穴位揿针联合雷火灸在寒湿痹阻型类风湿关节炎患者护理中的效果评价  

Effect evaluation of intradermal needle combined with thunder-fire moxibustion in nursing for patients with rheumatoid arthritis of cold-dampness obstruction type

作　　者：成菊兰 庄晓丹[1] 钱晨静 张倩昀 杜静 CHENG Julan;ZHUANG Xiaodan;QIAN Chenjing;ZHANG Qianyun;DU Jing(Wujin Hospital of Jiangsu University,Changzhou 213000,China)

机构地区：[1]江苏大学附属武进医院/徐州医科大学武进临床学院,江苏省常州市213000

出　　处：《护理实践与研究》2025年第4期498-504,共7页Nursing Practice and Research

基　　金：常州市武进区科技局、财政局科技计划(指导性)项目(编号:WS201940)。

摘　　要：目的探讨穴位揿针加雷火灸对寒湿痹阻型类风湿关节炎患者护理干预的应用效果。方法选取2022年1月—2024年1月风湿免疫科类风湿关节炎寒湿痹阻型患者90例作为研究对象,按照组间基线资料均衡可比的原则分为对照组与观察组,每组45例。对照组给予常规护理;观察组在对照组基础上采用穴位揿针联合雷火灸中医护理技术进行护理干预,两组患者均治疗4周,比较两组患者的临床疗效,晨僵持续时间;采用关节肿胀指数、关节压痛指数、关节疼痛指数、28个关节疾病活动度评分评价患者的关节状况和疼痛情况;采用健康评价问卷评价患者的功能残疾程度,观察并比较相关实验室指标[血沉(ESR)、类风湿因子(RF)、C反应蛋白(CRP)、抗环瓜氨酸肽(CCP)抗体、白介素-6(IL-6)]变化情况。结果观察组患者关节炎改善效果优于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者晨僵持续时间短于对照组,关节肿胀指数、关节压痛指数、关节疼痛程度、28个关节疾病活动度评分及功能残疾程度评分均低于对照组,差异具有统计学意义(P<0.05)。观察组患者RF、CRP、ESR、抗CCP抗体、IL-6水平均低于对照组,差异具有统计学意义(P<0.05)。结论穴位揿针联合雷火灸中医护理技术用于寒湿痹阻型类风湿关节炎患者中,具有良好的临床症状和关节功能改善作用,并且可以降低相关炎性指标。Objective To explore the application eff ect of intradermal needle combined with thunder-fi re moxibustion in nursing intervention for patients with rheumatoid arthritis of cold-dampness obstruction type.Methods A total of 90 patients with rheumatoid arthritis of cold-dampness obstruction type admitted to the Department of Rheumatology and Immunology from January 2022 to January 2024 were selected as research subjects.According to the principle of balanced and comparable baseline data between groups,they were divided into a control group and an observation group,with 45 cases in each group.The control group received routine nursing care,while the observation group,on the basis of the control group,received acupoint press needles combined with thunder-fi re moxibustion as part of traditional Chinese medicine nursing techniques.Both groups of patients were treated for 4 weeks.The clinical effi cacy and duration of morning stiff ness were compared between the two groups of patients.The joint condition and pain of the patients were evaluated using the joint swelling index,joint tenderness index,joint pain index,and the 28-joint disease activity score.The health assessment questionnaire was used to evaluate the degree of functional disability in patients,and the changes of relevant laboratory indicators[erythrocyte sedimentation rate(ESR),rheumatoid factor(RF),C-reactive protein(CRP),anti-cyclic peptide containing citrulline(CCP)antibodies and interleukin-6(IL-6)]were observed and compared.Results The improvement in arthritis in the observation group was better than that in the control group,the diff erence was statistically signifi cant(P<0.05).After the intervention,the duration of morning stiff ness in the observation group was shorter than that in the control group,the joint swelling index,joint tenderness index,joint pain degree,and the 28-joint disease activity score and functional disability scores were all lower in the observation group compared to the control group,the diff erences were statistically signifi

关 键 词：穴位揿针 雷火灸 寒湿痹阻型 类风湿关节炎 中医护理 

分 类 号：R47[医药卫生—护理学]