中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
34期
5-8
,共4页
魏雪红%鲁亚玲%段梅欣%武永利%许建峰
魏雪紅%魯亞玲%段梅訢%武永利%許建峰
위설홍%로아령%단매흔%무영리%허건봉
类风湿性关节炎%回医烙灸疗法%护理干预%白介素-2%肿瘤坏死因子-α
類風濕性關節炎%迴醫烙灸療法%護理榦預%白介素-2%腫瘤壞死因子-α
류풍습성관절염%회의락구요법%호리간예%백개소-2%종류배사인자-α
Rheumatoid arthritis%Hui medicine flatiron moxibustion therapy%Nursing interventions%Interleukin-2%Tumor necrosis factor-α
目的 探讨回医特色烙灸疗法配合护理干预对类风湿性关节炎(RA)患者疼痛及治疗前后血清IL-2和TNF-α的影响.方法 选取宁夏医科大学总医院中医骨伤科201 1年5月至2013年9月RA住院患者89例,随机分为对照组43例与治疗组46例.2组患者取穴均采用整体与局部相结合的方法,其中对照组由医生采用温针疗法,30 min/次,1次、d,常规护理;治疗组由专职中医护士采用回医铁质灸具,直接灸腧穴部位,以局部皮肤微微发红为度,30 min/次,1次、d,并在常规护理基础上,重点结合说理开导、情感相胜、暗示转移、定志安神等中医心理护理指导.均10次为1个疗程,疗程间休息3～5 d,3个疗程后进行疗效评价.同时,应用数字疼痛评分法等级量表(NPRS)评估2组患者治疗前后疼痛程度;采用心理健康测试量表(症状自评量表SCL-90)评定2组患者治疗前后心理情绪状况,应用放免法测定2组患者治疗前后血清IL-2和TNF-α含量.结果 治疗组总有效率为89.13％,对照组为74.42％,2组间比较,差异有统计学意义;2组治疗后NPRS、SCL-90评分较治疗前均有明显改善,差异有统计学意义;2组治疗后NPRS、SCL-90评分比较治疗组优于对照组,差异有统计学意义.2组治疗后血清IL-2和TNF-α水平较治疗前均有明显改善,差异有统计学意义;2组治疗后IL-2和TNF-α水平比较治疗组优于对照组,差异有统计学意义.结论 回医烙灸疗法配合中医心理护理干预措施可以有效改善RA患者的疼痛状况,缓解心理焦虑,提高血清IL-2、TNF-α水平,提升患者生活质量,促进病症康复.
目的 探討迴醫特色烙灸療法配閤護理榦預對類風濕性關節炎(RA)患者疼痛及治療前後血清IL-2和TNF-α的影響.方法 選取寧夏醫科大學總醫院中醫骨傷科201 1年5月至2013年9月RA住院患者89例,隨機分為對照組43例與治療組46例.2組患者取穴均採用整體與跼部相結閤的方法,其中對照組由醫生採用溫針療法,30 min/次,1次、d,常規護理;治療組由專職中醫護士採用迴醫鐵質灸具,直接灸腧穴部位,以跼部皮膚微微髮紅為度,30 min/次,1次、d,併在常規護理基礎上,重點結閤說理開導、情感相勝、暗示轉移、定誌安神等中醫心理護理指導.均10次為1箇療程,療程間休息3～5 d,3箇療程後進行療效評價.同時,應用數字疼痛評分法等級量錶(NPRS)評估2組患者治療前後疼痛程度;採用心理健康測試量錶(癥狀自評量錶SCL-90)評定2組患者治療前後心理情緒狀況,應用放免法測定2組患者治療前後血清IL-2和TNF-α含量.結果 治療組總有效率為89.13％,對照組為74.42％,2組間比較,差異有統計學意義;2組治療後NPRS、SCL-90評分較治療前均有明顯改善,差異有統計學意義;2組治療後NPRS、SCL-90評分比較治療組優于對照組,差異有統計學意義.2組治療後血清IL-2和TNF-α水平較治療前均有明顯改善,差異有統計學意義;2組治療後IL-2和TNF-α水平比較治療組優于對照組,差異有統計學意義.結論 迴醫烙灸療法配閤中醫心理護理榦預措施可以有效改善RA患者的疼痛狀況,緩解心理焦慮,提高血清IL-2、TNF-α水平,提升患者生活質量,促進病癥康複.
