中药内服配合熏蒸推拿法治疗类风湿关节炎的价值探讨

Discussion on the Value of Oral Chinese Herbal Medicine combined w ith Fumigation and Massage Therapy in the Treatment of Rheumatoid Arthritis

目的探讨自拟中药汤配合熏蒸推拿法对类风湿关节炎的应用价值。方法在医院2014年12月—2016年1月期间诊治的类风湿关节炎患者中抽取78例作研究对象并经随机抽签方式予以分组,治疗组(n=39)应用自拟中药汤配合熏蒸推拿法治疗,对照组(n=39)应用常规西药方案治疗,对比2组患者临床疗效以及治疗前后疼痛程度、晨僵时间。结果治疗组患者的治疗总有效率是94.87%,治疗后的VAS疼痛评分是(3.05±0.45)分,晨僵时间是(30.12±10.42)min;对照组患者的治疗总有效率是79.49%,治疗后的VAS疼痛评分是(5.82±1.24)分,晨僵时间是(43.52±16.59)min;2组观察指标的组间比较均能有统计学差异(均P<0.05)。结论自拟中药汤配合熏蒸推拿法对类风湿关节炎的应用效果显著,可明显缓解其关节疼痛,并缩短其晨僵时间,可作为类风湿关节炎首选治疗方案。

Objective To investigate the application value of oral Chinese herbal medicine combined with fumigation and massage ther.apy in the treatment of rheumatoid arthritis. Methods 78 cases of patients with rheumatoid arthritis in our hospital from December2014 to January 2016 for treatment were divided into two groups by random draw. The treatment group（ n = 39） used oral Chinese herbal medicine combined with fumigation and massage therapy. The control group（ n = 39） used conventional Western medicine regimen. The clinical effect as well as pain degree and morning stiffness before and after treatment of the two groups was compared.Results In the treatment group, the total effective rate was 94.87%, the VAS pain score after treatment was（3.05 ± 0.45） points,and duration of morning stiffness was（30.12 ± 10.42） min. In the control group, the total effective rate was 79.49%, the VAS pain score after treatment was（ 5.82 ± 1.24） points, and duration of morning stiffness was（ 43.52 ± 16.59） min. The difference was statistically significant（all P〈0.05）. Conclusion Self.made oral Chinese herbal medicine combined with fumigation and massage therapy in the treatment of rheumatoid arthritis has significant application effect, can significantly relieve joint pain, shorten the dura.tion of morning stiffness, and can be used as the preferred treatment of rheumatoid arthritis.