隔物温和灸配合西药治疗类风湿关节炎临床观察

目的:观察隔附子饼温和灸治疗类风湿关节炎(RA)的增效作用,探讨治疗RA新的有效方法。方法:60例患者按随机原则平均分为两组,对照组30例以甲氨蝶呤口服作为基础治疗,并根据病情酌用非甾体类抗炎药(NSAIDs)治疗。治疗组30例在对照组治疗之上加用隔附子饼灸关元、足三里。两组治疗时间3个月。结果:治疗3个月后,治疗组总有效率为83·3%,高于对照组的60·0%,差异有显著性意义(P<0·05);两组治疗后各项指标与治疗前对比差异均有显著性意义(P<0·05,P<0·01);治疗组完全停用非甾体类消炎药患者的比率明显高于对照组(P<0·05);治疗组不良反应的发生率明显低于对照组(P<0·05)。结论:隔附子饼温和灸治疗RA可提高临床疗效,减少NSAIDs的使用。

Clinical observation on treatment of rheumatoid arthritis with cake-separated mild moxibustion com bined with western medicine

Objective To observe the effect-increasing action of cake-separated mild moxibustion on rheumatoid arthritis (RA), and to probe a new method for RA. Methods Sixty cases were randomly divided into 2 groups. The control group (n=30) were treated with oral administration of methotrexate (MTX) as basic treatment, and non-steroid anti-inflammatory agents (NSAIDs) according to conditions of the patient. The treatment group (n=30) were treated with the same treatment as the control group, and Fuzi case-separated moxibustion at Guanyuan (CV 4) and Zusanli (ST 36) was added. They were treated for 3 months. Results After treatment of 3 months, the total effective rate was 83.3% in the treatment group, which was higher than 60.0% in the control group (P<0.05); there were significant differences before and after treatment in all indexes in the two groups (P<0.05 or P<0.01); the ratio of the patients who completely withdrew NSAIDs in the treatment group was significantly higher than that in the control group (P<0.05); the rate of adverse reaction in the treatment group was significantly lower than that in the control group (P<0.05). Conclusion Fuzi cake-separated mild moxibustion can increase clinical therapeutic effect on RA and reduce dosage of NSAIDs.