摘要
目的研究温针灸结合自拟中药熏洗护理对类风湿关节炎(RA)患者的影响。方法将本院2020年10月-2021年10月收治的150例RA患者以随机数表法简单分为观察组(75例)和对照组(75例)。对照组采取温针灸治疗,在此基础上,观察组联合自拟中药熏洗护理治疗。治疗1个月后,比较2组患者临床疗效、临床症状改善情况、实验室相关指标水平变化及免疫功能,同时观察不良反应发生情况。结果观察组治疗总有效率为96.00%,高于对照组治疗总有效率85.33%,差异具有统计学意义(P<0.05);观察组临床各症状评分均低于对照组,差异具有统计学意义(P<0.05);观察组白介素-1(IL-1)、C反应蛋白(CRP)、血沉(ESR)、类风湿因子(RF)水平较对照组降低,差异具有统计学意义(P<0.05);观察组患者CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)水平较对照组升高,CD8^(+)水平明显低于对照组,差异具有统计学意义(P<0.05);2组患者不良反应发生率比较差异无统计学意义(P>0.05)。结论温针灸结合自拟中药熏洗护理能有效提高RA患者临床疗效,改善临床症状,并减轻患者局部炎症反应。
Objective To study the effect of warming needle moxibustion combined with fumigating and washing with traditional Chinese medicine on patients with rheumatoid arthritis(RA).Methods A total of 150 patients with RA admitted to the hospital from October 2020 to October 2021 were divided into observation group(75 cases)and control group(75 cases)by random number table method.The control group underwent warming needle moxibustion,and the observation group underwent warming needle moxibustion combined with fumigating and washing with self-made traditional Chinese medicine.The two group were compared in terms of clinical effect,improvement of clinical symptoms,changes in laboratory indicators,and immune function after 1 month of treatment.Adverse reactions were observed.Results The total treatment response rate in the observation group(96.00%)was significantly higher than that in the control group(85.33%)(P<0.05).The clinical symptom scores of observation group were significantly lower than those of the control group(P<0.05).The levels of interleukin-1(IL-1),C-reactive protein(CRP),erythrocyte sedimentation rate(ESR)and rheumatoid factor(RF)in the observation group were significantly lower than those in the control group(P<0.05).The levels of CD3^(+),CD4^(+) and CD4^(+)/CD8^(+) were significantly higher,and the level of CD8^(+) was significantly lower in the observation group than in the control group(P<0.05).The incidence of adverse reactions showed no significant difference between the two groups(P>0.05).Conclusion Warming needle moxibustion combined with fumigating and washing with self-made traditional Chinese medicine can effectively improve the clinical effect in patients with RA,and relieve related clinical symptoms and local inflammatory response.
作者
宋剑英
谢超
王方琴
SONG Jianying;XIE Chao;WANG Fangqin(Department of Acupuncture and Moxibustion,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610000,China)
出处
《云南中医学院学报》
2021年第6期68-72,共5页
Journal of Yunnan University of Traditional Chinese Medicine
基金
四川省中医药管理局科研课题(2018LC017)。
关键词
温针灸
中药熏洗
类风湿关节炎
疗效
关节功能
warming needle moxibustion
fumigating and washing with traditional Chinese medicine
rheumatoid arthritis
curative effect
joint function
