针刺加艾灸结合疗法对类风湿性关节炎的近远期疗效

Short-term and Long-term Efficacy of Acupuncture Combined Moxibustion Therapy in Treatment of Rheumatoid Arthritis

目的：探讨针刺加艾灸配合治疗类风湿关节炎的近远期疗效。方法：选择我院2013年4月~2014年1月门诊病房治疗的74例类风湿关节炎患者为研究对象,以随机数字表法分组,观察组37例,对照组37例,对照组实施西医疗法治疗,观察组在对照组基础上采取针刺配合艾灸治疗,对两组患者治疗后效果进行分析。结果：观察组治疗后1个月有效率为89.19%,对照组为70.27%,差异显著（P〈0.05）;治疗后1年疗效显示,对照组有效率为59.46%,观察组94.59%,两组差异存在统计学意义（P〈0.05）;治疗前两组患者晨僵时间、关节压痛指数、关节肿胀指数、关节功能评分、握力等指标水平无明显差异,治疗后两组患者均有变化,观察组治疗后以上指标水平明显优于对照组,两组差异有统计学意义（P〈0.05）;治疗前血沉（ESR）、C-反应蛋白（CRP）与类风湿因子（RF）指标无明显差异,治疗后均有改善,但是观察组治疗后各项指标水平明显低于对照组,差异有统计学意义（P〈0.05）;对照组治疗后不良反应发生率为16.22%,观察组为2.70%,两组差异有统计学意义（P〈0.05）。结论：艾灸配合针刺治疗类风湿关节炎可取得较好近远期疗效,提高了患者关节功能及握力,有效缓解晨僵、关节疼痛、肿胀等症状。

Objective： To study the short-term and long-term curative effect of acupuncture plus moxibustion in the treatment of rheumatoid arthritis. Methods： 74 cases of patients with rheumatoid arthritis from April 2013 to January 2014 were selected as the research objects, and divided into two groups by the method of random Numbers table, 37 cases each group. The patients in control group were given western medicine therapy, and the patients in observation group were treated with acupuncture with moxibustion on the basis of the control group. The short-term and long-term curative effect of the two groups were analyzed and compared. Results： The effective rate was 89.19 % in the observation group and 70.27 % in control group after 1 month of treatment with significant difference between two groups（P〈0.05）; the effective rate was 59.46 % in control group and 94.59 % in observation group after 1 year, and the difference between the two groups was statistically significant（P 〈0.05）. The time of morning stiffness, joint tenderness index, the index of joint swelling, joint function score, grip strength had no significant difference in the two groups of patients before treatment, and after the treatment, these indicators were greatly improved in two groups, and the level of above indexes was better in observation group than that of control group, and the difference between the two groups was statistically significant（P〈0.05）. After treatment, the incidence of adverse reactions was 16.22 % in control group and 2.70 % in observation group, and the difference between the two groups was statistically significant（P〈0.05）. Conclusions： The efficacy of acupuncture and moxibustion for the treatment of rheumatoid arthritis can obtain good short-term and long-term curative effect, improve the patient＇s joint function and grip strength, alleviate the symptoms such as morning stiffness, joint pain and swelling.