| Objective: To observe the intervention effect of Huolong Pot on pain symptoms of AS patients with kidney deficiency and cold deficiency,and compare and evaluate the indexes of BASDAI,BASFI,TCM syndrome score,occipito-wall distance,Schober test,ESR and CRP in the two groups,so as to determine its effectiveness and clinical practicability.To provide effective Chinese medicine nursing technology for clinical treatment of AS patients with kidney deficiency and cold deficiency,in order to alleviate the symptoms of back pain and improve the quality of life.Methods: A total of 76 AS patients with kidney deficiency and cold deficiency admitted to Rheumatology Center of a Grade-A hospital in Gansu Province from December 2021 to May 2022 were randomly divided into control group and experimental group,with 38 cases in each group.The control group was treated with routine nursing,and the experimental group was treated with fire-dragon pot on the basis of the control group.The course of treatment in the two groups was: once a day,5 days as a course of treatment,and the interval of each course was 2 days,a total of 2 courses of intervention.BASDAI,BASFI,TCM symptom score,occipital wall distance,Schober test,ESR,CRP,ASAS reach rate and total effective rate of TCM syndromes were observed before and after intervention in the two groups.Adverse reactions were recorded to determine their effectiveness and clinical practicability.Result:1.Study subjects: A total of 76 AS patients with kidney deficiency and cold deficiency were included,of which 3 cases were shed,and 73 cases were eventually obtained,with a shedding rate of less than 10%.2.Comparison of general data: There was no statistical significance in baseline data between the two groups(P>0.05),indicating comparability.3.Clinical efficacy:(1)BASDAI: After intervention,the indexes of both groups were lower than before intervention,indicating that the intervention methods of both groups could reduce BASDAI score,and the difference was statistically significant(P<0.05);After intervention,the difference between the two groups was statistically significant(P<0.05).(2)BASFI: After intervention,indexes in both groups were lower than before intervention,indicating that both intervention methods could reduce BASFI scores,and the difference was statistically significant(P<0.05);After intervention,the difference between the two groups was statistically significant(P<0.05).(3)TCM syndrome score: After intervention,indexes in both groups were lower than before intervention,indicating that intervention methods in both groups could reduce TCM syndrome score,and the difference was statistically significant(P<0.05);After intervention,the difference between the two groups was statistically significant(P<0.05).(4)occipital wall distance: After intervention,the indexes of both groups were lower than before intervention,indicating that the intervention methods of both groups could reduce the indexes of occipital wall distance,and the difference was statistically significant(P<0.05).After intervention,the difference between the two groups was statistically significant(P<0.05).(5)Schober test: After intervention,the indicators of both groups were improved compared with those before intervention,indicating that the intervention methods of both groups could improve the indicators of Schober test,and the difference was statistically significant(P<0.05).After intervention,the difference between the two groups was statistically significant(P<0.05).(6)ESR: After intervention,the indexes of both groups were lower than before intervention,indicating that the intervention methods of both groups could reduce ESR indexes,and the difference was statistically significant(P<0.05).After intervention,the difference between the two groups was statistically significant(P<0.05).(7)CRP: After intervention,the indexes of both groups were lower than before intervention,indicating that the intervention methods of both groups could reduce the CRP indexes,and the difference was statistically significant(P<0.05);After intervention,the difference between the two groups was statistically significant(P<0.05).(8)ASAS compliance rate: the compliance rate of ASAS20 in test group and control group was 86.11% and 59.45%,respectively;The compliance rates of ASAS50 were 58.33%and 29.72%,respectively.The compliance rates of ASAS70 were 16.67% and 8.11%,respectively.(9)Curative effect of TCM syndroms: the total effective rate of TCM syndroms in test group and control group was 94.44% and 86.49%,respectively.4.Adverse reactions: During the study,none of the patients had adverse events(such as scalds,skin allergies,etc.).Conclusion:1.When applied to AS patients with renal deficiency and cold deficiency,Huolong pot therapy can improve the indexes of BASDAI,BASFI,TCM syndrome score,pillow wall distance,Schober test ESR and CRP,and its comprehensive curative effect is better than that of conventional nursing.2.The fire-dragon pot treatment method is applied to patients with kidney deficiency and cold deficiency type AS,with high operability and safety,and has the value of popularization and application. |
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