中药熏蒸联合针灸辅治类风湿性关节炎临床观察

Clinical observation on treating rheumatoid arthritis by TCM fumigation plus acupuncture

目的:中药熏蒸联合针灸辅治类风湿性关节炎临床观察。方法:分析于我院接受治疗的类风湿性关节炎患者70例,视其治疗方案的不同分为两组各35例,对照组给予常规治疗联合中医熏蒸,观察组给予常规治疗,中药熏蒸联合针灸。两组均连续治疗2个月,比较两组临床疗效、中医证候积分、血清炎症因子水平及不良反应。结果:治疗后,观察组总有效率高于对照组,差异有统计学意义(P<0.05);观察组关节疼痛、关节压痛、关节肿胀及关节僵硬积分均低于对照组,差异有统计学意义(P<0.05);观察组白细胞介素-1(Interleukin-1,IL-1)、白细胞介素-6(Interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)水平均低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率与对照组比较差异无统计学意义(P>0.05)。结论:中药熏蒸联合针灸辅治类风湿性关节炎可明显提高治疗效果,改善类风湿性关节炎患者证候。

Objective:To observe TCM fumigation plus acupuncture on rheumatoid arthritis.Methods:70 cases were divided into two groups according to treatment plans,35 cases for each group.The control group was given conventional treatment plus TCM fumigation,and the observation group was given acupuncture more.Both groups were treated continuously for 2 months.Results:After treatment,the total efficiency in the observation group was higher,the scores of joint pain,joint tenderness,joint swelling and joint stiffness in the observation group were lower than the control group(P<0.05).The levels of IL-1,IL-6 and TNF-αin the observation group were lower than the control group,P<0.05.There was no statistically significant difference in adverse reactions between the groups(P>0.05).Conclusion:TCM fumigation plus acupuncture on rheumatoid arthritis can significantly improve clinical effects and symptoms.