摘要
目的:探讨蒙医传统牛角拔罐疗法治疗类风湿性关节炎的临床疗效,为进一步研究提供可靠的临床依据。方法:将60例类风湿性关节炎患者随机分为观察组和对照组,各30例。观察组采用蒙医牛角拔罐疗法治疗,对照组采用蒙药治疗。21 d为1个疗程。治疗前后采用视觉模拟评分法(VAS)、简化McGill疼痛问卷进行疼痛评价,采用DAS28评分、健康评估问卷(HAQ)进行关节功能评价,另对治疗前后实验室相关指标方面进行差异性分析。结果:①观察组(DAS28)受试者对自身疾病活动性的综合评价显效率为60.00%,总有效率为86.67%;对照组显效率为23.33%,总有效率为70.00%。观察组显著优于对照组,两组间比较有显著差异(P<0.05)。②类风湿性关节炎症状疗效简化McGill疼痛问卷,观察组显效率为53.33%,总有效率为83.33%;对照组显效率为36.67%,总有效率为80.00%。观察组显著优于对照组,两组间比较有显著差异(P<0.05)。③类风湿性关节炎症状疗效健康评估问卷残疾指数(HAQ-DI),观察组显效率为46.67%,总有效率为86.67%;对照组显效率为33.33%,总有效率为83.33%。观察组显著优于对照组,两组间比较有显著差异(P<0.05)。④实验室观察指标疗效中类风湿因子(RF)C、反应蛋白(CRP)、血沉(ESR)检测指标差异具有统计学意义(P<0.05);抗O(ASO)、抗环瓜氨酸肽抗体(CCP)检测指标无统计学意义(P>0.05)。结论:蒙医传统牛角拔罐疗法治疗类风湿性关节炎疗效显著,具有疗程短、操作简便、经济负担轻、无毒无副作用等优势,值得临床推广应用。
Objective:To explore the clinical efficacy of Mongolian traditional horn horn cupping therapy for rheumatoid arthritis,and provide a reliable clinical basis for further research.Methods:Sixty patients with rheumatoid arthritis were randomly divided into observation group and control group.The observation group was the horn horn cupping therapy group,and the control group was the Mongolian medicine group.Each group had 30 cases.21 days was a course of treatment.Pain evaluation was performed by visual analog scale and simplified McGill pain questionnaire.The degree of disease activity was evaluated by DAS28 score and health assessment questionnaire,and the differences of laboratory related indicators before and after treatment were analyzed.Results:1 The observation group(DAS28)had a comprehensive evaluation of the disease activity of 60.00%,the total effective rate was 86.67%,the control group was 23.33%,and the total effective rate was70.00%.The control group had curative effect,and the observation group was significantly different between the two groups(P<0.05).The curative effect of the two types of rheumatoid arthritis symptoms was 53.33%,the total effective rate was83.33%,the effective rate of the control group was 36.67%,and the total effective rate was 80.00%.The observation group and the control group had curative effect.The observation group was significantly different between the two groups(P<0.05).The effective rate of the three types of rheumatoid arthritis symptoms health assessment questionnaire disability index was46.67%,the total effective rate was 86.67%,the effective rate of the control group was 33.33%,and the total effective rate was 83.33%.Both the control group and the control group were effective,and the observation group was significantly different between the two groups(P<0.05).The difference of rheumatoid factor C,reactive protein and erythrocyte sedimentation rate(ESR)in the laboratory observation index was statistically significant(P<0.05);anti-O,anti-cyclic citrullinated peptide There was no statistically significant difference in the detection of antibody(P>0.05).Conclusion:It is worthy of clinical application to explore the traditional Chinese horn horn cupping therapy for rheumatoid arthritis.It has obvious curative effect,short treatment course,simple operation,low economic burden and no toxic side effects.
作者
娜仁
苏如嘎
都楞
兰花
布仁吉日嘎拉
Naren;Suruga;Duleng;Lanhua;Burenjirigala(Xilingol Mongolian Medical Hospital,Xilinhot,Inner Mongolia 026000;Ulaanbaatar,Mongolian National Medical University;不详)
出处
《中国民族医药杂志》
2020年第7期34-37,共4页
Journal of Medicine and Pharmacy of Chinese Minorities
关键词
蒙医传统牛角拔罐疗法
类风湿关节炎
临床观察
Mongolian traditional horns cupping therapy
rheumatoid arthritis
clinical observation
