中药熏蒸治疗活动期类风湿关节炎的疗效观察及护理  

Efficacy of TCM fumigation in patients with active rheumatoid arthritis and its nursing

作　　者：郑慧芳[1] 徐丽萍[1] 戴巧定[1] 苏素花[1] 王飞君[1] 

机构地区：[1]浙江省中医院风湿免疫科,杭州310006

出　　处：《中华现代护理杂志》2016年第26期3763-3766,共4页Chinese Journal of Modern Nursing

基　　金：浙江省中医药科技计划项目（2016ZA075）

摘　　要：目的探讨中药熏蒸治疗活动期类风湿关节炎的临床疗效。方法将120例类风湿关节炎住院患者随机分成两组，对照组60例采用甲氨蝶呤联合非甾体抗炎药的治疗护理方案，观察组60例在对照组的基础上联合中药熏蒸治疗，观察周期为15d：比较两组疗效。结果观察组总有效率高于对照组，差异有统计学意义（χ2=5．04，P〈0．05）；治疗后，两组晨僵持续时间、DSA28、ESR、CRP均较治疗前有明显改善（P〈0．01），且观察组改善度优于对照组，差异有统计学意义（P〈0．05）。结论中药熏蒸治疗活动期类风湿关节炎能显著提高疗效，且使用安全，值得临床推广使用。Objective To explore the clinical efficacy of traditional Chinese medicine （TCM） fumigation in patients with active rheumatoid arthritis.Methods A total of 120 patients with rheumatoid arthritis were randomly divided into the control group and the observation group. Patients in the control group （n = 60） received methotrexate and non-steroidal anti-inflammatory drugs, and patients in the observation group （n= 60） received TCM fumigation on the basis of those drugs that used in the control group. The efficacy between two groups was observed and compared after 15days. Results The effective rate in the observation group was significantly higher than that in the control group （χ2= 5.04, P〈0.05）. Outcome measures （DSA28, Morning stiffness duration, ESR and CRP） between two groups were distinctly improved after treatment （P〈0.01）, and the improvement in the observation group was better than that in the control group （P 〈 0. 05 ）. Conclusions TCM fumigation combined with Western medicine is more effective, safe and worthy of being widely used in treating active rheumatoid arthritis.

关 键 词：关节炎 类风湿 护理 活动期 中药熏蒸 

分 类 号：R248.1[医药卫生—中医临床基础]