电子艾灸联合康复护理对强直性脊柱炎患者腰部疼痛及僵硬的影响
The effect of electronic moxibustion combined with rehabilitation nursing on the lumbar pain and stiffness of ankylosing spondylitis patients.
作者信息
Huan Xin, Wu Liugeng, Wang Meiyi, Xue Danping, Tian Feng
机构信息
Department of Acupuncture and Rehabilitation, Qingdao Hospital of Traditional Chinese Medicine (Qingdao Hiser Hospital) Qingdao, Shandong Province, China.
Department of Hematology and Nephrology, Qingdao West Coast New Area Central Hospital Qingdao, Shandong Province, China.
出版信息
Am J Transl Res. 2021 May 15;13(5):5452-5459. eCollection 2021.
OBJECTIVE
To investigate the effect of electronic moxibustion combined with rehabilitation nursing on the lumbar pain and stiffness of ankylosing spondylitis patients.
METHODS
Ninety-four ankylosing spondylitis patients were recruited as the study cohort and randomly assigned into a control group, which underwent rehabilitation nursing, and a research group, which underwent electronic moxibustion combined with rehabilitation nursing. The clinical effects in the two groups were compared, and the occipital-wall distances, finger-floor distances, spine mobility, morning stiffness durations, overall morning stiffness levels, lower back pain, motor performance of the upper and lower limbs, and the quality of life were compared between the two groups before and after the intervention.
RESULTS
The effective rate in the research group was significantly higher than it was in the control group (91.49% vs. 74.47%, P < 0.001). The research group patients had significantly greater occipital-wall distances, better spine mobility and shorter finger-floor distances than the control group after the intervention (all P < 0.05). The research group patients also showed significantly shorter morning stiffness durations, lower overall morning stiffness levels, and the lower visual analogue scale (VAS) lower back scores than the control group (all P < 0.05). The motor performance of the upper and lower limbs in the research group was significantly better than it was in the control group after the intervention (P < 0.05). The research group had significantly higher quality of life scores than the control group (all P < 0.05).
CONCLUSION
Electronic moxibustion combined with rehabilitation nursing in ankylosing spondylitis patients shows significant advantages compared with rehabilitation nursing alone. The combination, which can improve the quality of life, and the motor performance of the upper and lower limbs, and relieve patients' lumbar pain and stiffness, is worthy of further promotion and application.
目的
探讨电子艾灸联合康复护理对强直性脊柱炎患者腰部疼痛及僵硬的影响。
方法
选取94例强直性脊柱炎患者作为研究队列，随机分为对照组（接受康复护理）和研究组（接受电子艾灸联合康复护理）。比较两组的临床疗效，并比较两组干预前后的枕墙距、指地距、脊柱活动度、晨僵持续时间、整体晨僵程度、下背痛、上下肢运动功能及生活质量。
结果
研究组有效率显著高于对照组（91.49% 对74.47%，P < 0.001）。干预后，研究组患者的枕墙距显著大于对照组，脊柱活动度更好，指地距更短（均P < 0.05）。研究组患者的晨僵持续时间也显著短于对照组，整体晨僵程度更低，视觉模拟评分（VAS）下背痛得分更低（均P < 0.05）。干预后，研究组上下肢运动功能明显优于对照组（P < 0.05）。研究组生活质量得分显著高于对照组（均P < 0.05）。
结论
与单纯康复护理相比，电子艾灸联合康复护理对强直性脊柱炎患者具有显著优势。该联合疗法可提高生活质量及上下肢运动功能，缓解患者腰部疼痛及僵硬，值得进一步推广应用。
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