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机构地区:[1]新疆医科大学第六附属医院,新疆乌鲁木齐830011 [2]新疆医科大学第一附属医院,新疆乌鲁木齐830000
出 处:《医学临床研究》2013年第9期1697-1699,共3页Journal of Clinical Research
摘 要:【目的】观察维吾尔熏蒸疗法治疗类风湿性关节炎(RA)临床疗效与护理干预效果。【方法】将112例RA患者随机分为观察组(常规治疗加维吾尔熏蒸疗法并实施适当的护理措施)62例,对照组(常规治疗组)50例,疗程为15~20d,观察治疗前后患者的临床症状及实验室指标的变化。【结果】观察组总有效率(95.2%),显著高于对照组有效率(84.0%)(P〈0.05);观察组显效率(69.4%),亦显著高于对照组显效率(35.%)(P〈O.01);观察组治疗后关节肿痛数减少、晨僵时间缩短(P〈0.05,P〈O.01);两组治疗后血沉、C反应蛋白、类风湿因子均有显著下降(P〈0.05,P〈0.01),观察组下降幅度更为显著(P〈0.01)。【结论】维吾尔熏蒸疗法治疗RA近期临床疗效显著,系统的护理与指导是熏蒸治疗顺利有效的前提保障。[Objective] To observe the clinical efficacy and nursing intervention effect of Uyghur medicine fumigation for the treatment of rheumatoid arthritis(RA). [Methods] A total of 112 RA patients were ran- domly divided into observation group (routine treatment with Uyghur medicine fumigation and appropriate nursing intervention, n = 62) and control group(conventional treatment, n =50). The treatment duration was 1520 days. The change of clinical symptoms of patients before and after treatment and the effect on laborato- ry indexes were observed. [Results]The total effective rate of observation group was 95.2, which signifi- cantly higher than that of control group(84.0) ( P 〈0.05). The excellence rate of observation group was 69.4, which was also significantly higher than that of control group(35%) ( P 〈0.01). After treatment, the number of swollen joints was decreased and morning stiffness was shortened in observation group( P 〈0.05, P 〈0.01). The efficacy of observation group was more obvious than that of control group( P 〈0.05). ESR, CRP and RF in two groups after treatment were decreased significantly( P 〈0.05, P 〈0.01), and those in observation group was decreased more significantly( P 〈0.01). [Conclusion] The short-term clinical efficacy of Uyghur medicine fumigation for the treatment of RA is evident. Systematic nursing and guidance are the premise and guarantee of smooth and effective fumigation treatment.
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