目的 探讨穴位贴敷联合中药泥灸对寒湿痹阻型类风湿关节炎患者疾病活动度和疼痛的影响效果,为临床有效护理寒湿痹阻型类风湿关节炎患者提供借鉴方法.方法 选择2022年6月-2023年4月在医院内分泌科住院的寒湿痹阻型类风湿关节炎活动期患者90例为研究对象,按照组间基本特征具有可比性原则分为对照组、穴位贴敷组和穴位贴敷联合中药泥灸组,对照组行常规护理,穴位贴敷组在常规护理的基础上给予穴位贴敷,穴位贴敷联合中药泥灸组在穴位贴敷组的基础上给予中药泥灸.比较3组患者干预前后的疾病活动度(DAS28)评分、疼痛视觉模拟量表(VAS)评分、晨僵时间和中医疗效评分.结果 护理干预前,3组患者DAS28评分、VAS评分、晨僵时间以及中医疗效评分比较,差异均无统计学意义(P>0.05);护理干预后,穴位贴敷联合中药泥灸组DAS28评分、VAS评分、晨僵时间的改善情况优于对照组和穴位贴敷组,差异具有统计学意义(P<0.05);3组患者中医疗效比较,差异有统计学意义(P<0.05).结论 穴位贴敷联合中药泥灸可有效缓解寒湿痹阻型类风湿关节炎患者的疾病活动度,缩短晨僵时间,提高中医疗效,延缓关节畸形出现,延缓并抑制关节和滑膜的病变进展,提高中医疗效.
Objective To explore the effect of acupoint application combined with traditional Chinese medicine mud moxibustion on disease activity and pain in patients with rheumatoid arthritis with cold-damp paralysis resistance,to provide a reference method for the effective clinical care of patients with cold-damp paralysis resistance rheumatoid arthritis.Methods 90 patients with active rheumatoid arthritis of cold-damp paralytic resistance type who were hospitalised in the endocrine department of the hospital from June 2022 to April 2023 were selected as the study subjects,they were divided into the control group,acupoint patch group and acupoint patch combined with traditional Chinese medicine mud moxibustion group according to the principle of the basic characteristics of the groups are comparable,routine care was provided to the control group,and acupoint patch group was given on the basis of the routine care.The control group was given routine care,the acupoint patch group was given acupoint patch on the basis of routine care,and the acupoint patch group was given herbal moxibustion on the basis of the acupoint patch group.Disease Activity Score(DAS28),Visual pain Analogue Scale(VAS)scores,morning stiffness time and TCM efficacy scores of the three groups were compared before and after the intervention.Results Before the nursing intervention,there was no statistically significant difference in the DAS28 score,VAS score,morning stiffness time and Chinese medicine efficacy score of the three groups(P>0.05).After the nursing intervention,the improvement of DAS28 score,VAS score and morning stiffness time in the acupoint application combined with traditional Chinese medicine mud moxibustion group was better than that of the control group and the acupoint application group,the difference was statistically significant(P<0.05).Comparison of Chinese medicine efficacy among the three groups of patients,the difference was statistically significant(P<0.05).Conclusion The combination of acupoint application and traditional Chinese medicine mud moxibustion can effectively alleviate the disease activity of patients with rheumatoid arthritis with cold-damp paralysis,shorten the time of morning stiffness,improve the efficacy of traditional Chinese medicine,delay the emergence of joint deformity,delay and inhibit the progression of lesions in the joints and synovium,and improve the efficacy of traditional Chinese medicine.