摘要
Abstract
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.关键词
针刺/火针疗法/埋线/关节炎,类风湿/生存质量/WHOQOL-BREF量表评分Key words
Acupuncture/Fire-needle therapy/Embedding/Thread/Arthritis/Rheumatoid/Quality of life/World Health Organization Quality of Life (WHOQOL)-BREF分类
医药卫生
