果有些病患認定他有預知天氣的能力，且深信天氣與關節痛的關連性，「醫師也不妨尊重他們的想法」。

還有一種說法「也許是天陰或下雨，病患無法出門，一直待在沙發或床上，因此出現關節僵硬和疼痛」，王子康認為，這比較有學理根據，因此他建議病患，如果憂慮天氣一變，關節就疼痛，不妨預先進行深度熱敷治療，例如紅外線熱敷等，以避免不活動所引起的僵直；也可預先使用外用止痛藥膏，不做劇烈運動，即可遠離關節疼痛。

【2009/06/24 聯合報】

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