摘要
目的:观察补肾祛寒治尪汤辅以中药熏蒸及穴位敷贴治疗类风湿性关节炎的临床效果。方法:选取我院2013年4月~2014年8月收治的288例类风湿性关节炎患者作为研究,采取随机数字表法将患者分为研究组(144例)和对照组(144例),研究组采用补肾祛寒治尪汤辅以中药熏蒸及穴位敷贴治疗,对照组采用西药临床常规治疗,观察两组临床治疗效果、不良反应情况,对比两组治疗前后各项临床指标(晨僵时间、休息痛、关节肿胀指数、关节压痛指数、双手平均握力、20m步行时间)及患者实验室检查指标,包括血沉(ESR)、类风湿因子(RF)、C反应蛋白(CRP),并采取健康状况评定量表(HAQ)评估患者治疗前后健康状况。结果:研究组治疗总有效率为98.61%,不良反应率为0.69%,与对照组比较差异具有统计学意义(P<0.05);两组治疗前各项临床指标及实验室检查指标、HAQ量表评分均相近(P>0.05),治疗后两组数据均有所改善,研究组改善程度显著优于对照组,差异具有统计学意义(P<0.05)。结论:补肾祛寒治尪汤辅以中药熏蒸及穴位敷贴治疗类风湿性关节炎效果好,患者症状改善明显,不良反应少,安全性高,具有极高临床应用价值。
Objective： To explore the clinical effect of using Bushen Quhan Zhiwang Decoction combined with herbal fumigation and acupoint sticking in the treatment of rheumatoid arthritis. Methods： Selection in April 2013 to August 2014,288 cases of patients with rheumatoid arthritis as research objects,adopting random number table method,the patients were divided into research group（ 144cases） and controlled group（ 144cases）,the research group was treated by Bushen Quhan Zhiwang Decoction combined with herbal fumigation and acupoint sticking and the controlled group was treated by western medicine in clinical routine treatment,observing the clinical therapeutic effect and adverse reaction in both groups,compared two groups of patients before and after treatment of the clinical indicators（ morning stiffness time,rest pain,joint swelling,joint tenderness index,average hands grip strength,20 m walk time） and laboratory examination indexes,including blood sedimentation（ ESR）,rheumatoid factor（ RF）,c-reactive protein（ CRP）,and health assessment questionnaire（ HAQ） assessment before and after treatment in patients with health. Results： The total effective rate of the research group was 98. 61%,the total adverse reaction rate was 0. 69%,the controlled group respectively was 91. 67%,8. 33%,P 0. 05,the difference was statistically significant; the clinical indicators and laboratory examination indexes,HAQ rating scale of the two groups of patients before treatment were similar（ P〈0. 05）,each patient data were improved after treatment,the improvement of the research group was significantly better than the controlled group,the difference had statistical significance（ P〈0. 05）. Conclusion： Bushen Quhan Zhiwang Decoction combined with traditional Chinese medicine fumigation and acupoint paste for treating rheumatoid arthritis,patients symptoms improve significantly,good health,less adverse reaction,high security,with high clinical application and popularization value.
出处
《四川中医》
2017年第1期80-83,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
类风湿性关节炎
补肾祛寒治尪汤
中药熏蒸
中药穴位敷贴
Rheumatoid arthritis
Bushen Quhan Zhiwang Decoction
Herbal Fumigation
Traditional Chinese medicine acupoint application
