红外光疼痛治疗仪结合甲氨蝶呤治疗类风湿关节炎患者疼痛、焦虑抑郁的对照研究  

Controlled Study of Infrared Light Pain Therapy Device Combined with Methotrexate on Pain,Anxiety and Depression in Patients with Rheumatoid Arthritis

作　　者：霍月红[1] 王贯虹[1] 乔丽娟 刘娜 HUO Yuehong;WANG Guanhong;QIAO Lijuan;LIU Na(Department of Rheumatology and Immunology,The Fifth Hospital of Datong City,Datong Shanxi,037009)

机构地区：[1]大同市第五人民医院风湿免疫科,山西大同037009

出　　处：《山西大同大学学报（自然科学版）》2024年第4期56-58,共3页Journal of Shanxi Datong University(Natural Science Edition)

摘　　要：目的 对于红外光疼痛治疗仪联合甲氨蝶呤对类风湿关节炎患者的治疗效果和安全性进行评估,同时观察其对患者焦虑、抑郁状况的改善能力。方法 选取76名存在焦虑或抑郁病症的类风湿性关节炎患者,随机分为对照组和治疗组,各38名。两组均进行常规药物治疗,治疗组的患者另加红外光疼痛治疗仪的附加治疗,疗程为10d。采用ACR50、多项临床观察指标、焦虑自评量表(SAS)、抑郁自评量表(SDS)对干预前后进行比较。结果治疗10d后,治疗组ACR50有效率高于对照组,但差异无显著性(P>0.05)。治疗组自我VAS评定、医生评定评分均降低,晨僵情况改善,疼痛关节及肿胀关节缓解数目优于对照组,差异有统计学意义(P<0.05)。治疗组SAS、SDS评分改善程度优于对照组,差异有统计学意义(P<0.05)。结论 使用红外光疼痛治疗仪对改善类风湿关节炎症状、控制疾病活动度有积极效果,同时也能减少患者焦虑、抑郁等不良情绪。Objective To evaluate the efficacy and safety of the infrared pain treatment device combined with methotrexate in patients with rheumatoid arthritis,and to observe its ability to improve anxiety and depression in patients.Methods 76 rheumatoid arthritis patients with anxiety or depression were selected and randomly divided into a control group and a treatment group with 38 patients in each group.Both groups received routine medication treatment,and the patients in the treatment group received additional treatment with an infrared pain therapy device for a duration of 10 days.Compare before and after intervention using the ACR50,multiple clinical observation indicators,Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS).Results After 10 days of treatment,the effective rate of ACR50 in the treatment group was higher than that in the control group,and the difference was not statistically significant(P>0.05).The self VAS evaluation and doctor evaluation scores of the treatment group decreased,morning stiffness improved,and the number of painful and swollen joints relieved was better than that of the control group,with statistical significance(P<0.05).The improvement in SAS and SDS scores in the treatment group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of infrared pain therapy equipment has a positive effect on improving symptoms of rheumatoid arthritis,controlling disease activity,and reducing negative emotions such as anxiety and depression in patients.

关 键 词：红外光疼痛治疗仪 甲氨蝶呤 类风湿关节炎 焦虑 抑郁 

分 类 号：R593.22[医药卫生—内科学]