Wu Feng, Huang Manwei, Zeng Lili, Huang Zhihua, Zheng Jinqing
Rehabilitation Department, The Affiliated Hospital of Putian University, Putian, China.
Evid Based Complement Alternat Med. 2022 May 20;2022:5833280. doi: 10.1155/2022/5833280. eCollection 2022.
Patients treated with medication for rheumatoid arthritis (RA) often improve but continue to have active diseases. The study aims to investigate whether needle-warming moxibustion (NWM) plus multirehabilitation training can improve quality of life (QoL) and functional mobility of RA patients after medication.
Eighty-four RA patients were selected as study participants, including 42 patients receiving medication (medication group) and 42 patients receiving NWM plus multirehabilitation training (NWM + MRT group). The scores of disease symptoms, pain (visual analogue scale (VAS)), sleep quality (Pittsburgh Sleep Quality Index (PSQI)), functional mobility (Fugl-Meyer assessment scale (FMAS)), self-rating anxiety scale (SAS), self-rating depression scale (SDS), and QoL (SF-36) were compared before and after treatment. When patients were discharged from the hospital, they were given a questionnaire for treatment satisfaction.
After treatment, decreases in the scores of the VAS, PSQI, SAS, and SDS were observed in both cohorts, especially in the NWM + MRT group ( < 0.05). The FMAS scores of upper limbs and lower limbs were increased after treatment, which were higher in the NWM + MRT group in comparison with the medication group ( < 0.05). Of note, patients in the NWM + MRT group scored higher in various dimensions of the SF-36 scale ( < 0.05), showing better QoL. The satisfaction survey showed that the NWM + MRT group had a higher proportion of patients being satisfied and a lower proportion of patients being dissatisfied ( < 0.05).
NWM plus multirehabilitation training could significantly attenuate disease symptoms, improve QoL, recover functional mobility, and reduce the risk of anxiety and depression in RA patients.
类风湿关节炎（RA）患者接受药物治疗后通常病情会有所改善，但疾病仍会持续活动。本研究旨在探讨温针灸（NWM）联合综合康复训练能否改善RA患者药物治疗后的生活质量（QoL）和功能活动能力。
选取84例RA患者作为研究对象，其中42例接受药物治疗（药物治疗组），42例接受温针灸联合综合康复训练（NWM + MRT组）。比较两组治疗前后的疾病症状评分、疼痛（视觉模拟评分法（VAS））、睡眠质量（匹兹堡睡眠质量指数（PSQI））、功能活动能力（Fugl - Meyer评估量表（FMAS））、自评焦虑量表（SAS）、自评抑郁量表（SDS）以及生活质量（SF - 36）评分。患者出院时，给予治疗满意度调查问卷。
治疗后，两组患者的VAS、PSQI、SAS和SDS评分均下降，尤其是NWM + MRT组（P < 0.05）。治疗后两组患者上肢和下肢FMAS评分均升高，且NWM + MRT组高于药物治疗组（P < 0.05）。值得注意的是，NWM + MRT组患者在SF - 36量表各维度的得分更高（P < 0.05），表明生活质量更好。满意度调查显示，NWM + MRT组患者的满意度较高，不满意率较低（P < 0.05）。
温针灸联合综合康复训练可显著减轻RA患者的疾病症状，改善生活质量，恢复功能活动能力，并降低焦虑和抑郁风险。
