中西医结合治疗类风湿关节炎的疗效观察

Effective observation on treating RA in the integrative medicine

目的:探讨中西医结合治疗类风湿关节炎的临床疗效。方法:选取我院收治的72例类风湿关节炎患者,随机分为治疗组和对照组各36例,对照组采用单纯西药方案治疗。治疗组在对照组的基础上配合运用我院中药内服、外用等中医特色疗法。结果:两组患者治疗前晨僵时间、关节肿胀数目及压痛数比较,差异无统计学意义(P>0.05),两组患者具有可比性;治疗后两组患者晨僵时间、关节肿胀数目及压痛数比较差异有统计学意义(P<0.05)。两组患者治疗前ESP、CRP、RF比较差异无统计学意义(P>0.05),表明两组患者具有可比性;两组患者治疗后PF比较差异无统计学意义(P>0.05),ESP、CRP比较差异有统计学意义(P<0.05)。两组患者最总有效率比较差异有统计学意义(P=0.0025,P<0.05)。结论:在采用甲氨蝶呤及来氟米特等西医治疗方案基础上配合运用我院中药内服、外用等中医特色疗法,可明显改善患者的临床症状,帮助患者恢复,明显减轻或消除患者痛苦,并提高临床疗效,亦无明显不良反应。

Objective:To explore the clinical effect of the integrative medicine on rheumatoid arthritis.Methods:72patients were randomly divided into the treatment group and control group.The control group was treated with western medicine.The treatment group took TCM medicine more.Results:There were significant differences in morning stiffness time,number of joint swelling and tenderness between two groups after treatment(P<0.05).PF did not show a significant difference between groups after treatment(P>0.05);and ESP,CRP showed significant differences between two groups(P<0.05).The difference in total efficiency between two groups was statistically significant(P=0.0025,P<0.05).Conclusion:The integrative medicine on RA was effective,by improving clinical symptoms,promoting prognosis,and reducing or eliminating pain,with no obvious adverse reaction.