蜂针阿是穴与循经取穴治疗类风湿关节炎临床观察

Clinical Observation on Bee-sting Therapy with Ashi Points and with Points of Corresponding Meridians in Treating Rheumatoid Arthritis

目的对比蜂针阿是穴与蜂针循经取穴治疗类风湿关节炎临床疗效及作用机制。方法将60例患者随机分为治疗组和对照组,每组30例。治疗组以蜂针阿是穴为主,对照组则以蜂针循经取穴为主,两组治疗均是利用活蜂螫刺。观察两组治疗前后的主要症状变化及总体功能状态评估、血沉及类风湿因子等指标的改变。结果治疗组和对照组均可改善类风湿关节炎患者的主要症状及总体功能状态,降低血沉及类风湿因子等指标,治疗组中总体功能状态评估达到1级和2级的占90.0%,对照组中达到1级和2级的占73.3%,治疗组总体功能状态明显优于对照组(P<0.05)。结论蜂针阿是穴在治疗类风湿关节炎中能较好地改善其临床症状,降低相关实验室指标,提高患者的生活自理能力。

Objective To compare the therapeutic efficacies of selecting Ashi points and selecting points of the corresponding meridians in treatment of rheumatoid arthritis with bee-sting therapy. Method Sixty patients were randomized into a treatment group and a control group, 30 in each group. The treatment group was majorly treated with bee-sting by selecting Ashi points, while the control was by selecting points of the corresponding meridians. The two groups were both treated with sting by bees alive. Major symptoms, overall function status, erythrocyte sedimentation rate （ESR）, and rheumatoid factor （RF） were observed. Result The two groups both showed improvements in major symptoms, overall function status, ESR, and RF. Subjects with overall function status evaluated at grade 1 and 2 occupied 90.0% in the treatment group versus 73.3% in the control group, and the overall function status of the treatment group was significantly better than that of the control group （P〈 0.05）. Conclusion Bee-sting by selecting Ashi points can improve the clinical symptoms of rheumatoid arthritis, reduce the levels of the relevant laboratory indexes, and enhance the ability of daily life of the patients.