电针配合电磁疗法治疗类风湿关节炎疗效观察  

Therapeutic Observation of Electroacupuncture plus Electromagnetic Therapy for Rheumatoid Arthritis

作　　者：何冠蘅[1] 邬志雄[2] 王倩[2] 阮经文[1] 

机构地区：[1]中山大学附属第一医院,广州510080 [2]广州中医药大学第一附属医院,广州510405

出　　处：《上海针灸杂志》2014年第3期247-250,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察电针配合电磁疗法治疗类风湿关节炎的临床疗效。方法将75例处于炎症活动期的类风湿关节炎患者随机分为治疗组40例和对照组35例。治疗组采用电针配合电磁疗法治疗,对照组采用单纯电针治疗。对两组治疗前后疼痛强度、晨僵时间、双手平均握力、压痛关节数目(TJC)及指数、肿胀关节数目(SJC)及指数、血沉(ESR)、C反应蛋白(CRP)等项目进行观察与记录,并根据疗效标准进行疗效评价。结果两组治疗后VAS评分、晨僵时间、双手握力、压痛关节数目及指数、肿胀关节数目及指数与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后VAS评分、压痛关节数目及指数、肿胀关节数目及指数与对照组比较,差异均具有统计学意义(P<0.05)。两组患者治疗后血沉及CRP与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组患者治疗后血沉及CRP与对照组比较,差异均无统计学意义(P>0.05)。治疗组治疗后显效进步率和总有效率分别为65.0%和87.5%,对照组分别为34.3%和74.3%。两组显效进步率比较,差异具有统计学意义(P<0.05)。结论电针配合电磁疗法是一种治疗类风湿关节炎的有效方法,其在缓解关节压痛和肿胀方面优于单纯电针治疗。Objective To observe the clinical efficacy of electroacupuncture plus electromagnetic therapy in treating rheumatoid arthritis （RA）. Method Seventy-five patients in the active stage of RA were randomized into a treatment group of 40 cases and a control group of 35 cases. The treatment group was intervened by electroacupuncture plus electromagnetic therapy, and the control group was by electroacupuncture alone. The pain intensity, time of morning stiffness, average grip strength, tender joint count （TJC） and index, swollen joint count （SJC） and index, erythrocyte sedimentation rate （ESR）, and C-reactive protein （CRP） of the two groups were observed and recorded before and after treatment. The therapeutic efficacies were evaluated according to the criteria of therapeutic efficacy. Result After treatment, the Visual Analogue Scale （VAS） score, time of morning stiffness, grip strength, TJC and index, and SJC and index were improved significantly in both group （P〈0.05）. The VAS score, TJC and index, and SJC and index of the treatment group were significantly different from those of the control group after treatment （P〈 0.05）. After treatment, the ESR and CRP were changed significantly in both groups （P〈0.05）. The differences in ESR and CRP between the two groups were statistically insignificant after treatment （P〉0.05）. The markedly-effective rate and total effective rate were respectively 65.0% and 87.5% in the treatment group versus 34.3% and 74.3% in the control group. The difference in the markedly-effective rate between the two groups was statistically significant （P〈0.05）. Conclusion Electroacupuncture plus electromagnetic therapy is an effective method in treating RA, and it＇s better than single electroacupuncture treatment in relieving the tenderness and swelling of joint.

关 键 词：针刺疗法 电针 电磁疗法 关节炎 类风湿 

分 类 号：R246.2[医药卫生—针灸推拿学]