回医烙灸结合西药治疗寒湿痹阻型类风湿关节炎临床疗效观察

发布时间：2018-03-17 17:49

本文选题：类风湿关节炎　切入点：回医　出处：《中国针灸》2017年10期 　论文类型：期刊论文

【摘要】：目的:比较回医烙灸结合西药与单纯西药治疗寒湿痹阻型类风湿关节炎患者的临床疗效。方法:选择符合纳入标准的类风湿关节炎患者80例随机分为观察组(回医烙灸+西药治疗)和对照组(西药治疗),每组40例。两组患者均给予口服甲氨蝶呤(每周1次)、柳氮磺砒啶(每天2次)治疗,服用甲氨喋呤当天停用柳氮磺吡啶;观察组同时给予烙灸治疗,烙灸每周2次,主穴取肾俞、关元、足三里、阴陵泉,配穴采用局部取穴并根据部位循经取穴。两组均连续治疗4周。观察治疗前后两组患者的中医症状积分、疼痛视觉模拟量表(VAS)评分、血沉(ESR)、类风湿因子(RF)及C反应蛋白(CRP)指标变化,评定临床疗效。结果:治疗后观察组总有效率为95.0%(38/40),优于对照组的77.5%(31/40,P0.05);两组治疗后VAS评分、中医症状积分,血清RF、ESR、CRP水平较治疗前均明显降低(均P0.05);观察组治疗后以上指标均明显低于对照组(均P0.05);治疗过程中观察组的不良反应明显少于对照组。结论:烙灸结合西药治疗寒湿痹阻型类风湿关节炎较单纯西药治疗更加安全有效。
[Abstract]:Objective: to compare the clinical efficacy of traditional Chinese medicine and western medicine in treating rheumatoid arthritis with cold and dampness arthralgia. Methods: 80 patients with rheumatoid arthritis who met the inclusion criteria were randomly divided into observation group (gyrus). The patients in the two groups were treated with oral methotrexate (once a week) and sulfadiazine (twice a day). The observation group was treated with cautery moxibustion twice a week, the main points were taken from Shenshu, Guanyuan, Zusanli, Yinling Quan, and the observation group was treated with cautery moxibustion twice a week. The patients in the two groups were treated continuously for 4 weeks. The scores of TCM symptoms and visual analogue scale of pain were observed before and after treatment. Results: after treatment, the total effective rate of the observation group was 95.0 / 38 / 40, which was better than that of the control group (77.5 / 40 / 40, P 0.05). After treatment, the VAS score and TCM symptom score in the two groups were higher than those in the control group. The level of serum RFG ESR-CRP was significantly lower than that before treatment (all P 0.05), the above indexes in the observation group were significantly lower than those in the control group (all P 0.05), and the adverse reactions in the observation group were significantly lower than those in the control group. Conclusion: cautery moxibustion combined with western medicine is effective in treating the patients. Cold dampness obstruction rheumatoid arthritis is more safe and effective than western medicine alone.
【作者单位】：宁夏医科大学中医学院;宁夏回族自治区中医医院针灸科;
【基金】：银川市科技局项目:YCKJ-2015-03 宁夏自治区卫生计生委重点研究课题:2014-NW-045 宁夏自治区回医师范病区建设项目:201435 宁夏科技厅科技惠民计划项目:2015KJHM09
【分类号】：R593.22

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