| Objective:1.To understand the demographic and epidemiological characteristics of 176 patients with osteoarthritis brucellosis.2.Traditional Chinese medicine combined with heat therapy with intermediate frequency physical therapy intervention in patients with osteoarthritis brucellosis,after intervention assessment of pain indicators,markers of blood inflammation,quality of life and curative effect evaluation of short-term effect and the mechanism of action of the therapy Discussion.Method:A total of 180 osteoarthritis brucellosis patients hospitalized in the Sixth People's Hospital of Xinjiang Uygur Autonomous Region between January 2017 and December 2017 were randomly divided into group A,group B and group C.A group treated with hot water bag,B group plus traditional Chinese medicine preparation,C group given traditional Chinese medicine thermal therapy combined with physiotherapy therapy intervention.All patients intervened for 2 courses and 7 days for 1 course of treatment.After treatment,pain scores,overall efficacy,changes in markers of inflammation,quality of life,and adverse events were observed in the 3 groups.Result:During the study 3 cases of spontaneous shedding,1 adverse events,the final 176 patients completed the test.1.Baseline results:(1)General information on patients with osteoarthritis brucellosis: The average age of 176 patients was(45.62 ± 12.85)years old,including 121 males and 55 females;48 Han,55 Uygur,43 Kazak.(2)Comparison of baseline data between three groups of patients before intervention:there was no significant difference between the three groups in general conditions such as age,sex,ethnicity,pain time,course of disease,laboratory indexes and treatment medication(P> 0.05).2.Epidemiological analysis: Among the 176 patients,158 cases had close contact history with cattle and sheep,98 cases had lambs history,13 cases had the history of drinking milk.3.Changes in the three groups before and after the intervention of observation indicators:(1)The scores of pain index in group A on the 5th day after treatment were significantly different from those on admission(P<0.05).There were significant differences in NE,ESR and CRP before and after treatment(P<0.05).There was no significant difference in somatic body,influence,social dimension(P>0.05),and the other two dimensions were statistically significant(P<0.05).(2)There was significant difference in pain score between on admission and the 4th day after treatment in group B(P <0.05).There was a significant difference in NE,ESR and CRP(P <0.05).AIMS2-SF before and after treatment in addition to the impact dimension no significant difference,the remaining four dimensions were statistically significant(P<0.05).(3)The scores of pain score on the 3rd day of treatment in group C were significantly different from those on admission(P<0.05).There were significant differences in NE,ESR and CRP levels(P<0.05).AIMS2-SF treatment before and after the five dimensions were significantly different(P <0.01).The total score of three groups before and after treatment were statistically significant(P<0.05).4.The difference between the three groups before and after the intervention:(1)VAS pain score in the three groups on the 5th,7th and 14 th days after treatment,after single-factor analysis of variance(P<0.05),after comparing the two groups found that B,C two groups of pain scores decreased more significantly after treatment than the previous decline in pain The effect was better than that of group A,the difference was statistically significant.On the 14 th day of treatment,the score of pain in group C was statistically different from that in group A and group B,indicating that the pain in group C was significantly lower than that in group A and B.(2)After the intervention to improve the efficacy of pain,C group was significantly better than the A,B two groups.(3)The difference between the three groups before and after treatment,B,C two groups in the body,symptoms,work and overall efficacy is better than A group.C group in the symptoms,effects and overall efficacy obviously due to A,B two groups.(4)Three groups of ESR,CRP difference was significant(P<0.05),C group so that ESR,CRP decreased more significantly.Conclusion:The use of traditional Chinese medicine fever combined package of intermediate frequency physical therapy of Chinese medicine nursing intervention in the treatment of brucellosis,has a good analgesic effect,can improve the overall efficacy,effectively reduce the level of inflammation and improve the quality of life of patients worthy of clinical promotion and application. |
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