中医药泡洗治疗活动期类风湿关节炎(寒湿痹阻证)疗效观察

Observation on treating active rheumatoid arthritis(the Hanshi Bizu syndrome)by TCM soaking

目的:观察中医泡洗治疗类风湿关节炎(Rheumatoid Arthritis,RA)活动期寒湿痹阻证患者的临床疗效。方法:对门诊60例类风湿关节炎急性期患者随机分成两组,治疗组为中西药结合治疗配合中医外治,对照组为单纯中西药结合治疗。在治疗8周后对患者晨僵时间、双手平均握力、视觉模拟评分法(Visual Analogue Scale,VAS)测定、红细胞沉降率(Erythrocyte Sedimentation Rate,ESR)指标进行比较。结果:两组治疗后的晨僵时间、双手平均握力、VAS测定、ESR方面与本组治疗前比较,差异有统计学意义(P<0.05)。两组治疗后晨僵时间比较,差异无统计学意义(P>0.05),而在双手平均握力、VAS测定、ESR方面比较,差异均有统计学意义(P<0.05)。结论:在常规中西药联合治疗的基础上加用中药泡洗可以缓解类风湿关节炎患者的肿痛症状,改善其关节活动,对活动期类风湿关节炎患者的生活质量有所提升,改善了患者的病情,是一种有效的优化方案。

Objective:To observe the clinical efficacy of TCM soaking on rheumatoid arthritis(active phase)of the Hanshi Bizu syndrome(寒湿痹阻证).Methods:Sixty patients were randomly divided into two groups.The treatment group was given the integrative medicine plus external treatment,and the control group was treated in the integrative medicine.Results:There were statistically significant differences in morning stiffness,average grip strength,VAS score,and ESR between before and after treatment in groups(P<0.05).There was no statistically significant difference in the morning stiffness time between two groups after treatment(P>0.05),and there were statistically significant differences in the average grip strength of both hands,VAS score,and ESR(P<0.05).Conclusion:On the basis of the integrative medicine,TCM soaking can relieve the swelling and pain symptoms,improve their joint activities,and improve the quality of life,it is an effective optimization plan.