针灸、中药包联合场效应理疗治疗寒湿痹阻型类风湿性关节炎临床研究

Clinical Study on Acupuncture and Moxibustion and Chinese Medicine Pack Combined with Field Effect Physiotherapy for Rheumatic Arthritis of Cold-Damp Obstruction Type

目的:观察针灸、中药包联合场效应理疗用于寒湿痹阻型类风湿性关节炎(RA)康复治疗的临床效果。方法:选取150例寒湿痹阻型RA患者为研究对象,按照随机数字表法分为对照组和研究组,每组75例。对照组给予抗风湿药物治疗及康复护理干预,研究组增加针灸、中药包联合场效应理疗,2组均连续干预4周。比较2组临床疗效,比较2组治疗前后晨僵时间、关节疼痛个数和关节肿胀个数,红细胞沉降率(ESR)、血清C-反应蛋白(CRP)和类风湿因子(RF)含量,疼痛视觉模拟评分法(VAS)评分、Barthel指数量表评分、匹兹堡睡眠质量指数量表(PSQI)评分。结果:研究组治疗总有效率93.33%,高于对照组70.67%(P<0.05)。治疗后,2组晨僵时间均缩短(P<0.05),关节疼痛个数和关节肿胀个数均减少(P<0.05),且研究组晨僵时间短于对照组(P<0.05),关节疼痛个数和关节肿胀个数少于对照组(P<0.05)。治疗后,2组ESR、CRP、RF均下降(P<0.05),且研究组低于对照组(P<0.05)。治疗后,2组VAS、PSQI评分均降低(P<0.05),Barthel指数评分升高(P<0.05),且研究组VAS、PSQI评分低于对照组(P<0.05),Barthel指数评分高于对照组(P<0.05)。结论:针灸、中药包联合场效应理疗可有效提高寒湿痹阻型RA临床疗效,改善RA相关临床症状,下调炎症因子及RF水平,缓解疼痛反应,提高睡眠质量及生活自理能力。

Objective:To observe the clinical effect of the therapy of acupuncture and moxibustion and Chinese medicine pack combined with field effect physiotherapy on rehabilitation treatment of rheumatic arthritis(RA)of cold-damp obstruction type.Methods:A total of 150 RA patients were selected as the study subjects and divided into the control group and the study group according to the random number table method,with 75 cases in each group.The control group was treated with antirheumatic medicine and rehabilitation nursing,and the study group was additionally given acupuncture and moxibustion and Chinese Medicine pack combined with field effect physiotherapy.The two groups were given intervention for four weeks.The clinical effects,and the time of morning stiffness,numbers of painful and swollen joints,erythrocyte sedimentation rate(ESR),levels of serum C-reactive protein(CRP)and rheumatoid factor(RF),and scores of Visual Analogue Scale(VAS)of pain,Barthel Index and Pittsburgh Sleep Quality Index(PSQI)were compared before and after treatment between the two groups.Results:The total effective rate was 93.33%in the study group,higher than that of 70.67%in the control group(P<0.05).After treatment,the time of morning stiffness in the two groups were shortened(P<0.05),and the numbers of painful and swollen joints were reduced(P<0.05);the time of morning stiffness in the study group was shorter than that in the control group(P<0.05),and the numbers of painful and swollen joints were less than those in the control group(P<0.05).After treatment,the levels of ESR,CRP and RF in the two groups were decreased(P<0.05),and the above three levels in the study group were lower than those in the control group(P<0.05).After treatment,the scores of VAS and PSQI in the two groups were decreased(P<0.05),and the scores of Barthel Index were increased(P<0.05);the scores of VAS and PSQI in the study group were lower than those in the control group(P<0.05),and the score of Barthel Index was higher than that in the control group(P<0.05).Conclusion:The therapy of acupuncture and moxibustion and Chinese medicine pack combined with field effect physiotherapy can effectively improve the clinical effect on RA of cold-damp obstruction type,improve the RA related clinical symptoms,down-regulate the levels of inflammatory factors and rheumatoid factor,mitigate the pain responses and enhance the sleep quality and self-care ability.