中药熏蒸联合康复护理对强直性脊柱炎关节功能恢复和生活质量的影响

Effect of Traditional Chinese Medicine Fumigation Combined with Rehabilitation Nursing on Joint Function Recovery and Quality of Life in Ankylosing Spondylitis

目的 探究中药熏蒸联合康复护理对强直性脊柱炎(ankylosing spondylitis, AS)患者关节功能恢复和生活质量的影响。方法 选取2020年1月—2021年12月洛阳正骨医院收治的64例AS患者,以随机数字表法分为两组各32例。两组均进行常规西药治疗,对照组进行康复护理训练,观察组应用中药熏蒸联合康复护理,两组均干预1个月。于干预前后时比较两组脊柱关节功能(采用巴氏强直性脊柱炎疾病活动指数[BASDAI]及巴氏强直性脊柱炎功能指数[BASFI]评估);比较干预前、干预1个月时,两组视觉模拟评分(VAS)评分及匹兹堡睡眠质量指数量表(PSQI)评分;于干预前、干预1个月时比较两组生活质量采用世界卫生组织生活质量测定量表(WHOQOL-100)评估。结果 干预1个月,两组BASDAI、BASFI均较干预前降低,观察组BASDAI、BASFI均低于对照组(P<0.05);干预1个月,两组VAS、PSQI评分均较干预前降低,且与对照组比较,观察组VAS、PSQI评分均低(P<0.05);干预1个月,两组WHOQOL-100各维度评分均较干预前提高,且观察组各维度评分均高于对照组(P<0.05)。结论 中药熏蒸联合康复护理可改善AS患者关节功能,减轻患者疼痛程度,改善睡眠质量及生活质量。

Objective To explore the effect of traditional Chinese medicine fumigation combined with rehabilitation nursing on joint function recovery and quality of life in patients with ankylosing spondylitis(AS).Methods Sixty-four patients with AS ad-mitted to Luoyang Orthopedic-Traumatological Hospital from January 2020 to December 2021 were selected.The patients were divided into two groups by a random number table method with 32 cases in each group.Both groups received routine western medicine treatment.The control group received rehabilitation nursing training,and the observation group received traditional Chi-nese medicine fumigation combined with rehabilitation nursing.Both groups were intervened for 1 month.The spinal joint func-tion of the two groups was compared before and after intervention,assessed by the Pasteur ankylosing spondylitis disease activity index(BASDAI)and the Pasteur ankylosing spondylitis disease function index(BASFI).The scores of visual analogue scale(VAS)and Pittsburgh sleep quality index(PSQI)were compared before and 1 month after intervention.The quality of life of the two groups was compared before and 1 month after intervention assessed by the World Health Organization Quality of life scale(WHOQOL-10OO).Results After one month of intervention,BASDAI and BASFI in both groups were decreased than those be-fore intervention,and BASDAI and BASFI in the observation group were lower than those in the control group(P<0.05).One month after intervention,the VAS and PSQI scores of both groups were decreased than those before the intervention,and compared with those of the control group,the VAS and PSQI scores of the observation group were lower(P<0.05).After one month of in-tervention,the scores of WHOQOL-100 in each dimension of both groups were higher than those before intervention,and the scores of each dimension of the observation group were higher than those of the control group(P<0.05).Conclusion Traditional Chinese medicine fumigation combined with rehabilitation nursing can improve the joint function of AS patients,reduce the degree of pain and improve the quality of sleep and life.