Clinical observation on electroacupuncture plus long-snake moxibustion for rheumatoid arthritis due to kidney deficiency and cold coagulation  

电针加长蛇灸治疗肾虚寒凝型类风湿关节炎疗效观察

作　　者：Xie Yu-ying Li Si-si Ben Yue-hong 谢玉英;李斯思;贲跃宏(Rugao No.3 People’s Hospital,Nantong,Jiangsu Province,Nantong 226500,China)

机构地区：[1]Rugao No.3 People’s Hospital,Nantong,Jiangsu Province,Nantong 226500,China

出　　处：《Journal of Acupuncture and Tuina Science》2020年第6期467-473,共7页针灸推拿医学（英文版）

摘　　要：Objective:To observe the clinical efficacy of electroacupuncture(EA)plus long-snake moxibustion for rheumatoid arthritis(RA)due to kidney deficiency and cold coagulation.Methods:A total of 60 patients in active stage of RA were randomly divided into an observation group and a control group,with 30 cases in each group.Patients in the control group took methotrexate tablets and nimesulide dispersible tablets orally for treatment,while those in the observation group received additional treatment of EA plus long-snake moxibustion.Both groups were treated for 12 weeks.The post-treatment changes in symptomatic grading and quantifying score,disease activity score with 28 joint counts(DAS28),and inflammatory indicators erythrocyte sedimentation rate(ESR)and C-reactive protein(CRP)were observed,and the efficacy was evaluated.Results:The total effective rate in the observation group was 89.9%,versus 76.6%in the control group,and there was a significant difference in the total effective rate between the two groups(P<0.05).After treatment,the symptomatic grading and quantifying score and DAS28 in both groups were significantly improved(all P<0.05),and the improvements in the observation group were more significant than those in the control group(both P<0.05).Besides,there were 11 cases with low disease activity index(DAI)and in remission in the observation group versus 5 cases in the control group,showing a statistically significant between-group difference(P<0.05).The ESR and CRP scores in both groups were significantly reduced after treatment(all P<0.05),also showing statistically significant between-group differences(both P<0.05).Conclusion:The efficacy of additional EA plus long-snake moxibustion based on oral medications for RA due to kidney deficiency and cold coagulation is better than that of the oral medications alone.目的:观察电针联合长蛇灸治疗肾虚寒凝型类风湿关节炎的临床疗效.方法:将60例活动期肾虚寒凝型类风湿关节炎患者随机分为观察组和对照组,每组30例.对照组口服甲氨蝶呤片和尼美舒利分散片治疗,观察组在对照组口服药物的基础上采用电针联合长蛇灸治疗.两组疗程为12周.观察治疗前后症状分级量化评分、28个关节疾病活动指数(DAS28)评分及炎症指标红细胞沉降率(ESR)和C反应蛋白(CRP)的变化情况,并进行疗效评价.结果:观察组总有效率为89.9%,对照组总有效率为76.6%,两组总有效率差异有统计学意义(P<0.05).治疗后,两组患者症状分级量化评分和DAS28评分均较同组治疗前明显改善(均P<0.05),观察组较对照组改善更为明显(均P<0.05).治疗后,观察组低活动度和缓解状态的患者共11例,对照组共5例,两组比较差异有统计学意义(P<0.05).治疗后,两组患者ESR和CRP水平均较同组治疗前明显降低(均P<0.05),组间差异有统计学意义(均P<0.05).结论:口服药物基础上加用电针和长蛇灸治疗肾虚寒凝型类风湿关节炎的疗效优于单独口服药物.

关 键 词：Acupuncture Therapy ELECTROACUPUNCTURE Acupuncture-moxibustion Therapy Moxibustion Therapy Indirect Moxibustion Arthritis Rheumatoid Syndrome Differentiation Treatment 

分 类 号：R246.2[医药卫生—针灸推拿学]