398例类风湿关节炎中医证型分析  

Analysis of Pattern of Chinese Medicine in 398 Rheumatoid Arthritis Cases

作　　者：章懿婷[1] 刘秋红[1] 高忠恩[1] 赵琳[1] 

机构地区：[1]江苏省苏州市中医医院风湿病科,苏州215009

出　　处：《世界中医药》2015年第9期1427-1428,共2页World Chinese Medicine

基　　金：苏州市科技发展计划项目(编号:SYSD2014176)

摘　　要：目的:分析类风湿关节炎(RA)患者中医证型与相关临床指标的关系,为临床诊断、治疗提供客观依据。方法:对398例RA患者的中医证型与年龄、病程、主要实验室指标(RF、anti-CCP、ESR、CRP)及DAS28进行回顾性分析。结果:各证型在病程、病情活动度(ESR、CRP、DAS28)方面有显著性差异;在年龄、RF、anti-CCP方面差异无统计学意义(P>0.05)。398例患者中,湿热痹阻型最多,占38.69%,其次为痰瘀痹阻型和肝肾阴虚型,分别占23.12%和21.61%。结论:本地区活动期RA患者以湿热痹阻型最为常见,缓解期则多见肝肾阴虚型及痰瘀痹阻型。Objective：To observe the relationship between clinical indicators of rheumatoid arthritis（RA） and the pattern of Chinese medicine.Methods：Retrospective analytical method was performed to investigate pattern distribution,age,course,main laboratory indexes（RF,anti-CCP,ESR and CRP） and DAS28 Of 398 RA patients.Results：There were great differences in course of diseases and pathogenetic condition（ESR,CRP,and DAS28） among different patterns.There was no statistical significance in age,RF and anti-CCP.The majority of the patterns was damp-heat obstruction pattern which accounted for 38.69%,next came phlegm-stasis obstruction pattern and liver-kidney yin deficiency pattern which accounted for 23.12%and 21.61%respectively.Conclusion：Pattern of dampness-heat obstruction pattern is most commonly seen in active stage of RA,and liver-kidney yin deficiency pattern and phlegm-stasis obstruction pattern are common in remission stage.

关 键 词：类风湿关节炎 中医证型 

分 类 号：R255.6[医药卫生—中医内科学]