铺姜灸联合阿达木单抗改善轻、中度活动期克罗恩病患者焦虑及生活质量的临床研究

Clinical Study on Ginger Moxibustion Combined with Adalimumab to Improve Anxiety and Life Quality in Patients with Crohn's Disease at Mild and Moderate Active Stages

  • 摘要:
      目的  观察铺姜灸联合阿达木单抗治疗对轻、中度活动期克罗恩病伴焦虑患者情绪及生活质量的影响。
      方法  选择符合纳入标准的轻、中度活动期伴焦虑的克罗恩病患者60例, 随机分为治疗组和对照组各30例。对照组予阿达木单抗标准化治疗, 治疗组在对照组基础上联合铺姜灸治疗, 疗程均为12周, 观察2组患者中医证候积分及临床疗效、焦虑缓解应答率、治疗前后克罗恩病活动指数(CDAI)评分、炎症性肠病生存质量(IBDQ)评分及安全性指标的变化情况。
      结果  治疗后, 2组患者中医证候积分均明显降低(P < 0.05, P < 0.01), 治疗组优于对照组(P < 0.05, P < 0.01);治疗组临床疗效、焦虑情绪缓解应答率优于对照组(P < 0.05);2组患者IBDQ评分均明显升高(P < 0.05, P < 0.01), 治疗组优于对照组(P < 0.05);2组患者CDAI评分均显著降低(P < 0.05, P < 0.01), 治疗组优于对照组(P < 0.05, P < 0.01)。
      结论  铺姜灸联合阿达木单抗治疗可改善轻、中度活动期克罗恩病患者焦虑及生活质量。

     

    Abstract:
      OBJECTIVE  To observe the effect of ginger moxibustion combined with Adalimumab on the mood and life quality of patients with anxiety and Crohn's disease at mild and moderate active stages.
      METHODS  60 patients with anxiety and Crohn's disease at mild and moderate active stages who met the inclusion criteria were selected and randomly divided into the treatment group and control group with 30 cases each.The control group was given a standardized treatment of Adalimumab, and the treatment group was treated with ginger moxibustion on the basis of the control group.The course of treatment was 12 weeks.Observe the changes in TCM syndrome score and clinical efficacy, anxiety relief response rate, Crohn's disease activity index (CDAI) score, Inflammatory bowel disease quality of life (IBDQ) score, and safety indicators of the two groups of patients before and after treatment.
      RESULTS  After treatment, the TCM syndrome scores of both groups were significantly reduced (P < 0.05, P < 0.01), and the treatment group was superior to the control group (P < 0.05, P < 0.01);the clinical efficacy and anxiety relief response rate of the treatment group were better than those of the control group (P < 0.05);the IBDQ scores of both groups were significantly increased (P < 0.05, P < 0.01), and the treatment group was better than the control group (P < 0.05);the CDAI scores of both groups significantly decreased (P < 0.05, P < 0.01), and the treatment group was better than the control group (P < 0.05, P < 0.01).
      CONCLUSION  Ginger moxibustion combined with Adalimumab can improve the anxiety and life quality of patients with Crohn's disease at mild and moderate active stages.

     

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