针药并用治疗类风湿关节炎疗效观察(英文)

目的:观察针药并用治疗类风湿关节炎的临床疗效。方法:将80例类凤湿关节炎患者随机分为2组,观察组40例予抗风湿药及针刺治疗;对照组40例予与观察组相同的抗风湿药治疗。治疗3个疗程后观察疗效。结果:治疗后,观察组患者晨僵时间、双手平均握力、关节压痛指数、关节肿胀指数均显著改善,与本组治疗前有统计学差异(P<0.01);关节压痛及双手平均握力改善程度优于对照组(P<0.05)。对照组各症状指标较治疗前亦有显著改善(P<0.01,P<0.05)。治疗后,两组健康评估问卷(HealthAssessmentQuestionnaire,HAQ)评分均有明显改善(P<0.01,P<0.05),红细胞沉降率(Erythrocyte Sedimentation Rate,ESR)、C反应蛋白(C-reactive Protein,CRP)均有明显下降(P<0.01,P<0.05),观察组CRP下降程度优于对照组(P<0.05)。结论:针刺疗法配合抗风湿药治疗能有效改善类风湿关节炎患者的日常生活能力(Activities of Daily Living,ADL),提高其生活质量。

Therapeutic efficacy observation on acupuncture plus medication for rheumatoid arthritis

Objective:To observe the clinical efficacy of acupuncture plus medication for rheumatic arthritis (RA).Methods:A total of 80 RA cases were randomized into an observation group and a control group,40 in each group.Cases in the observation group received antirheumatic agents and acupuncture therapy,whereas cases in the control group received antirheumatic agents alone.The therapeutic efficacies were observed after 3 sessions of treatment.Results:After the treatment,patients in the observation group had significant improvement in their morning stiffness time,average grip of both hands,joint tenderness and joint swelling,showing statistical significances(P<0.01);symptoms of patients in the control group were also remarkably improved(P<0.01, P<0.05).Compared with the control group,the improvements in joint tenderness and average grip of both hands in the observation group were more significant(P<0.05).After treatment,the Health Assessment Questionnaire (HAQ) points were significantly improved in both groups,erythrocyte sedimentation rate(ESR) and C-reactive protein(CRP) in both groups were remarkably reduced(P<0.01,P<0.05);however,compared with the control group,the CRP decrease in the observation group was more significant(P<0.05).Conclusion:Acupuncture plus antirheumatic agents can effectively increase the RA patients’ activities of daily living(ADL) and thus improve their quality of life.