摘要
[目的]观察针灸与独活寄生汤联合西药治疗类风湿性关节炎疗效。[方法]使用随机平行对照方法,将48例门诊及住院患者按抽签法简单随机分为两组。对照组24例布洛芬,200mg/次,3次/d;甲氨蝶呤10mg/次,1周/次;独活寄生汤(人参10g,杜仲、当归、白芍各8g,防风7g,桑寄生、牛膝、细辛各6g,独活、秦艽、甘草各5g;湿重加苍术、防己各5g;痛重加乳香、制川乌、地鳖虫各5g;寒甚加附子5g;脾虚加白术、砂仁各5g),1剂/d,水煎200m L,1次/d。治疗组24例针灸,肩关节:肩贞、肩腧、天宗;肘关节:少海、曲池、曲泽、手三里;腕关节:阳溪、外关、内关、合谷;指关节:八邪;髋关节:秩边、环跳、承扶;膝关节:血海、阳陵泉、内外膝眼、足三里;踝关节:昆仑、解溪、绝骨;趾关节:太冲、八风;脊柱疼痛选腰阳关、肾俞、膀胱俞、阿是穴;针刺加艾灸,30min/次,隔日1次;西药及汤药治疗同对照组。连续治疗20d为1疗程。观测临床症状、晨僵、20m步行、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈10例,显效8例,有效4例,无效2例,总有效率91.67%。对照组痊愈3例,显效7例,有效6例,无效8例,总有效率66.67%。治疗组疗效优于对照组(P<0.01)。症状、体征积分两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]针灸与独活寄生汤联合西药治疗类风湿性关节炎效果显著,值得推广。
[Objective]To observe the living by acupuncture in combination with the parasitic effect decoction and western medicine treatment of rheumatoid arthritis. [Methods]Using stochastic parallel comparison method,48 cases of outpatient and inpatient is divided into two groups according to random number table method. The control group of 24 cases of ibuprofen tablets,200 mg/time,3 times/d; Methotrexate10 mg/time,1 week 1 times; Live with parasitic soup(Renshen10 g,Duzhong,Danggui,Baishao 8 g,Fangfeng 7g,Sangjisheng,Niuxi,Xinxin each 6 g,Duhuo,Qinjiu,Gancao 5g,wet weight and Cangzhu,Fangji 5 g; pain with frankincense,Ruxiang,Zhichuanwu,Dibiechong5 g; cold what add Fuzi5 g; lateral root of aconite and Baizhu,Sharen5g),1/d,boiling water 200 m L,1/d. 24 cases of acupuncture treatment group,shoulder: shoulder the zhen,shoulder Shu,day; Elbow: less sea,li 11,PC 3,hand three mile; Wrist: li 5,inside the outer clearance,clearance,valley; Knuckles: eight evil; Hip: rank side,gb 30,cheng fu; The knee joint: blood,gb 34,inside and outside the knee eyes,foot three mile; Ankle: kunlun,st 41,no bone; The toe joint: lr 3,eight wind; Spinal pain choose gv 3 o shu shu,bladder,kidney,and is the hole; Acupuncture and moxibustion,30 min/times,day 1 times; Western medicine herb tea and treatment with the control group. Continuous treatment of 20 d 1 course of treatment. Observation of clinical symptoms,symptom index,adverse reactions. Continuous treatment 2 period of treatment,judge curative effect. [Results]The treatment group,10 cases were cured,8 cases were markedly effective,effective 4 cases,2 had no effect,the total effective rate was 91.67%. The control group recovered in 3 cases,7 cases were markedly effective,6 cases effective,8 no effect,the total effective rate was 66.67%. The treatment group curative effect is better than that of control group(P〈0.01). Two groups of symptoms and signs integral were improved(P〈0.05),the treatment group improved better than that of control group(P〈0.05). [Conclusion] Acupuncture combined live alone parasitic decoction and western medicine treatment of rheumatoid arthritis,is worth promoting.
出处
《实用中医内科杂志》
2015年第1期149-151,共3页
Journal of Practical Traditional Chinese Internal Medicine