目的 观察并比较火针、针刺、穴位埋线对类风湿关节炎患者生存质量、临床疗效的影响.方法 将90例类风湿关节炎患者随机分为火针组、针刺组和埋线组,每组30例,火针组采用火针疗法治疗,针刺组采用常规针刺治疗,埋线组采用穴位埋线治疗,火针、常规针刺治疗隔日1次,穴位埋线2星期1次,1个月为1个疗程,在治疗前、治疗1个疗程后、治疗2个疗程后分别观察疗效,并采用生存质量WHOQOL-BREF量表进行评价.结果在生理、心理领域,各组治疗第1、2疗程生理领域评分与治疗前比较差异有统计学意义(P<0.01,P<0.05).第1疗程火针组生理领域、心理领域评分明显高于埋线组(P<0.01).第2疗程火针组生理、心理领域评分高于其他两组(P<0.01,P<0.05).在社会关系领域,火针组第1疗程与治疗前比较分值增高(P<0.05);埋线组第2疗程社会关系领域评分较治疗前升高(P<0.05).3组资料社会关系领域评分无统计学差异(P>0.05).在环境领域,火针组、针刺组社会关系领域评分较治疗前升高(P<0.01),第1疗程火针组、针刺组明显优于埋线组(P<0.01);第2疗程3组社会关系领域评分比较无统计学差异(P>0.05).结论 火针是一种治疗类风湿关节炎的有效方法 ,可明显提高类风湿关节炎患者生存质量.%Objective To observe and compare the effects of fire-needle therapy, acupuncture, acupoint thread embedding on the quality of life (QOL) and clinical efficacy in patients with rheumatoid arthritis (RA).Method Ninety RA patients were randomized into a fire-needle therapy group, an acupuncture group, and an acupoint thread embedding group,30 cases in each group. The fire-needle therapy group was intervened by fire-needle acupuncture, the acupuncture group was by ordinary acupuncture treatment, and the acupoint thread embedding group was by acupoint thread embedding. The fire-needle therapyand ordinary acupuncture were given once every other day, and the acupoint thread embedding was given once every 2 weeks, 1 month as a treatment course. The therapeutic efficacy was evaluated before the treatment, and respectively after 1 and 2 treatmentcourses, and the World Health Organization Quality of Life (WHOQOL)-BREF questionnaire was adopted for evaluation.Result After 1 or 2 treatment courses, the scores in the domain of physical health were significantly changed compared to those before treatment in each group (P<0.01,P<0.05). After 1 treatment course, the scores of physical health and psychological domain in the fire-needle therapy group were significantly higher than those in the acupoint thread embedding group (P<0.01). After 2 treatment courses, the scores of physical health and psychological domain in the fire-needle therapy group were significantly higher than those in the other two groups (P<0.01,P<0.05). Regarding the domain of social relationships, the score in the fire-needle therapy group after 1 treatment course was significantly higher than that before treatment (P<0.05); the score in the acupoint thread embedding group after 2 treatment courses was significantly higher than that before treatment (P<0.05). There were no significant between-group differences in comparing the score in the domain of social relationships (P>0.05). The scores in environment domain in the fire-needle therapy group and acupuncture group were significantly higher than those before treatment (P<0.01); the scores in the fire-needle therapy group and acupuncture group were superior to that in the acupoint thread embedding group after 1 treatment course (P<0.01);there were no significant between-group differences in comparing the score in environment domain (P>0.05). Conclusion Fire-needle therapy is an effective approach in treating RA, and it can significantly boost the QOL of the RA patients.
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