摘要
目的:观察隔物灸对膝骨关节炎患者临床疗效、生存质量及心理健康的影响。方法:选取60例骨关节炎患者,随机分为对照组和研究组各30例,对照组采用氨基葡萄糖口服,每次0.314 g,每日3次。研究组在对照组治疗的基础上采用隔物灸外贴,隔物灸[鲁食药监械(准)字2009第2260256号],外贴膝关节内膝眼穴、外膝眼穴、委中穴。将磁片部位对准相关穴位,如果感觉局部温度高,可将包装盒中温控贴揭开,紧贴于本品背面中心,以控制温度防止烫伤。隔物灸每日敷贴1次,一次8 h。两组患者均治疗28 d。观察两组患者临床疗效、症状学积分及焦虑抑郁变化。结果:对照组显效率为33.33%,研究组显效率为56.67%,两组显效率比较有统计学意义(P<0.05);与对照组比较,研究组治疗后夜间疼痛或不适、晨僵或起床后疼痛加重、行走时疼痛或不适、从坐位站起时疼痛或不适、日常活动、登楼梯、下楼梯、下蹲或弯曲膝关节、在不平路面行走积分均显著低于对照组(P<0.05);与护理前比较,研究组、对照组护理后骨关节炎患者焦虑、抑郁情绪均改善(P<0.05或P<0.01)。而与对照组比较,研究组护理后焦虑积分降低(P<0.05)。结论:隔物灸配合系统护理能明显改善骨关节炎关节疼痛症状,提高患者生存质量。
Objective ：To observe the clinical effects of indirect moxibustion on knee osteoarthritis （OA） and life quality, mental health of OA patients. Methods ： Sixty patients with OA were randomly divided into research group （ moxibustion with moxibustion and oral administration with glucosamine） and control group. Control group were given oral administrationof glucosamine,0.314 g each time and 3 times a day. Research group were additionally given external application of indirect moxibustion on the Neixiyan acupoint （EX-LE4） ,Waixiyan acupoint （EX-LES） and Weizhong acupoint （BE40）. The magnetic sheets were aligned with the relative acupoints. If the local temperature was high,the temperature control paste can be opened and pasted on the center of the backface to prevent burning. The indirect moxibustion was applied once every day and for 8h each time. Both groups were treated for 28d. The clinical effects, symptomatology scores and changes of anxiety and depression in both groups were observed. Results： The obvious effective rate was 33.33% in control group and 56.67% in research group;the difference had statistical significance （ P 〈 0.05 ）. Compared with control group, the symptom scores of pain or discomfort in the night, moving or standing up, morning stiffness or aggravation after getting up, daily activities, going upstairs, going downstairs, squatting, bending the knees, walking on unsmooth road in research group were markedly lower than those in control group（ P 〈0.05 ）. Compared with before nursing, the conditions of anxiety and dep^ssion of OA patients in both groups improved （ P 〈 0.05 or P 〈 0.01 ）. Compared with control group, the score of anxiety in research group after nursing declined （ P 〈 0.05 ）. Conclusion ： Indirect moxibustion combined with systematic nursing can significantly improve the pain symptoms of OA and the life quality of the patients.
出处
《河南中医》
2017年第12期2208-2210,共3页
Henan Traditional Chinese Medicine
关键词
骨关节炎
隔物灸
系统护理
焦虑积分
抑郁积分
osteoarthritis （ OA ）
indirect moxibustion
systematic nursing
anxiety score
depression score
