健脾补肾强督壮骨法针刺输穴治疗RA患者的效果及其对膝关节疼痛、活动功能及炎性因子水平的影响

Effects of acupuncture and Shupoint therapy combined with method of spleen-invigorating,kidneytonifying,bones and Du meridian-strengthening on RA patients and its influence on their knee joint pain,movement function and inflammatory factor levels

目的:分析健脾补肾强督壮骨法针刺输穴对类风湿性关节炎(RA)患者炎性因子水平、膝关节疼痛程度及活动功能的影响。方法:选取95例RA患者作为研究对象,采用随机数字表法分为对照组47例和观察组48例。对照组给予常规针刺治疗,观察组给予健脾补肾强督壮骨法针刺输穴治疗。对比两组患者关节疼痛程度、膝关节活动功能、炎性因子水平。结果:治疗后,观察组视觉模拟量表(VAS)评分、关节肿胀数(SJC)、关节压痛数(TJC)和晨僵时间均低于对照组(P<0.05);观察组膝关节活动度高于对照组,20 m步行时间短于对照组(P<0.05);观察组血沉(ESR)、类风湿因子(RF)、C反应蛋白(CRP)水平均低于对照组(P<0.05)。结论:健脾补肾强督壮骨法针刺输穴治疗RA患者效果显著,能够降低关节疼痛程度和炎性因子水平,提高膝关节活动功能。

Objective: To analyze the effects of acupuncture and Shupoint therapy combined with method of spleen-invigorating, kidney-tonifying and bone and Du meridian-strengthening on the inflammatory factor levels, knee pain degree and activity function in patients with rheumatoid arthritis(RA). Methods: A total of 95 RA patients were selected as the research objects, and randomized into 2 groups with 47 cases in the control group and 48 cases in the observation group. The control group received conventional acupuncture treatment, and the observation group were treated with acupuncture Shupoint therapy by invigorating spleen, tonifying kidney, strengthening Du meridian and bone. Comparison was made between patients in the two groups on the degree of joint pain, knee joint activity and inflammatory factors. Results: After treatment, visual analog scale(VAS)score, swelling joint count(SJC), tenderness joint count(TJC)and morning stiffness time in the observation group were lower than those in the control group(P<0.05);the knee motion of the observation group was higher than that of the control group, and the walking time of 20 m was shorter than that of control group(P<0.05);and erythrocyte sedimentation rate(ESR), rheumatoid factor(RF)and C-reaction protein(CRP)levels in observation group were lower than those in control group(P<0.05). Conclusion: Acupuncture and Shupoint therapy combined with method of spleen-invigorating, kidney-tonifying and bone and Du meridian-strengthening for RA patients has a definite effect, which can reduce the degree of joint pain and inflammatory factors and improve the activity of knee joint.