艾叶干姜粉熏洗对类风湿关节炎患者预后的影响  

Effect of fumigation of argy wormwood leaf and dried ginger powder on the prognosis of rheumatoid arthritis patients

作　　者：曹嘉玲 陈成妹[1] 凌冬兰 管癸芬[1] 蔡少佩 CAO Jialing;CHEN Chengmei;LING Donglan;GUAN Guifen;CAI Shaopei(Department of Rheumatology and Immunology,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong,510260,China)

机构地区：[1]广州医科大学附属第二医院风湿内科,广东广州510260

出　　处：《中西医结合护理（中英文）》2022年第5期54-57,共4页Journal of Clinical Nursing in Practice

基　　金：广州护理学会科研课题立项项目(B2021027);广州医科大学附属第二医院护理科研基金项目(A202007)。

摘　　要：目的分析艾叶干姜粉熏洗对类风湿关节炎患者预后的影响。方法选择广州医科大学附属第二医院于2020年8月至2021年9月收治的156例类风湿关节炎患者进行研究,使用随机数字表法分为艾叶组、干姜组、联合组、对照组,各39例。各组均接受常规治疗和综合护理,艾叶组加用艾叶粉熏洗治疗,干姜组加用干姜粉熏洗治疗,联合组加用艾叶干姜粉熏洗治疗。对比各组患者治疗前后的28处关节疾病活动积分(DAS28)、炎症指标、视觉模拟评分法(VAS)变化,并评估各组的治疗效果、不良反应。结果治疗12周后,各组患者的DAS28、VAS评分,红细胞沉降率(ESR)、类风湿因子(RF)、C反应蛋白(CRP)水平均低于同组治疗前(P均<0.05);联合组、艾叶组、干姜组的DAS28、VAS评分,ESR、RF和CRP水平均低于对照组(P均<0.05);联合组的DAS28、VAS评分,ESR、RF和CRP水平均低于艾叶组和干姜组(P均<0.05)。治疗12周后,联合组的治疗总有效率均高于艾叶组、干姜组(P均<0.05),联合组、艾叶组、干姜组的治疗总有效率均高于对照组(P均<0.05)。各组患者在治疗期间均未发生不良反应。结论艾叶干姜粉熏洗能够促进类风湿关节炎患者症状的尽早改善及炎症指标的好转,进而提高临床疗效,且安全性良好。Objective To analyze the effect of fumigation of argy wormwood leaf and dried ginger powder on the prognosis of patients with rheumatoid arthritis.Methods A total of 156 rheumatoid arthritis patients admitted to the Second Affiliated Hospital of Guangzhou Medical University from August 2020 to September 2021 were enrolled.They were assigned into an argy wormwood leaf group,a dried ginger group,a combined group,and a control group via random number table method,with 39 cases in each group.All groups received routine treatment and comprehensive nursing.The argy wormwood leaf group was additionally fumigated with argy wormwood leaf powder.The dried ginger group was additionally fumigated with dried ginger powder.The combined group was additionally fumigated with argy wormwood leaf and dried ginger powder.The changes of Disease Activity Score for 28 Joints(DAS28),inflammatory indicators,and Visual Analogue Scale(VAS)scores in each group were compared before and after the treatment,and the therapeutic effect and adverse reactions in each group were evaluated.Results After 12 weeks of treatment,the DAS28,VAS scores,erythrocyte sedimentation rate(ESR),rheumatoid factor(RF),and C-reactive protein(CRP)of each group were lower than those before the treatment(all P<0.05).The DAS28,VAS scores,ESR,RF,and CRP of the combined group,argy wormwood leaf group,and dried ginger group were lower than those of the control group(all P<0.05),and the DAS28,VAS scores,ESR,RF,and CRP of the combined group were lower than those of the argy wormwood leaf group and dried ginger group(all P<0.05).After 12 weeks of treatment,the total effective rate of the combined group was higher than those of the argy wormwood leaf group and dried ginger group(all P<0.05),and the total effective rates of the combined group,argy wormwood leaf group,and dried ginger group were higher than that of the control group(all P<0.05).No adverse reactions were found in all groups during the treatment.Conclusion Fumigation of argy wormwood leaf and dried ginger powder c

关 键 词：类风湿关节炎 艾叶 干姜 熏洗 预后 

分 类 号：R255.6[医药卫生—中医内科学]