中药联合西药治疗痹证临床效果及护理体会

Clinical Experience of Effect and Nursing of Traditional Chinese Medicine Combined with Western Medicine for Bi Syndrome

目的:评价与分析风湿关节炎患者采用中药口服和熏洗联合西药治疗临床疗效和安全性及护理体会。方法:80例风湿关节炎患者按照随机抛硬币法分组为对照组与治疗组,各40例。对照组于采用西乐葆0.2 g/次治疗,2次/d,同时采用常规抗风湿药物治疗。治疗组于对照组治疗基础上加用熏洗治疗;两组均实施护理。统计两组患者实验室、临床相关指标变化和临床疗效及发生不良反应等情况。结果:治疗组临床症状积分及疗效明显优于对照组(P<0.05);治疗后,两组患者临床指标和实验室各项指标较治疗前相比,均明显变化(P<0.05);且治疗组变化优于对照组(P<0.05)。治疗组治疗期间不良反应及治疗后复发率明显低于对照组(P<0.05)。结论:临床应用中药口服和熏洗联合西药治疗风湿关节炎患者,其具有较好协同效果,改善临床症状,同时实施临床护理可提高临床疗效。

Objective：To evaluate and analyze clinical curative effect and safety of oral medicine and fumigation combined western medicine therapy and nursing experience for patients with Bi syndrome. Methods：80 patients with Bi syndrome,in accord- ance with the method of random flipping a coin, were grouped into control group and treatment group ,40 cases in each. Control group adopted celebrex 0.2 g/time, 2 times/day. At the same time, the conventional anti - rheumatism medicine was used. The treatment group added fumigation treatment. 2 groups＇clinically relevant index changes and clinical curative effect and adverse re- actions and so on and so forth were compared. Results ：The treatment group＇s curative effect and clinical symptom integral were ob- viously better than those of control group （P 〈 0. 05 ）. After treatment ,2 groups＇ clinical signs and laboratory indicators compared to those before the treatment were significantly changed （ P 〈 0. 05 ）. Changes of the treatment group were better than that of con- trol group （P 〈 0. 05 ）. Treatment group＇s adverse reactions during treatment and recurrence rates were significantly lower than those of the control group after treatment （ P 〈 0.05 ）. Conclusion ： The clinical application of oral medicine and fumigation com- bined with western medicine to treat Bi syndrome has a good synergistic effect, which can improve the clinical symptoms. At the same time, the clinical nursing can improve the clinical curative effect.