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