목적 탐토회의특색락구요법배합호리간예대류풍습성관절염(RA)환자동통급치료전후혈청IL-2화TNF-α적영향.방법 선취저하의과대학총의원중의골상과201 1년5월지2013년9월RA주원환자89례,수궤분위대조조43례여치료조46례.2조환자취혈균채용정체여국부상결합적방법,기중대조조유의생채용온침요법,30 min/차,1차、d,상규호리;치료조유전직중의호사채용회의철질구구,직접구수혈부위,이국부피부미미발홍위도,30 min/차,1차、d,병재상규호리기출상,중점결합설리개도、정감상성、암시전이、정지안신등중의심리호리지도.균10차위1개료정,료정간휴식3～5 d,3개료정후진행료효평개.동시,응용수자동통평분법등급량표(NPRS)평고2조환자치료전후동통정도;채용심리건강측시량표(증상자평량표SCL-90)평정2조환자치료전후심리정서상황,응용방면법측정2조환자치료전후혈청IL-2화TNF-α함량.결과 치료조총유효솔위89.13％,대조조위74.42％,2조간비교,차이유통계학의의;2조치료후NPRS、SCL-90평분교치료전균유명현개선,차이유통계학의의;2조치료후NPRS、SCL-90평분비교치료조우우대조조,차이유통계학의의.2조치료후혈청IL-2화TNF-α수평교치료전균유명현개선,차이유통계학의의;2조치료후IL-2화TNF-α수평비교치료조우우대조조,차이유통계학의의.결론 회의락구요법배합중의심리호리간예조시가이유효개선RA환자적동통상황,완해심리초필,제고혈청IL-2、TNF-α수평,제승환자생활질량,촉진병증강복.
Objective To investigate the influence of Hui medicine flatiron moxibustion therapy and nursing intervention on pain and serum IL-2,TNF-α in rheumatoid arthritis (RA) patients before and after treatment and care interventions.Methods 89 cases RA hospitalized patients from Traditional Chinese Orthopedics and Traumatology department of General Hospital of Ningxia Medical University were collected and were randomly divided into the control group (43 cases) and the treatment group (46 cases) from May 2011 to September 2013.Two groups used a combination method of overall and portion acupoints.The control group used warm acupuncture,30 min every time,1 time per day,routine care was given.The treatment group was given with Hui medicine flatiron moxibustion instrument by the professional Chinese medicine nurses,direct moxibustion acupoints site to portion skin slight degree redness,30 min every time,1 time per day,and with routine care,focused on the reasons things out the enlighten,emotion,suggested transferring,calm the nerves of the traditional Chinese medicine psychological care guidance.10 times as a course,to rest for 3～5 days on treatment interval,for efficacy evaluation after three courses.Meanwhile,before and after the application,to test the pain degree with NPRS; to assess the psychological and emotional status with SCL-90,serum IL-2 and TNF-α levels were tested with radioimmunoassay.Results The total effective rate was 89.13％ on the treatment group,the control group was 74.42％.After treatment,the NPRS,SCL-90 scores were significantly improved than those before treatment; the NPRS,SCL-90 scores of the treatment group were better than those of the control group.After treatment,serum IL-2 and TNF-α levels were significantly improved compared with those before treatment; after treatment,IL-2 and TNF-α levels of the treatment group were better than those of the control group.All the above comparison had statistical significance.Conclusions Hui medicine flatiron moxibustion therapy and nursing intervention may effectively improve pain in RA patients,ease the psychological anxiety,increase serum IL-2,TNF-α levels,enhance the quality of life for patients,and promote disease recovery.
