火针与毫针分别联合中药离子导入对类风湿关节炎患者关节功能、炎症因子和类风湿因子的影响

Effects of Fire Needle and Filiform Needle Combined with Traditional Chinese Medicine Iontophoresis on Joint Function,Inflammatory Factors and Rheumatoid Factors in Patients with Rheumatoid Arthritis

目的:探究火针与毫针分别联合中药离子导入对类风湿关节炎患者关节功能、炎症因子和类风湿因子的影响。方法:选取天津中医药大学第一附属医院2020年3月至2022年7月收治的类风湿关节炎患者92例,按照数字随机表法分为研究组和对照组,对照组采用毫针联合中药离子导入治疗,研究组则采用火针联合中药离子导入治疗,比较临床疗效。结果:研究组治疗总有效率高于对照组,且中医症候积分、关节功能指标与类风湿因子(RF)、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)水平低于对照组(P<0.05)。结论:火针联合中药离子导入治疗类风湿关节炎的临床疗效比毫针更加显著,可更好地提高患者关节功能指标,减轻炎症及类风湿因子损害,促进病症恢复。

Objective:To explore the effects of fire needle and filiform needle combined with traditional Chinese medicine iontophoresis on joint function,inflammatory factors and rheumatoid factors in patients with rheumatoid arthritis.Methods:92 patients with rheumatoid arthritis admitted to the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from March 2020 to July 2022 were selected and divided into study group and control group according to the method of numerical random table.The control group was treated with filiform needle combined with traditional Chinese medicine iontophoresis,and the study group was treated with fire needle combined with traditional Chinese medicine iontophoresis to compare the clinical efficacy.Results:The total effective rate of the study group was higher than that of the control group,and the TCM symptom score,joint function index,rheumatoid factor(RF),tumor necrosis factor-α(TNF-α)、The level of interleukin-6(IL-6)in the control group was lower than that in the control group(P<0.05).Conclusion:The clinical efficacy of fire needle combined with traditional Chinese medicine iontophoresis in the treatment of rheumatoid arthritis is more significant than filiform needle,which can better improve patients'joint function indicators,reduce inflammation and rheumatoid factor damage,and promote disease recovery.