中医辨证干预对活动期类风湿关节炎患者生存质量的影响  

Effect of Syndrome Differentiation Intervention of Traditional Chinese Medicine on Quality of Life in Rheumatoid Arthritis Patients during Active Stage

作　　者：庄艳[1] 支炜[1] 郭娇娇[1] 张静[1] 马永娟[1] 靳翠丽[1] 封荆红[1] 杨雪俊 张亚静[1] 耿倩[1] 

机构地区：[1]解放军白求恩国际和平医院风湿免疫科,石家庄050082

出　　处：《解放军医药杂志》2015年第1期69-72,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：河北省中医药管理局科研计划课题(2014208)

摘　　要：目的观察通过中医辨证干预对活动期类风湿关节炎(RA)患者生存质量的影响。方法 2011年1月—2013年12月收治的活动期RA患者120例(DAS28>3.2)分为观察组和对照组,每组60例。对照组给予常规护理,观察组在此基础上配合中医特色护理及辨证干预,30 d后评价患者临床症状、健康状况、生存质量。结果两组患者治疗干预后临床症状、健康状况均较治疗干预前明显改善(P<0.05或P<0.01),且观察组改善程度优于对照组(P<0.05)。生存质量方面,治疗后观察组各维度均较治疗干预前有明显提高(P<0.05或P<0.01),对照组总体健康、躯体功能、躯体疼痛、活力、生理职能均较治疗干预前有提高(P<0.05)。结论中医辨证干预可以改善活动期类风湿关节炎患者关节症状,提高生存质量,疗效优于常规护理。Objective To observe the effect of syndrome differentiation intervention of traditional Chinese medicine on quality of life in rheumatoid arthritis（ RA） patients during active stage. Methods A total of 120 RA patients during active stage（ DAS28 3. 2） admitted during January 2011 and December 2013 were randomly divided into observation group（ n = 60） and control group（ n = 60）. The control group was given conventional nursing,while the observation group was given syndrome differentiation intervention of traditional Chinese medicine based on the conventional nursing. Clinical symptoms,health condition and quality of life in the two groups were evaluated 30 d after treatment. Results The clinical symptoms and health condition were significantly improved after the intervention compared with those before the intervention（ P〈0. 05 or P〈0. 01）,and the improvement in observation group was better than that in the control group（ P〈0. 05）. After nursing intervention,all indexes in quality of life were significantly improved than those before the intervention in the observation group（ P〈0. 05 or P〈0. 01）,and general health（ GH）,physical function（ PF）,body pain（ BP）,vitality（ VT） and physiological function（ SF） were improved than those before the intervention in the control group（ P〈0. 05）. Conclusion Syndrome differentiation intervention of traditional Chinese medicine may improve the clinical symptoms and quality of life in RA patients during active stage with better curative effect than that of conventional nursing.

关 键 词：关节炎 类风湿 关节功能 生存质量 

分 类 号：R593.22[医药卫生—内科学]