摘要
Objective： to observe the clinical effects of warm needling on rheumatoid arthritis. Methods： Patients with rheumatoid were treated with warming needling on the major acupoints of Guanyuan（CV 4）, Qihai（CV 6）, Zusanli（ST 36）, Ganshu（BL 18）, Shenshu（BL 23） and Pishu（BL 20）, in combination with local acupoints and acupoints on the related meridians, meanwhile, other patients were treated with single needling as control. The patients＇ joint pain, tenderness, swelling, dysfunction index, gripping force, morning stiffness, walking time of 20 meters, rheumatoid factor, erythrocyte sedimentation rate, C response protein, IgG, IgA, and IgM were measured before and after treatments. Results： Warm needling could improve the rheumatoid arthritis patients＇ symptoms, and had an effective rate of 86.2%, while the single needling had an effective rate of 57.1%（P〈0.01）. And the therapeutic effects were related to the disease duration and condition. Conclusion： Warm needling has a better clinical effects on rheumatoid arthritis than the single needling, with obvious functions of anti-inflammation, relieving pain and regulating immunity.
目的:观察温针灸治疗类风湿性关节炎的疗效。方法:采用温针灸法治疗类风湿性关节炎患者,取关元、气海、足三里、肝俞、肾俞、脾俞为主穴,配合局部选穴及循经取穴,以单纯毫针剌法进行疗效对照。观察治疗前后 RA 患者关节疼痛、压痛、肿胀、功能障碍指数,握力,晨僵和20米步行时间及 RF、ESR、CRP、IgG、IoA 和 IgM 等指标。结果:温针灸能明显改善 RA 患者的主要临床症状,温针组与对照组的总有效率分别是86.2%、57.1%(P<0.01)。疗效与病程、病情相关。结论:温针灸法治疗类风湿性关节炎临床疗效明显优于单纯毫针刺组,有较好的抗炎镇痛及免疫调节的作用。
