中药封包联合特定电磁波照射及护理干预改善系统性硬化症患者手部症状的临床效果

doi:10.3969/j.issn.1674-490X.2026.03.008

医学研究与教育 ›› 2026, Vol. 43 ›› Issue (3): 73-80.DOI: 10.3969/j.issn.1674-490X.2026.03.008

• 护理学 • 上一篇

中药封包联合特定电磁波照射及护理干预改善系统性硬化症患者手部症状的临床效果

王林娟¹,郭刚²,葛焱¹,崔记敏²,代荣莲³,崔静⁴

1.河北以岭医院护理部, 河北石家庄 050091;
2.河北以岭医院风湿免疫科, 河北石家庄 050091;
3.河北以岭医院肾病科, 河北石家庄 050091;
4.河北以岭医院CCU病区, 河北石家庄 050091

收稿日期:2026-01-26 出版日期:2026-06-25 发布日期:2026-06-25
通讯作者: 崔静(1989—),女,河北石家庄人,副主任护师,主要从事慢性病护理及重症护理研究。E-mail: 464477215@qq.com
作者简介:王林娟(1977—),女,吉林柳河人,副主任护师,硕士,主要从事护理管理及慢性病护理研究。 E-mail: 584508185@qq.com
基金资助:
河北省中医药管理局科研项目(2024148)

Clinical effects of Chinese herbal pack combined with TDP irradiation and nursing intervention on hand symptoms in patients with systemic sclerosis

Wang Linjuan¹, Guo Gang², Ge Yan¹, Cui Jimin², Dai Ronglian³, Cui Jing⁴

1.Department of Nursing,Hebei Yiling Hospital,Shijiazhuang 050091,China;2.Rheumatology and Immunology, Hebei Yiling Hospital, Shijiazhuang 050091, China; 3. Department of Nephrology, Hebei Yiling Hospital, Shijiazhuang 050091, China; 4. CCU Ward, Hebei Yiling Hospital, Shijiazhuang 050091, China

Received:2026-01-26 Online:2026-06-25 Published:2026-06-25

摘要/Abstract

摘要： 目的探索在系统性硬化症(systemic sclerosis,SSc)患者的临床管理干预中,中药封包联合特定电磁波(specific electromagnetic wave,TDP)照射及护理干预改善其手部症状的有效性。方法以随机数字表法将河北以岭医院2023年8月至2025年3月收治的122例已确诊的SSc住院患者分为对照组和研究组,每组61例。对照组接受常规护理干预,研究组在常规护理干预基础上加用中药封包联合TDP照射。观察两组治疗有效率、雷诺现象(Raynaud phenomenon,RP)活动性、手部功能、疼痛程度、生活质量、Taylor-Pelmear分期变化。结果治疗3周后,研究组疗效优于对照组(P=0.038)。两组干预前RP活动性、手部功能、疼痛程度、生活质量及Taylor-Pelmear分期差异无统计学意义(P>0.05)。治疗3周后研究组对应的雷诺现象严重程度评分(Raynaud Severity Score,RS)低于对照组(P<0.05)、握拳试验时间短于对照组(P<0.05)、疼痛视觉模拟量表(Pain Visual Analog Scale,VAS)评分低于对照组(P<0.05)。两组生活质量评分均升高,且研究组优于对照组(P<0.05)。两组Taylor-Pelmear分期均显著改善,研究组分期改善优于对照组(P<0.05)。结论在SSc患者的临床管理干预中,中药封包联合TDP照射及护理干预可有效改善SSc患者的手部症状,缓解RP、减轻疼痛程度、促进手部功能恢复,并提高患者生活质量,且安全性良好。

关键词: 系统性硬化症, 中药封包, 特定电磁波, 手部症状

Abstract: Objective To explore the effectiveness of traditional Chinese medicine compress combined with specific electromagnetic wave(TDP)irradiation and nursing intervention in improving hand symptoms in patients with systemic sclerosis(SSc)during clinical management. Methods A total of 122 hospitalized patients diagnosed with SSc at Hebei Yiling Hospital from August 2023 to March 2025 were randomly divided into a control group and a research group using a random number table method, with 61 cases in each group. The control group received routine nursing intervention, while the research group received traditional Chinese medicine compress combined with TDP irradiation in addition to the routine nursing intervention. The treatment response rate, Raynaud phenomenon(RP)activity, hand function, pain degree, quality of life, and Taylor-Pelmear stage changes were observed and compared between the two groups.Results After 3 weeks of treatment, the efficacy in the research group was superior to that in the control group(P=0.038). There were no statistically significant differences in RP activity, hand function, pain degree, quality of life, and Taylor-Pelmear stage between the two groups before intervention(P>0.05). After 3 weeks of treatment, the Raynaud Severity Score(RS)in the research group was lower than that in the control group(P<0.05), the fist-clenching test time was shorter than that in the control group(P<0.05), and the Pain Visual Analog Scale(VAS)score was lower than that in the control group(P<0.05). The quality of life scores increased in both groups, and the research group was superior to the control group(P<0.05). The Taylor-Pelmear stage significantly improved in both groups, and the improvement in the research group was better than that in the control group(P<0.05). Conclusion In the clinical management of patients with SSc, traditional Chinese medicine compress combined with TDP irradiation and nursing intervention can effectively improve hand symptoms, significantly alleviate RP, reduce pain, promote hand function recovery, improve quality of life, and demonstrate good safety.

Key words: systemic sclerosis, traditional Chinese medicine sealing-pack therapy, specific electromagnetic wave, hand symptoms

中图分类号:

R248

王林娟,郭刚,葛焱,崔记敏,代荣莲,崔静. 中药封包联合特定电磁波照射及护理干预改善系统性硬化症患者手部症状的临床效果[J]. 医学研究与教育, 2026, 43(3): 73-80.

Wang Linjuan, Guo Gang, Ge Yan, Cui Jimin, Dai Ronglian, Cui Jing. Clinical effects of Chinese herbal pack combined with TDP irradiation and nursing intervention on hand symptoms in patients with systemic sclerosis[J]. Journal of Hebei Medical College for Continuing Education, 2026, 43(3): 73-80.

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中药封包联合特定电磁波照射及护理干预改善系统性硬化症患者手部症状的临床效果

Clinical effects of Chinese herbal pack combined with TDP irradiation and nursing intervention on hand symptoms in patients with systemic sclerosis

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