针药结合治疗类风湿性关节炎临床观察

目的:观察针刺拔罐起泡加内服中药治疗寒湿、瘀血痹阻型类风湿性关节炎的临床疗效。方法:采用随机单盲对照法,将127例类风湿关节炎患者随机分为治疗组65例,采用针刺拔罐起泡加内服中药治疗;对照组62例,给予口服尼美舒利分散片结合口服复方环磷酰胺片治疗;疗程为2个月,2个月后评价其临床疗效。结果:治疗组临床治愈12例,显效25例,有效24例,无效4例,愈显率为56.92%,总有效率93.85%;对照组临床治愈7例,显效17例,有效26例,无效12例,愈显率为38.71%,总有效率为80.65%。两组疗效比较有显著差异(P0.05)。治疗组组内寒湿痹阻证与瘀血痹阻证疗效比较有显著差异(P0.05);寒湿痹阻证疗效治疗组优于对照组(P0.05),表明治疗组对于寒湿痹阻证疗效更好;两组治疗后实验室检查指标ESR、CRP、RF均有明显降低,与本组治疗前比较均有显著差异(P0.05)。结论:针刺拔罐起泡加内服中药治疗类风湿性关节炎寒湿痹阻证、瘀血痹阻证疗效显著,对于寒湿痹阻证疗效更佳。

Clinical Observation of Acupuncture and Medicine on Rheumatoid Arthritis

Objective： To observe clinical curative effect of the acupuncture and cupping blistering combined with oral Chinese medicine on rheumatoid arthritis with syndrome of cold dampness and blood stasis obstruction. Methods ： 127 cases of patients with rheumatoid arthritis were randomly divided into two groups with a randomized controlled single blind method. 65 cases in treatment group were treated with acupuncture and cupping blistering combined with oral Chinese herbal medicine. 62 cases in control group were treated with oral Nimesulide Dispers- ible Tablets and oral Compound Cyclophosphamide Tablets. One course of treatment included 2 months. And then the clinical efficacy was evaluated after two months. Results： In treatment group 12 cases were cured, 25 ones ex- cellent, 24 ones effective, and 4 ones ineffective. The effective rate was 56.92%, and the total efficiency 93.85%. In control group 7 cases were cured, 17 ones excellent, 26 ones effective, and 12 ones ineffective. The effective rate was 38.71%, and the total efficiency 80.65%. There was significantly difference between the two groups （ P 〈 0.05 ）. On cold dampness syndrome treatment group was significantly better than control group （P 〈 0.05 ）. In treatment group cold dampness syndrome was significantly different from blood stasis obstruction syn- drome, which showed that treatment group had better efficacy on cold dampness syndrome. After treatment ESR, CRP and RF decreased significantly in the two groups, which were significantly different from before treatment in each group （ P 〈 0.05 ）. Conclusion ： Acupuncture and cupping blistering combined with oral Chinese medicine have good effect on rheumatoid arthritis with syndrome of cold dampness and blood stasis obstruction, especially on cold dampness syndrome.