摘要
目的探究独活寄生汤在痹证中的诊疗效果。方法收集南京市栖霞区马群社区卫生服务中心来自2018年1月-2021年10月之间的106例痹证患者作为探究对象,将痹证患者以随机数字表法分组方式分成对照组53例和实验组53例。对照组在进行治疗时给予双氯芬酸钠双释放肠溶胶囊,实验组在治疗时给予独活寄生汤,对两组患者治疗前后中医证候积分、疼痛水平以及生化指标进行统计学分析。结果两组患者中医证候积分在治疗前无明显差异(P>0.05);治疗后,实验组患者的四肢疼痛积分、关节酸胀积分和面色苍白积分显著低于对照组,数据统计意义显著(P<0.05);治疗前,两组患者疼痛水平相似,对比无意义(P>0.05);实验组患者于治疗一周后和治疗一个月后疼痛水平明显低于对照组,数据具有统计学意义(P<0.05);在生化指标比较中,治疗前,两组患者血沉指标、C反应蛋白指标、类风湿因子指标差异较小,无统计价值(P>0.05);治疗后,实验组患者上述生化指标均低于对照组数值,数据存在统计学意义(P<0.05)。结论独活寄生汤可以有效改善痹证患者的中医症状和疼痛程度,降低患者生化指标,治疗效果更好,无毒副作用,值得推广。
Objective To explore the diagnosis and treatment effect of Duhuo Jisheng decoction in arthralgia syndrome.Methods 106 patients with arthralgia syndrome from January 2018 to October 2021 in our hospital were taken as the research object,and the patients with arthralgia syndrome were divided into control group(53 cases)and experimental group(53 cases)by numerical table method.The control group was treated with diclofenac sodium sustained-release tablets,and the experimental group was treated with Duhuo parasitic decoction.The TCM symptom scores,pain levels and biochemical indicators of the two groups of patients before and after treatment were statistically analyzed.Results There was no significant difference in TCM symptom scores between the two groups before treatment(P>0.05);after treatment,the scores of limb pain,joint swelling and pallor in the experimental group were significantly lower than those in the control group(P<0.05);before treatment,the pain levels of the two groups were similar,and the comparison was meaningless(P>0.05);the pain level of patients in the experimental group was significantly lower than that in the control group after one week and one month of treatment(P<0.05);in the comparison of biochemical indexes,there was little difference between the two groups in ESR index,C-anti protein index and rheumatoid factor index,which had no statistical value(P>0.05);after treatment,the above biochemical indexes of patients in the experimental group were lower than those in the control group,and the data had statistical value(P<0.05).Conclusion Duhuo Jisheng Decoction can effectively improve the symptoms and pain degree of arthralgia patients,and can also reduce the biochemical indicators of patients,with better effect,which is worth promoting.
作者
卢震
Lu Zhen(Internal Department of Traditional Chinese Medicine,Maqun Community Health Service Center,Qixia District,Nanjing,Jiangsu 210049,China)
出处
《首都食品与医药》
2023年第5期142-144,共3页
Capital Food Medicine
关键词
痹证
双氯芬酸钠双释放肠溶胶囊
独活寄生汤
有效性
arthralgia syndrome
Diclofenac sodium sustained-release tablets
Duhuo parasitic soup
Effectiveness
