隔物温和灸配合西药治疗类风湿关节炎临床观察

Clinical observation on treatment of rheumatoid arthritis with cake-separated mild moxibustion combined with western medicine

目的:观察隔附子饼温和灸治疗类风湿关节炎(RA)的增效作用,探讨治疗RA新的有效方法。方法:60例患者按随机原则平均分为两组,对照组30例以甲氨蝶呤口服作为基础治疗,并根据病情酌用非甾体类抗炎药(NSAIDs)治疗。治疗组30例在对照组治疗之上加用隔附子饼灸关元、足三里。两组治疗时间3个月。结果:治疗3个月后,治疗组总有效率为83·3%,高于对照组的60·0%,差异有显著性意义(P<0·05);两组治疗后各项指标与治疗前对比差异均有显著性意义(P<0·05,P<0·01);治疗组完全停用非甾体类消炎药患者的比率明显高于对照组(P<0·05);治疗组不良反应的发生率明显低于对照组(P<0·05)。结论:隔附子饼温和灸治疗RA可提高临床疗效,减少NSAIDs的使用。

Objective To observe the effect-increasing action of cake-separated mild moxibustion on rheumatoid arthritis （RA）, and to probe a new method for RA. Methods Sixty cases were randomly divided into 2 groups. The control group （n = 30） were treated with oral administration of methotrexate （MTX） as basic treatment, and non-steroid anti-inflammatory agents （NSAIDs） according to conditions of the patient. The treatment group （n = 30） were treated with the same treatment as the control group, and Fuzi case-separated moxibustion at Guanyuan （CV 4） and Zusanli （ST 36） was added. They were treated for 3 months. Results After treatment of 3 months, the total effeetive rate was 83.3% in the treatment group, which was higher than 60. 00% in the control group（P〈 0.05）, there were significant differences before and after treatment in all indexes in the two groups （P〈0.05 or P 〈0. 01）, the ratio of the patients who completely withdrew NSAIDs in the treatment group was significantly higher than that in the control group （P〈0.05）, the rate of adverse reaction in the treatment group was Significantly lower than that in the control group （P〈 0.05）. Conclusion Fuzi cake-separated mild moxibustion can increase clinical therapeutic effect on RA and reduce dosage of NSAIDs.