针刺结合艾灸治疗类风湿关节炎

Clinical research on acupuncture combined with moxibustion on the treatment of rheumatoid arthritis

目的观察针刺、艾灸、针刺结合艾灸治疗类风湿关节炎的临床疗效差异。方法将90例患者随机分为针刺组(30例)、艾灸组(30例)和针灸组(30例),观察并记录治疗前及治疗后症状分级量化评分。结果与针刺组比较,艾灸组可以显著改善关节压痛(P<0.05),针灸组可显著改善患者关节肿胀度、双手握力(P<0.05或P<0.01)和疼痛评分;与艾灸组比较,针刺组可以显著改善关节活动度(P<0.05),针灸组可显著改善患者的主次症、关节活动度和疼痛评分(P<0.05);针灸组总有效率显著高于针刺单用组和艾灸单用组(P<0.05或P<0.01)。结论针刺结合艾灸治疗类风湿关节炎具有显著免疫调节作用,改善受损关节生理功能。

Objective To observe the difference of clinical effects of acupuncture,moxibustion,acupuncture combined with moxibustion.Methods 90 patients were randomly divided into acupuncture group（30 cases）,moxibustion group（30 cases）,and acupuncture combined with moxibustion group（30 cases）.The quantitative classification of symptoms score before and after treatment was observed and recorded.Results Compared with acupuncture group,moxibustion group can significantly improve joint tenderness（P〈0.05）,acupuncture combined with moxibustion group can significantly improve joint swelling in patients with dual grip strength（P〈0.05 or P〈0.01） and pain scores;compared with moxibustion group,acupuncture group can significantly improve the range of motion（P〈0.05）,and acupuncture combined with moxibustion group can significantly improve the patient＇s primary and secondary disease,range of motion and pain scores（P〈0.05）;the total effective rate of acupuncture combined with moxibustion group were significantly higher than that of the acupuncture alone group and moxibustion alone group（P〈0.05 or P〈0.01）.Conclusion Using acupuncture combined with moxibustion to treat rheumatoid arthritis had significant immunomodulatory effect,and can improve the physiological function of the damaged joints,with accurate clinical curative effect.