中西医结合治疗对类风湿关节炎血液流变学的影响

The Effect of Integrative Medicine for Rheumatoid Arthritis Hemorheology

目的:通过观察活血化瘀法联合来氟米特片、美洛昔康分散片治疗对类风湿关节炎血液流变学的影响,探讨中西医结合治疗类风湿关节炎的优势。方法:对确诊的159例患者随机分为两组,对照组服用来氟米特片和美洛昔康分散片治疗,治疗组在此基础上加服自拟活血化瘀中药方剂治疗。两组均连续服用3个月为1个疗程,1个疗程后分别测定全血黏度、血浆黏度等指标,并进行疗效评定。结果:治疗后两组血液流变学指标均较治疗前降低(P<0.05),且治疗组改善更为明显(P<0.01),治疗组的血沉、全血黏度、血浆黏度改善与对照组比较P<0.01。结论:中西医结合治疗类风湿关节炎在改善微循环方面较单纯西医治疗更具有优势。

Objective：By observing the effect of Huoxue Huayu method combined with leflunomide tablets and meloxicam dispersible tablets treatment on hemorheology in patients with rheumatoid arthritis,discuss the advantage of Integrated Traditional and Western treatment of rheumatoid arthritis.Methods：159 cases of diagnosed patients were randomly divided into two groups,which the control group taking leflunomide tablets and meloxicam dispersible tablets treatment,while the treatment group on this basis added services from traditional Chinese medicine prescriptions to be treated.Both groups were taking 3 consecutive months for a course of treatment,and were measured after a course of whole blood viscosity,plasma viscosity index,than do the efficacy evaluation.Results：After treatment,the blood rheology of both groups is lower than before treatment（P0.05）,and the treatment group improved more significantly（P0.01）.The erythrocyte sedimentation rate,blood viscosity,plasma viscosity improvement of treatment group compared with the control group is P0.01.Conclusion：Integrative Medicine aspects of rheumatoid arthritis in the microcirculation is more than a simple Western medicine has an advantage.