联合应用电磁波与辣椒碱软膏对类风湿关节炎的疗效及护理效果观察

Observation of clinical efficacy and nursing effect on specific electromagnetic wave combined with Capsaicin Ointment in the treatment of rheumatoid arthritis

目的探讨联合应用电磁波(TDP)与辣椒碱软膏治疗类风湿关节炎的临床疗效以及护理效果。方法根据随机分组原则将82例类风湿关节炎患者分成实验组与对照组各41例,对照组患者给予常规抗风湿药进行治疗,实验组在对照组治疗的基础上,再联合应用TDP与辣椒碱外敷治疗,两组患者均给予常规精心护理,对比两组患者的临床治疗效果以及副作用发生情况。结果两组患者经治疗10 d后的肿胀关节与压痛关节个数、晨僵时间、护士评分、患者评分、C反应蛋白水平以及血沉与治疗前相比均获得显著改善,两组患者在治疗前与治疗后组内相比差异有高度统计学意义(P<0.01),两组之间的差值相比差异有统计学意义(P<0.05或P<0.01)。实验组疗效优于对照组,差异有高度统计学意义(P<0.01),两组患者副作用发生率相比差异无统计学意义(P>0.05)。结论联合应用电磁波与辣椒碱软膏治疗类风湿关节炎,同时给予精心护理,能够增强患者的自理能力并提高其生活质量。该方法具有较高的安全性,患者的依从性好,而且护理操作过程简单,值得临床推广应用。

Objective To discuss the clinical efficacy and nursing effect of specific electromagnetic wave（TDP） combined with Capsaicin Ointment in the treatment of rheumatoid arthritis（RA）.Methods 82 cases with RA were divided into experiment group and control group equally and randomly.Patients in control group were treated by conventional antirheumatic,while the experiment group were given TDP and external-application of Capsaicin Ointment besides conventional antirheumatic.Patients in two groups were given routine nursing care.Clinical efficacy and occurrence of side effects of patients in the two groups were observed.Results After ten-day treatment,number of swollen and painful joints,morning stiffness duration,nurse＇s scores,patient＇s scores,C-reactive protein level and erythrocyte sedimentation rate in both groups were remarkably improved compared with before treatment.There was a significant difference in control group and experiment group before and after treatment respectively（P 0.01）.Difference between these two groups also displayed a statistical difference（P 0.05 or P 0.01）.Clinical efficacy in experiment group was superior to that of control group,with a significant difference（P 0.01）,while incidence difference in both groups was not obvious（P 0.05）.Conclusion Treatment of RA combining TDP with Capsaicin Ointment,together with considerate nursing care,can enhance patients＇ ability to care for themselves and life of quality.The method is of high safety,good compliance,and simple nursing process,which is worthy of promotion and application in clinic.