摘要
目的探讨薏苡仁汤加味结合温针灸治疗风寒湿痹型类风湿性关节炎的临床效果及对患者炎性因子水平的影响。方法选取74例风寒湿痹型类风湿性关节炎患者,以数字表法将其随机分为对照组和观察组,各37例。对照组采用常规西药治疗,观察组则加以薏苡仁汤加味结合温针灸治疗。比较两组治疗前、后的中医证候积分及炎性因子水平。结果治疗后,观察组的关节肿胀、关节疼痛、关节活动不利、晨僵等中医证候积分均低于对照组(P<0.05)。治疗后,观察组血沉、类风湿因子及CRP水平均低于对照组(P<0.05)。结论临床采用薏苡仁汤加味结合温针灸治疗风寒湿痹型类风湿性关节炎可提高效果,促进患者临床症状及炎性因子水平改善,值得临床推广。
Objective To investigate the clinical effect of modified Yiyiren decoction combined with warm acupuncture on wind-cold-dampness rheumatoid arthritis and its influence on inflammatory factors level of patients.Methods A total of 74 patients with wind-cold-dampness rheumatoid arthritis were selected and randomly divided into control group and observation group by numerical table method,with 37 cases in each group.The control group was treated with conventional western medicine,while the observation group was treated with modified Yiyiren decoction combined with warm acupuncture.The TCM syndrome scores and inflammatory factors level of the two groups before and after treatment were compared.Results After treatment,the scores of TCM syndromes such as joint swelling,joint pain,adverse joint movement and morning stiffness in the observation group were all lower than those in the control group(P<0.05).After treatment,erythrocyte sedimentation rate,rheumatoid factor and CRP levels in the observation group were lower than those in the control group(P<0.05).Conclusion The modified Yiyiren decoction combined with warm acupuncture on wind-cold-dampness rheumatoid arthritis in clinic can improve the effect,promote the improvement of clinical symptoms and inflammatory factor levels in patients,which is worthy of clinical promotion.
作者
张艳萍
姜小帆
ZHANG Yan-ping;JIANG Xiao-fan(Xi'an Baqiao District Shilipu Community Health Service Center,Xi'an 710043;Shaanxi Provincial People's Hospital,Xi'an 710068,China)
出处
《临床医学研究与实践》
2020年第16期119-120,共2页
Clinical Research and Practice
基金
陕西省重点研发计划项目(No.2017SF-189)。
关键词
薏苡仁汤
温针灸
风寒湿痹型
类风湿性关节炎
炎性因子
Yiyiren decoction
warm acupuncture
wind-cold-dampness
rheumatoid arthritis
inflammatory factor
