中药熏蒸联合磁热疗对类风湿关节炎患者生活质量及实验室指标的影响
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R593.22

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Effect of Chinese Herbal Fumigation Combined with Magnetic Hyperthermia on Quality of Life and Laboratory Indexes in Patients with Rheumatoid Arthritis
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    摘要:

    目的:探讨中药熏蒸联合磁热疗对类风湿关节炎患者生活质量及实验室指标的影响。方法:选择类风湿关节炎患者80 例,按随机数字表法分为观察组和对照组各40 例。对照组采用磁热疗治疗,观察组在对照组基础上给予中药熏蒸。观察2 组治疗前后的临床症状,检测2 组治疗前后C-反应蛋白(CRP)、类风湿因子(RF)、血沉(ESR)、免疫球蛋白(IgG) 等实验室指标,评价2 组生活质量、关节疼痛症状改善情况、睡眠状况。结果:治疗后,2 组关节肿胀、关节压痛、关节活动积分及晨僵时间较治疗前降低,且观察组关节肿胀、关节压痛、关节活动积分及晨僵时间均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组CRP、RF、ESR、IgG 水平较治疗前降低,且观察组CRP、RF、ESR、IgG 水平均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组生活质量各项指标较治疗前升高,且观察组各项生活质量评分均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组视觉模拟评分(VAS)、匹兹堡睡眠质量指数(PSQI) 均低于治疗前,且观察组VAS、PSQI 评分均低于对照组,差异均有统计学意义(P<0.05)。结论:中药熏蒸联合磁热疗能够显著减轻类风湿关节炎患者关节疼痛,提高生活质量,促进关节的恢复,提高治疗效果,且具有较高的安全性。

    Abstract:

    Abstract:Objective:To discuss the effect of Chinese herbal fumigation combined with magnetic hyperthermia on the quality of life and laboratory indexes in patients with rheumatoid arthritis. Methods: A total of 80 cases of patients with rheumatoid arthritis were selected and divided into the observation group and the control group according to the random number table method, 40 cases in each group. The control group was given magnetic hyperthermia, and the observation group was additionally given Chinese herbal fumigation based on the treatment of the control group. The clinical symptoms before and after treatment in the two groups were observed; laboratory indexes including C- reactive protein(CRP), rheumatoid factor(RF),erythrocyte sedimentation rate(ESR) and immunoglobulin G(IgG) before and after treatment in the two groups were detected;the quality of life,the improvement of joint pain and sleep status in the two groups were evaluated. Results:After treatment,the scores of joint swelling,joint tenderness and joint motion,as well as the duration of morning stiffness in the two groups were decreased when compared with those before treatment;the three scores and the duration in the observation group were lower than those in the control group;differences were significant(P<0.05). After treatment, the levels of CRP,RF,ESR and IgG in the two groups were decreased when compared with those before treatment;the four levels in the observation group were lower than those in the control group;differences were significant(P<0.05). After treatment, each index of the quality of life in the two groups was increased when compared with that before treatment; each score in the observation group was higher than that in the control group; differences were significant(P<0.05). After treatment,scores of Visual Analogue Scale(VAS) and Pittsburgh Sleep Quality Index(PSQI) in the two groups were lower than those before treatment;the scores of VAS and PSQI in the observation group were lower than those in the control group; differences were significant(P<0.05). Conclusion: The application of Chinese herbal fumigation combined with magnetic hyperthermia can significantly alleviate joint pain of patients with rheumatoid arthritis,improve the quality of life and curative effect,and promote joint recovery,with better safety.

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项利利.中药熏蒸联合磁热疗对类风湿关节炎患者生活质量及实验室指标的影响[J].新中医,2020,52(15):155-158

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  • 在线发布日期: 2020-08-08
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