薏苡仁汤治疗寒湿闭阻型类风湿性关节炎35例疗效分析

目的:观察薏苡仁汤治疗寒湿闭阻型类风湿性关节炎(RA)的临床疗效。方法:70例寒湿闭阻型RA患者随机分为2组,在中医内科治疗基础上,配合服用双氯芬酸钠胶囊75mg,每日1次,薏苡仁汤 双氯芬酸钠组35例,采用薏苡仁汤,水煎服,日1剂,早晚分服。双氯芬酸钠单纯用药组35例,在中医内科治疗基础上,配合服用双氯芬酸钠胶囊75mg,每日1次,2组均治疗2周。观察治疗前、后2组临床症状及治疗效果的改变。结果:薏苡仁汤 双氯芬酸钠组及双氯芬酸钠单纯用药组关节疼痛指数、关节肿胀指数、关节压痛指数、关节功能障碍指数、晨僵、20m行走时间均治疗前有改善(P<0.05),薏苡仁汤 双氯芬酸钠组优于双氯芬酸钠单纯用药组(P<0.05)。结论:薏苡仁汤组方合理,用药精当,切合病机,验于临证,多可获效,配合口服双氯芬酸钠胶囊,二者具有协同作用,较单纯口服西药改善程度更为明显,值得推广应用。

Analysis of efficacy of coixenolide soup for cold dampness closed-resistance of 35 cases of rheumatoid arthritis

Objective:To explore the clinical effect of coixenolide soup on cold dampness closure and resistense type of rheumatoid arthritis(RA). Methods: Seventy cases with cold dampness closure and resistense type of RA patients were randomly divided into two groups, In the observation group (n=35), coixenolide Soup and diclofenac sodium capsules with 75 mg were taken daily, white contrat group (n=35)only diclofenac sodium capsules with 75 mg was taken each day, After two weeks. Clinical Symptoms and otherdata were collected and analysised. Results: After weeks, all Patients includingjoint pain index, joint swelling index, joint tenderness index, joint dysfunction index, morning stiffness, 20 m walking time explored (P<0.05) in two groups, And the clinical effect was Superiorin the obseration group than in contrat (P<0.05). Conclusion: The coixenolide soup is effective for cold dampness closure and resistense type of RA. It is worthy used widely.