“五味甘露”藏药浴对类风湿关节炎患者疼痛缓解与炎症指标的影响

Effect of"Five Flavors Manna"Tibetan Medicinal Bath on Pain Relief and Inflammation Indexes in Rheumatoid Arthritis Patients

目的探讨“五味甘露”藏药浴对类风湿关节炎患者疼痛缓解与炎症指标的影响。方法回顾性选取2022年4月—2024年4月在西藏日喀则市白朗县卫生服务中心就诊的60例类风湿关节炎患者的临床资料。按照不同治疗方法分为两组,每组30例。西医组接受双氯芬酸钠治疗,联合组额外接受“五味甘露”藏药浴治疗。对比两组疼痛水平、炎性因子、中医证候积分。结果治疗后,联合组C反应蛋白、肿瘤坏死因子-α、白细胞介素-6水平和疼痛程度均低于西医组,差异有统计学意义(P均<0.05)。治疗后,联合组中医证候积分中关节痹痛为(2.17±0.36)分、关节肿满为(2.46±0.27)分、关节拘挛为(2.35±0.44)分、肢体困重为(2.66±0.10)分,均低于西医组的(3.25±0.19)分、(3.13±0.29)分、(3.17±0.13)分、(3.54±0.21)分,差异有统计学意义(t=14.532、9.262、9.789、20.723,P均<0.05)。结论“五味甘露”藏药浴能够降低类风湿关节炎患者的炎症指标,缓解疼痛,并改善中医证候,在类风湿关节炎治疗中具有一定的辅助作用。

Objective To investigate the effects of"five flavors manna"Tibetan medicinal bath on pain relief and inflammation indexes in patients with rheumatoid arthritis.Methods Clinical data of 60 patients with rheumatoid arthritis treated in Bailang County Health Service Center of Shigatse from April 2022 to April 2024 were retrospectively selected.They were divided into two groups according to different treatment methods,with 30 cases in each group.The Western medicine group received diclofenac sodium treatment,and the combined group received"five flavors manna"Tibetan medicine bath treatment.The pain level,inflammatory factors and traditional Chinese medicine syndrome score were compared between the two groups.Results After treatment,the levels of C-reactive protein,tumor necrosis factor-α,interleukin-6 and pain degree in combination group were lower than those in Western medicine group,the differences were statistically significant(all P<0.05).The scores of joint arthralgia was(2.17±0.36)points,joint edema was(2.46±0.27)points,joint clonus was(2.35±0.44)points and limb weight was(2.66±0.10)points of traditional Chinese medicine syndrome score in the combined group were significantly lower than those in the Western medicine group of(3.25±0.19)points,(3.13±0.29)points,(3.17±0.13)points,(3.54±0.21)points,the differences were statistically significant(t=14.532,9.262,9.789,20.723,all P<0.05).Conclusion The"five flavored Manna"Tibetan medicinal bath can reduce the inflammatory indexes of rheumatoid arthritis patients,relieve the pain,and improve the traditional Chinese medicine syndrome,indicating that it has a certain auxiliary efficacy in the treatment of rheumatoid arthritis.