耳压联合自拟中药方和双氯芬酸钠治疗幼年特发性关节炎60例

On the Treatment of 60 Cases with Rheumatoid Arthritis with Juvenile Idiopathic Arthritis by Ear Pressure Treatment Combined with Self-made TCM Prescription and Diclofenac Sodium

目的:观察耳压联合自拟中药方和双氯芬酸钠治疗幼年特发性关节炎的临床疗效。方法:将60例幼年特发性关节炎随机分为治疗组和对照组,每组30例。对照组给予自拟中药方和双氯芬酸纳治疗,治疗组在对照组的基础上加用耳压治疗,比较两组治疗效果。结果:治疗3d后两组关节疼痛均减轻,症状持续改善。治疗1,2,4,8,12周后治疗组临床缓解率均优于对照组。治疗12周内,不良反应发生率治疗组占16.70%,对照组占22.10%,两组比较差异无统计学意义(P>0.05)。治疗12周后两组晨僵时间、关节压痛数、关节肿胀数、关节活动受限数、红细胞沉降率、疾病活动度评分(DAS28)均较治疗前好转,差异有统计学意义(P<0.05)。结论:耳压联合中西药物治疗幼年特发性关节炎较中西药物治疗起效快,效果显著,且安全性好。

Objective：To observe the clinical curative effect of treating juvenile idiopathic arthritis with ear pressure treatment combined with self-made TCM prescription and diclofenac sodium.Methods：60 patients with juvenile idiopathic arthritis were randomly and equally divided into the treatment group and the control group.the control group treated by Self-made TCM Prescription and Diclofenac Sodium,as the treatment group were given ear pressure treatment on the basis of the control group,comparing the results of the two groups Results：After 12-week treatment,the morning stiffness time,joint tenderness,joint swelling,limited joint activity count,erythrocyte sedimentation rate and disease activity score （DAS28） of the two groups were significantly improved,the difference being statistically significant （P 〈 0.05）.After 3 days of treatment,joint pain of the two groups were mitigated and the symptoms were continuously improved.After treatment of 1,2,4,8 and 12 weeks,the clinical remission rate of the treatment group was better than that of the control group.Within 12 weeks of treatment,the incidence of adverse reaction was 16.70% in the treatment group,22.10% in the control group,with no significant difference between the two groups （P 〉 0.05）.Conclusion：The treatment of juvenile idiopathic arthritis with ear pressure and chinese-western medicine was better than that with chinese-western medicine only, with a rapid onset and safety