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,P<0.05);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P<0.05);观察组治疗后以上指标均明显低于对照组(均P<0.05);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。
Objective To compare the effects of flipping moxibustion of Hui medicine combined with western medication and simple western medication for rheumatoid arthritis with cold dampness bi syndrome.Methods Eighty patients were randomly assigned into an observation group and a control group,40 cases in each group.Oral methotrexate（1 time a week） and sulfasalazine（twice a day except the day for methotrexate） were used in the two groups.Patients in the observation group were treated with flipping moxibustion of Hui medicine,twice a week.The main acupoints were Shenshu（BL 23）,Guanyuan（CV 4）,Zusanli（ST 36）,Yinlingquan（SP 9）,and the matching acupoints were in the meridians related to the disease location.All the treatment was given for continuous 4 weeks.The TCM symptom score,visual analogue scale（VAS） score,blood sedimentation（ESR）,rheumatoid factor（RF） and C-reactive protein（CRP） were observed before and after treatment.The effect was evaluated.Results The total effect rate in the observation group was 95.0%（38/40）,which was better than 77.5%（31/40） in the control group（P〈0.05）.After treatment,the VAS score,TCM symptom score,RF,ESR,CRP levels decreased in the two groups（all P〈0.05）,with better effects in the observation group（all P〈0.05）.The adverse reactions in the observation group were lower than those in the control group.Conclusion Flipping moxibustion of Hui medicine combined with western medication for rheumatoid arthritis with cold dampness bi syndrome are better than simple western medication,which are safer and more effective.
作者
王顺吉
冶尕西
张瑜
关淑婷
刘秀芬
任文静
WANG Shunji YE Gaxi ZHANG Yu GUAN Shuting LIU Xiufen REN Wenjing(College of TCM, Ningxia Medical University, Yinchuan 750004, China Department of Acupuncture-Moxibustion, Ningxia Hui Autonomous Region Hospital of TCM, Yinchuan 750021)
出处
《中国针灸》
CAS
CSCD
北大核心
2017年第10期1047-1051,共5页
Chinese Acupuncture & Moxibustion
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
关键词
类风湿关节炎
回医
烙灸
西药治疗
rheumatoid arthritis
Hui medicine
flipping moxibustion
western medication
