艾灸经络刷联合微课健康教育对骨关节炎患者焦虑以及睡眠质量的影响

Effects of Moxibustion Meridian Brush Combined with Micro-class Health Education on Anxiety and Sleep Quality in Patients with Osteoarthritis

目的:观察艾灸经络刷联合微课健康教育对骨关节炎的干预效果及对患者焦虑和睡眠质量的影响。方法:选取2020年1月至2020年12月广州中医药大学深圳医院收治的腰椎骨关节炎患者108例作为研究对象,按照随机数字表法分为药物组、艾灸组和联合组3组,每组36例,在功能锻炼基础上,药物组给予常规药物治疗,艾灸组给予艾灸经络刷治疗,联合组则给予艾灸经络刷联合微课健康教育治疗,通过腰椎功能JOA评分比较3组腰椎功能的改善情况,采用焦虑自评量表(Self-rating Anxiety Scale,SAS)观察3组患者焦虑改善情况,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较3组患者睡眠质量。结果:干预后,艾灸组和联合组腰椎功能JOA评分均高于药物组,SAS评分和PSQI评分均低于药物组,2组间比较差异有统计学意义(P<0.05);联合组患者SAS评分和PSQI评分均低于艾灸组,2组间比较差异均有统计学意义(P<0.05)。结论:艾灸经络刷治疗腰椎骨关节炎效果明显,联合微课健康教育可进一步降低患者不良心理情绪,提高睡眠质量。

Objective:To observe the intervention effect of moxibustion meridian brush combined with micro-class health education on osteoarthritis and the effect on anxiety and sleep quality of patients.Methods:A total of Choose 108 cases with lumbar osteoarthritis between January 2020 and December 2020 in guangzhou university of Chinese medicine hospital in Shenzhen were selected as the research objects,according to the random number table method divided into the drug group,moxibustion group and combined group,36 cases in each group,on the basis of functional exercise,drug group was given routine drug treatment,moxibustion group was given moxibustion brush treatment of main and collateral channels,The combined group was treated with moxibustion meridian brush combined with micro-class health education.The improvement of lumbar function in the three groups was compared by lumbar function JOA score,and the improvement of Anxiety in the three groups was observed by self-rating Anxiety Scale(SAS).Pittsburgh Sleep Quality Index(PSQI)was used to compare the Sleep Quality of 3 groups.Results:After intervention,JOA score of lumbar spine function in moxibustion group and combined group was higher than that in drug group,SAS score and PSQI score were lower than that in drug group,the difference between the two groups was statistically significant(P<0.05).SAS score and PSQI score in combined group were lower than those in moxibustion group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Moxibustion meridian brush has obvious effect on the treatment of lumbar vertebra osteoarthritis.Combined with micro-class health education,it can further reduce patients′adverse psychological mood and improve sleep quality.