远红外线照射联合心理干预对类风湿关节炎患者关节症状改善、负性情绪及炎症指标的影响
Effects of far infrared irradiation combined with psychological intervention on the improvement of negative emotions and inflammatory indicators in patients with rheumatoid arthritis
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2021, 48(3) |
| 作者 |
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| 作者单位 |
新乡医学院第一附属医院风湿免疫科 ;
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| 摘要 |
【摘要】目的：探究远红外线照射联合心理干预对类风湿关节炎（RA）患者的关节功能、心理状态和炎性因子水平的影响。方法：选取我院2018年6月至2020年6月期间103例RA患者作为研究对象，采用随机数字表法分为对照组和观察组。对照组51例给予常规药物治疗联合心理干预，观察组52例在对照组基础上联合远红外线照射，观察两组患者的关节症状改善情况，负性情绪，炎症指标，不良反应。结果：观察组关节疼痛、肿胀消失时间以及关节活动恢复正常时间短于对照组（P<0.05）。两组患者干预2月末汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评分水平较干预前均降低，且观察组低于对照组（P<0.05）。两组患者干预2月末血清类风湿因子（RF）、C反应蛋白（CRP）、抗环瓜氨酸肽（CCP）抗体、红细胞沉降率（ESR）水平较干预前均降低，且观察组低于对照组（P<0.05）。观察组的不良反应率9.62%高于对照组的5.88%，差异无统计学意义（P>0.05）。结论：远红外线照射联合心理干预通过调控RA患者的情绪中枢以调控其焦虑抑郁情绪，缓解关节肿痛，改善关节活动度，调节炎性因子水平，降低不良反应的发生，提高临床疗效。
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| Abstract |
[Abstract] Objective: To explore the effect of far infrared irradiation combined with psychological intervention on patients with rheumatoid arthritis (RA) and the influence of psychological state of knee function and inflammatory factors.Methods:A total of 103 RA patients in our hospital from June 2018 to June 2020 were selected as study subjects and divided into control group and observation group by random number table method.51 patients in the control group were given conventional drug therapy combined with psychological intervention, and 52 patients in the observation group were given far infrared radiation on the basis of the control group. The clinical efficacy, improvement of joint symptoms, negative emotions, inflammatory indicators and adverse reactions of the two groups were observed.Results:The time for joint pain and swelling to disappear and joint activity to return to normal in the observation group was shorter than that in the control group (P<0.05).HAMA Anxiety Scale (HAMA) at the end of February in both groups was lower than that before the intervention, and the score level of Hamilton Depression Scale (HAMD) in the observation group was lower than that in the control group (P<0.05).Serum rheumatoid factor (RF) C-reactive protein (CRP) cyclic citrulinated peptid（CCP）antibody erythrocyte sedimentation rate（ESR）levels were lower in both groups at the end of 2 months after intervention than before(P<0.05). The adverse reaction rate of 9.62% in the observation group was higher than 5.88% in the control group, with no statistically significant difference (P>0.05).Conclusion: Far infrared radiation combined with psychological intervention regulates anxiety and depression in RA patients by regulating their emotional centers, alleviating joint swelling and pain, improving joint range of motion, regulating inflammatory factors, reducing adverse reactions, and improving clinical efficacy.
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| 关键词 |
【关键词】远红外线照射; 心理干预; 类风湿关节炎; 负性情绪; 炎症指标
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| KeyWord |
[Key words]Far infrared radiation; psychological intervention; rheumatoid arthritis; negative affectivity; inflammatory marks
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| 基金项目 |
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| 页码 |
536-539 |
任振辉*.
远红外线照射联合心理干预对类风湿关节炎患者关节症状改善、负性情绪及炎症指标的影响 [J].
国际精神病学杂志.
2021; 48; (3).
536 - 539.